Request a New ClaimWizard User Account

Thank you for requesting additional staff in your account. If you do not yet have a ClaimWizard account for your company, please sign up first, thanks!

Please note:

  • The person making this request MUST be listed as the executive/owner OR billing contact. If not, we will need to contact them to verify the addition.
  • Accounts are NOT created immediately as they need to be verified first. If you need to request additional staff, just resubmit this form with the new information.
  • The ClaimWizard staff does not have access to passwords.
  • A Welcome Email will be sent to the new user that includes their login ID and password – NOT the person requesting the account.
  • Your email address.
  • Best phone number to reach you at if we have additional questions.
  • Open ClaimWizard Admin (gears) icon, then click "Account Summary" to obtain your PIN number. If you do not have access to view this, you do not have clearance to add/request new users.
  • New User Information

  • First name of new user.
  • Last name of new user.
  • Email address (must be active) of new user. This email address will become their login ID.
  • Please note that any role with an asterisk (*) is considered ASSIGNABLE and is required to have a paid license. An assignable license is required to access ClaimWizard via the mobile applications. Choosing multiple assigned roles to a person will only incur one license fee per person.
  • Please note that by adding an additional ASSIGNABLE (*) to your account, you may be charged an additional fee of $50 per month per account in addition to your existing monthly fee.
  • This field is for validation purposes and should be left unchanged.