Alaska Department of Administration
Division of Risk Management
The Mission of the Division of Risk Management is to protect the financial assets and operations of the State of Alaska from accidental loss through a comprehensive self-insurance program.
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 [email protected].
Claims Reporting Procedures Manual (internal pdf)
Location Codes for Report Forms (internal pdf)
Anyone who is not a state employee trying to file a claim, please contact a claims administrator at: (907) 465-2180 or [email protected].
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 [email protected]
- Completed Report of Injury (ROI) Forms for AMHS employee injuries must be emailed to [email protected]
- Third-Party Claims Administrator:
Penser North America Inc.
PO Box 241148
Anchorage, AK 99524
Toll Free: 1-844-463-2727
Main: (907)318-2775
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: Vacant P: (907) 465-2180
Staff Members
Risk Manager
May Ramirez-Xiong
Contract Review, Cost of Risk Allocation, Certificate of Self-Insurance, Property/Aviation/Marine
Project Assistant
Vacant
Light Duty Return to Work Program, Volunteer Service Agreements