In partnership with AON Risk Services and Broadspire® (a Crawford Company), Allied World was awarded the sole source DBA insurance contract for the United States Agency for International Development (USAID) effective March 1, 2010. This award shows our deep commitment to providing DBA insurance and world class customer service to contractors operating around the world. We continue to focus our efforts on growing our DBA and Foreign Voluntary Workers Compensation business while providing customized service solutions to all of our contractors requiring assistance in these very specialized lines of business.
Frequently Asked Questions
1. What is needed from the contractor when an injury or fatality occurs?
Employer information – Incident report, hire date, wage information, employee ID, supervisor name and contact information, supervisor statement, witness statements, police or military reports of incident, media reports of incident.
Claimant information – For Death – birth and death certificate, marriage certificate (if applicable), widow ID, family contact information, banking information for widow, beneficiary information (birth certificates, IDs), if previously married divorce decree or ID of the additional beneficiaries.
For Injuries – passport, banking information, statement, medical information along with provider information including phone and address.
Claims Reporting – AT&T supported toll-free Domestic and International number:+1 877 217 0665
Direct: +1 813 579 2178
nol@choosebroadspire.com
2. How to establish a direct pay program by Broadspire for employer designated medical facilities.
Broadspire simply needs the name and location of the clinic. They will contact the clinic to set up a direct pay program (not applicable everywhere, varies depending upon the institution).
3. Process for requesting contractor reimbursement from Broadspire when the contractor has paid for the medical care, transportation and other related expenses.
The employer should send all bills to the following contacts at Broadspire:
Donald Gholson
Ricardo Fuentes
To download forms from the Department of Labor click here.