Claimsubmissioninstructions
Please complete this form, sign it electronically, and complete the on-line claim submission instructions below.
1) Create and save a digital copy of the completed and signed claim form (scan, pdf, jpeg, etc.) to your electronic device.
2) Go to the online process: https://claims.cynosurefinancial.com/FIMC
3) Enter your Member Number (ex.1234567AB) and your last name to log in.
4) Select the appropriate claim # from the open claims list.
5) Click "Browse..." Navigate to the digital copy of the signed claim form and any other requested supporting documents you wish to upload and select them.
6) Click "Upload Claim Documents" to complete the upload process.