Division of Risk Management
Agency Assistance
The Division of Risk Management is available to assist all state agencies in answering questions in matters relating to Risk Assessment and Insurance issues. Most answers can be found in the claims manual.
Claims Manual
This manual will answer most of your questions regarding claims reporting. If you have additional questions about completing forms or about the substance of a claim, contact Risk Management at (907) 465-2180 or RiskManagement@alaska.gov.
Claims Reporting Procedures Manual (internal pdf)
Location Codes for Report Forms (internal pdf)
Anyone not a state employee trying to file a claim, please contact a claims administrator at: (907) 465-2180 or RiskManagement@alaska.gov.
Workers' Compensation
Please note, the process for reporting an injury or illness changed in July 2013. Both of the following forms must be completed for Workers' Compensation.
- Employee Report to Employer - Form 07-6100 (word)
- Employer Report to Division of Workers' Compensation - Form 07-6101 (word)
- Example - Form 07-6101 (pdf)
- Completed Report of Injury (ROI) Forms for State of Alaska employee injuries must be emailed to doa.dop.roi@alaska.gov
- Completed Report of Injury (ROI) Forms for AMHS employee injuries must be emailed to doa.dop.roi.amhs@alaska.gov
- Third-Party Claims Administrator:
Penser North America Inc.
PO Box 241148
Anchorage, AK 99524
Toll Free: 1-844-463-2727
Main: (907)313-7650
Fax: (907)302-3803
Light Duty Return to Work Program
The Light Duty Return to Work program allows an employee to continue working while recovering from an on the job injury.
This is a 24-week program that allows the employer to place the worker back in the department and ensures that the worker has reasonable accommodations while recovering, and still gets a paycheck.
Program Coordinator: Connor Duffy (907) 269-6761
Mission
To protect the financial assets and operations of the State of Alaska from accidental loss through a comprehensive self-insurance program.
Tracy Mears
Division Director
(907) 334-2573
Sheri Gray
(907) 465-5724
Risk Manager
Contract Review
Cost of Risk Allocation
Certificate of Self-Insurance
Property/Aviation/Marine
Amber Treston
(907) 465-2184
Claims Administrator
Workers' Compensation
Marie Lam
(907) 465-2183
Claims Administrator
Property/Casualty Claims
Dixie Williams
(907) 465-5652
Accountant 4
Connor Duffy
(907) 269-6761
Program Coordinator
Light Duty Return to Work Program
Volunteer Service Agreements