Administrator I Claims

Adusa; Quincy (MA); On-site; USD 42,000 - 64,000; Full time

Job summary

Ahold Delhaize USA is seeking an Admin to investigate newly reported Workers' Compensation claims, determine compensability, and support Analysts. This role includes a hybrid schedule with 3 in-person days and 2 remote days, based in Quincy, MA or Carlisle, PA.

Applicants must be authorized to work in the United States on a full-time basis. The position supports Analysts/Specialists/Managers, maintains confidentiality, and requires knowledge of claims terminology with a focus on accuracy and

Qualifications

• Ability to conduct investigations into Workers Compensation claims and determine coverage.
• Ability to communicate effectively with management and external professionals.
• Maintain confidentiality of information and records.
• Develop knowledge of company policies and procedures relevant to claims.
• Assist adjusters by researching and gathering documentation for claims.
• Assist adjusters by updating claims files with correspondence and notes.
• Support projects assigned by Manager as needed.

Responsibilities

• Conduct investigations on Workers Compensation Med Only claims, determine coverage and reserves.
• Communicate with local management and outside professionals.
• Maintain confidentiality of information and records.
• Develop working knowledge of banner policies and procedures.
• Support adjusters by researching and gathering necessary documentation.
• Support adjusters by updating claims files with correspondence and notes.
• Support Manager-initiated projects as needed.

Skills

Investigation

Communication

Confidentiality

Claims terminology

Education

High School diploma or equivalent

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.