Top 10 Workers' Comp Insurance Carriers
Protect your business and your employees. Compare the strongest workers' compensation carriers for small businesses, contractors, construction, hospitality, manufacturing, and more — with ratings, pros & cons, and location-based recommendations.
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Top Carriers
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Pay-As-You-Go
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Digital Tools
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InsurTech
Movers & Shakers — Workers' Comp, 2025 DPW
- Chubb — enters at #5 with $2.41B in direct premiums written
- Pie Insurance — drops out of the Top 10
Hartford overtook Travelers as the largest US workers' comp carrier at $3.73B in direct premiums written, with Travelers at $3.69B and AmTrust at $3.52B (AM Best, 2025).
US workers' comp direct premiums written fell 2.4% to $56.18B in 2025; the top 25 carriers hold 67.7% of the market.
What is workers' compensation insurance?
Workers' comp covers medical expenses, lost wages, and disability benefits for employees injured on the job, while protecting the business from lawsuits. It's legally required in almost every state for businesses with employees. Pay-as-you-go billing ties premiums to actual payroll, avoiding large year-end audits — ideal for businesses with fluctuating payrolls like construction and seasonal work.
Best Carrier for Healthcare Facilities
Healthcare facilities face unique workers' comp exposures — patient-handling injuries, needle-sticks, workplace violence, and infectious disease. See which of the Top 10 carriers is the strongest fit for your facility type.
Travelers
Why this carrier wins for hospitals
Travelers is the strongest pick for hospitals thanks to its industry-leading loss-control and risk-engineering services, dedicated healthcare unit, and large-account capability. Hospitals face unique exposures — patient handling injuries, needle-sticks, workplace violence, and slip-and-fall claims — that require a carrier with deep medical-workplace expertise. Liberty Mutual and Zurich are strong runners-up for large hospital systems and multi-location networks.
Key workers' comp risks for hospitals
- •Patient handling & lifting injuries (nurses, CNAs)
- •Needle-stick & bloodborne pathogen exposure
- •Workplace violence from patients/visitors
- •Slip-and-fall on wet floors
- •Infectious disease exposure
Best Carrier by Location
See which of the Top 10 Workers' Comp carriers is the strongest fit for your state or metro — based on each carrier's specialty, regional strength, and the risks that matter most in that market.
ICW Group
Why this carrier wins in Los Angeles, CA
ICW Group is headquartered in California and built its reputation on West Coast workers' comp, making it the most regionally attuned carrier for LA businesses. Its strong claims handling and familiarity with California's strict labor codes and high-frequency construction market give it an edge. The Hartford is the best nationwide fallback with pay-as-you-go payroll integration, and NEXT Insurance offers instant digital quotes for LA's many small contractors and gig-economy businesses.
What to know about the California market
California is a monopolistic-friendly state with a State Fund (SCIF) as the insurer of last resort. Premiums are among the highest in the nation due to strict labor laws, high medical costs, and dense litigation. LA's construction, hospitality, and logistics sectors drive high claim frequency. Pay-as-you-go billing is strongly recommended to avoid large year-end true-up audits.
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