Administrator I Claims

Net Impact; Carlisle (Cumberland County); Hybrid; USD 2,617,000 - 3,857,000; Full time

Job summary

Ahold Delhaize USA in Carlisle, PA is seeking a Legal/Claims Admin to investigate Workers' Compensation Med Only claims, determine coverage, and support Analysts and Managers.

The role offers a flexible hybrid schedule with 3 in-person days and 2 remote days, with base options in Quincy, MA or Carlisle, PA for qualified candidates authorized to work in the United States.

Qualifications

• High School diploma or equivalent.
• Two years of experience in an insurance or self-insured environment.
• Knowledge of medical, legal, insurance and claims terminology.

Responsibilities

• Conducts investigations on assigned Workers Compensation Med Only claims, determines coverage, creates action plans for resolution, evaluates financial exposure and sets appropriate reserves.
• Effectively communicates with local management and outside professionals.
• Maintains confidentiality of information and records.
• Develop a working knowledge of banner policies and procedures.
• Supports adjusters by researching and gathering necessary documentation for claims.
• Supports adjusters by updating claims files with correspondence and notes.
• Supports projects assigned by Manager as needed.

Education

High School diploma or equivalent

Job description

Category/Area of Expertise: Legal

Job Requisition: 534595

Address: USA-PA-Carlisle-1149 Harrisburg Pike

Store Code: Claims Management (5157502)

Ahold Delhaize USA, a division of global food retailer Ahold Delhaize, is part of the U.S. family of brands, which includes five leading omnichannel grocery brands - Food Lion, Giant Food, The GIANT Company, Hannaford and Stop & Shop. Our associates support the brands with a wide range of services, including Finance, Legal, Sustainability, Commercial, Digital and E-commerce, Technology and more.

Primary Purpose

Admin is responsible for investigation of newly reported Workers Compensation claims, including determining compensability/liability and whether it meets the criteria to be transferred to an Analyst. This position supports Analysts/Specialists/Managers.

Our flexible/hybrid work schedule includes 3 in-person days at one of our core locations and 2 remote days. This position can be based in one of our offices located in Quincy, MA, and Carlisle, PA.

Applicants must be currently authorized to work in the United States on a full-time basis.

Duties and Responsibilities

• Conducts investigations on assigned Workers Compensation Med Only claims, determines coverage, creates action plans for resolution, evaluates financial exposure and sets appropriate reserves.
• Effectively communicates with local management and outside professionals.
• Maintains confidentiality of information and records.
• Develop a working knowledge of banner policies and procedures.
• Supports adjusters by researching and gathering necessary documentation for claims.
• Supports adjusters by updating claims files with correspondence and notes.
• Supports projects assigned by Manager as needed.

Qualifications

• High School diploma or equivalent
• Ability to maintain confidentiality.

Preferred Qualifications

• Two years of experience in an insurance or self-insured environment.
• Knowledge of medical, legal, insurance and claims terminology.

ME/NC/PA/SC Salary Range: $19.00 - $28.50

IL/MA/MD/NY Salary Range: $21.85 - $32.77

Actual compensation offered to a candidate may vary based on their unique qualifications and experience, internal equity, and market conditions. Final compensation decisions will be made in accordance with company policies and applicable laws.

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At Ahold Delhaize USA, we provide services to one of the largest portfolios of grocery companies in the nation, and we're actively seeking top talent.

Our team shares a common motivation to drive change, take ownership and enable our brands to better care for their customers. We thrive on supporting great local grocery brands and their strategies.

Our associates are the heartbeat of our organization. We are committed to offering a welcoming work environment where all associates can succeed and thrive. Guided by our values of courage, care, teamwork, integrity (and even a little humor), we are dedicated to being a great place to work.

We believe in collaboration, curiosity, and continuous learning in all that we think, create and do. While building a culture where personal and professional growth are just as important as business growth, we invest in our people, empowering them to learn, grow and deliver at all levels of the business.