Workers' Compensation Claims Adjuster Analyst I jobs in United States
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Ahold Delhaize USA · 4 hours ago

Workers' Compensation Claims Adjuster Analyst I

Ahold Delhaize USA is a division of a global food retailer and is seeking a Workers' Compensation Claims Adjuster Analyst I. This role involves investigating Workers Compensation claims, managing the claims process, and ensuring compliance with legal obligations while maintaining service level targets.

GroceryRetailSales
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Hiring Manager
Scarlette Mixon
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Responsibilities

Manage WC caseload within established targets and appropriate level. Performance standards include thorough investigations, evaluations, negotiation and disposition of all claims, while ensuring that all claims are in compliance with statutory and legal obligations
Monitor and ensure timely execution of all statutory deadlines or legal filings as needed
Analyze fact of the loss to understand the nature of the claim to develop strategies that provide optimal outcome and mitigate the overall Total Cost of Risk to the Banners' bottom lines
Identify fraud indicators and actively pursue subrogation opportunities
Collaborate with the Safety department in identifying hazards that exist in the retail and distribution operations and ways to minimize these risks
Build and maintain positive relationships with internal (Brands, Distributions Centers, Transportation, Ecommerce, Human Resources, Legal, Insurance) and external (vendors, healthcare providers, outside attorneys) customers
Manage book of claims business (up $1 million WC) with authority to settle/negotiate a single claim within their authority of up to $50,000 (Corporate Authority policy)
Communicate ongoing causes of WC injuries to Safety and Brands
Serve as the primary point of contact to address and resolve claim issues impacting customer, associate, vendor, and the Brands. Research and resolve claim/legal issues. Provide timely communication related to the claim, resolving issues, and responding to questions via phone, email, and online applications

Qualification

Licensed adjusterWorkers' compensation knowledgeMedical terminology knowledgeNegotiation skillsRelationship buildingCommunication skillsProblem-solving abilityAttention to detail

Required

Licensed adjuster or ability to obtain license (as appropriate by jurisdiction)
Bachelor's degree or 2 years WC claims experience
Thorough knowledge of rules, regulations, statutes and procedures pertaining to workers' compensation claims
Knowledge of medical terminology involved in complex claims
Strong negotiation skills
Demonstrates relationship building and communication skills, both written and verbal
Highly self-motivated, goal oriented, and works well under pressure
Customer focused solid understanding of WC legal procedures, processes, practices and standards in the handling of complex claims
Ability to identify problems and effectuate solutions
Ability to manage multiple tasks simultaneously with excellent follow-up and attention to detail
Able to apply critical thinking when solving problems and making decisions

Preferred

Preferred experience with NC and VA

Company

Ahold Delhaize USA

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Ahold Delhaize USA provides retail media solutions for brands to advertise to grocery shoppers across ADUSA brands using data-driven tools.