Administrator I Claims

ViziRecruiter,LLC.; Carlisle (Cumberland County); Hybrid; USD 42,000 - 54,000; Full time

Job summary

Ahold Delhaize USA is seeking an Administrative Analyst to investigate newly reported Workers' Compensation claims, determine compensability, and support Analysts, Specialists, and Managers. The role blends in-office and remote work, with 3 days onsite and 2 days remote, based in Quincy, MA or Carlisle, PA.

The ideal candidate will handle confidentiality, gather documentation, and assist with claims files, applying knowledge of banner policies and procedures in a collaborative team environment.

Qualifications

• Knowledge of medical, legal, insurance and claims terminology.
• Ability to maintain confidentiality and handle sensitive information.
• Experience supporting claims adjusters and managers.

Responsibilities

• Investigates assigned Workers Compensation Med Only claims and determines coverage.
• Creates action plans for resolution and assesses financial exposure.
• Maintains confidential records and updates claims files with notes.
• Communicates with local management and outside professionals.
• Researches and gathers necessary documentation for claims.

Skills

Claims terminology

Insurance terminology

Medical terminology

Education

High School diploma or equivalent

Two years of experience in insurance environment

Job description

Introduction

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

Overview

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.

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.

Requirements

• 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.