Edit an Existing Claim Administrator
	After you create a new claim administrator profile, click save to create the profile or cancel to stop without saving the new profile.
Employer Name  Location Name  Department Name  Hidden Record ?  Record Marked for Delete ?  Claim Administrator Name  Claim Administrator Address  Claim Administrator City  Claim Administrator County  Claim Administrator State  Claim Administrator Postal Code  -   Claim Administrator Phone (   )   -   Claim Administrator FEIN  -   Claim Administrator StateID