How do I submit an accident claim?

Although accidents can be unexpected and come without warning, you don’t have to let an injury catch you off guard. Please follow the steps below to submit your accident claim:

Items Needed to Submit a Claim

If an accident happens, please complete and submit the items below. Complete instructions are available on the Accident claim form:

1. Accident claim form: Download the form attached to this article and complete as instructed on the form
2. Supporting Documentation, including but not limited to:
   • Detailed medical documentation supporting accident details
   • Accident Report – if applicable (ex.: police report)
   • Surgical Operative Report, if the accident involved surgery
   • Follow-Up Visit – receipts for follow-up visits or physical therapy with dates
   • Chart Note to include admission and discharge paperwork if there was a hospital stay.

Submitting the Claim Form

You can submit an Accident claim by mail, email or fax. Simply download the form, print, complete and sign. You can fax the form to [phone], email it to [e-mail] or mail to:

United of Omaha Life Insurance Company

Group Accident Claims

3300 Mutual of Omaha Plaza

Omaha, NE 68175-0001 

Checking your Claim Status

Once you've submitted your claim, the Mutual of Omaha Employee Portal allows you to view current claims.

You can also call the Mutual of Omaha dedicated toll-free number: [phone] (Monday – Friday, 7:30 a.m. – 5 p.m. CST).

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