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Ahold Delhaize USA · 1 day ago

Workers' Compensation Adjuster Analyst II

Salisbury, NC

Full-time

Hybrid

Mid Level

4+ years exp

Ahold Delhaize USA, a division of the global food retailer Ahold Delhaize, is seeking a Workers' Compensation Adjuster Analyst II. This role is responsible for the timely adjustment and disposition of self-administered casualty claims, managing investigations, evaluations, and negotiations related to Workers’ Compensation claims while ensuring compliance with legal obligations.

GroceryRetailSales

No H1B

Responsibilities

Manage assigned Workers Compensation caseload within established targets and financial authority. 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 Brand bottom lines

Identify fraud indicators and actively pursue subrogation opportunities

Monitor and actively manage medical treatment with the goal of minimizing disability and fostering a successful re-entry to the workplace

Solid understanding of state and federal laws associated with employee relations, including, but not limited to: FMLA, and ADA

Closely monitor and manage prescriptions. Work with PBM to authorize prescriptions related to the injury

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 effective relationships with internal (Brands, Distributions Centers, Transportation, Ecommerce, Human Resources, Legal, Insurance) and external (vendors, healthcare providers, outside attorneys) customers

Manage book of Workers’ Compensation claims business up to $5 million with authority to settle/negotiate a single claim within their authority of up to $75,000 (Corporate Authority policy)

Communicate ongoing causes of associate or customer injuries to Safety and Brands

Serve as the primary point of contact to address and resolve claim issues impacting 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 knowledgeNegotiation skillsMedical terminology knowledgeO365 proficiencyMulti-taskingAnalytical skillsInterpersonal skillsAttention to detailTime managementCommunication skillsPresentation skillsAdaptabilityMentoring