Submit A Claim

**If you are a first time user, please fill out the form below to submit a claim. A representative will contact you shortly to set you up in our system.

Adjuster Information
Name:*
First Last
Company Name:*
Office/Zone:
Supervisor Name:
Email (This will be your username)*
Phone*
Fax
Policyholder Information:
Name
First Last
State:
Zip Code*
ZIP / Postal Code
Email
Phone
Claim Information:
Claim Number:
Date of Loss:
Date Format: MM slash DD slash YYYY
Deductible:
Individual Limit:
Aggregate Limit:
Contact Insured*
- Contact Insured* (Recommended)
- Do Not Contact Insured
Replacement Items:
1. Scheduled Limit:
Item Description:
2. Scheduled Limit:
Item Description:
3. Scheduled Limit:
Item Description:
4. Scheduled Limit:
Item Description:
5. Scheduled Limit:
Item Description:

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- “Just got my ring back… fabulous job and I couldn’t be more pleased. Thank you for finding the right stone! All is right with the world.”
  
  Majorie, 2018
- “At ARTIGEM, we believe that people don’t care how much you know, until they know how much you care. That’s why we build trust in every solution through our actions not our words.”
  
  Kurt Artinger,
  CEO & Founder
- “I just wanted to tell you how grateful I am for all your help. My grandmother’s ring looks so beautiful! Thank you for taking good care of it.”
  
  Rhonda, 2018
- “I just want to tell you, I really appreciate all your help with this. I really had no idea where I should start. You’re making it a lot easier for me to find a replacement of my precious rings!”
  
  Michelle, 2018
- ” I just wanted to let you know what an incredible job my Jewelry Specialist did with my claim. From communicating with my mother and I and keeping us in the loop through it all to taking the time to search for the perfect diamond, I am beyond pleased with his customer service. I know people usually only take the time to complain and write negative reviews; however, I really just wanted you to know what a fabulous job he did. Artigem made us feel at ease through the entire process of getting a new diamond and I would recommend them to anyone.”
  
  Alexis, 2018

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Submit A Claim

Adjuster Information

Policyholder Information:

Claim Information:

Replacement Items: