Experienced Workers' Comp Claims Analyst

ViziRecruiter,LLC.; Quincy (MA); Hybrid; USD 72,880 - 109,320; Full time

Job summary

Ahold Delhaize USA is seeking an Analyst II to manage a caseload of incident‑only, medical‑only, and lost‑time Workers' Compensation claims across multiple jurisdictions, ensuring timely, compliant, and cost‑effective resolution.

This role collaborates with internal partners and vendors and supports injured associates through recovery and return‑to‑work. It operates on a hybrid schedule (1 day in‑person, 4 remote days) and requires U.S. work authorization for full‑time employment.

Qualifications

• Minimum 5 years of Workers' Compensation claims handling experience, including lost-time claims.
• Active adjuster license(s), as required by jurisdiction, or ability to obtain.
• Bachelor's degree or equivalent professional experience.

Responsibilities

• Manage an assigned caseload of incident‑only, medical‑only, and lost‑time Workers' Compensation claims in compliance with applicable state laws and company policies.
• Conduct timely investigations to determine compensability, evaluate exposure, and develop appropriate claim strategies.
• Negotiate and manage settlements within assigned authority. Authority levels vary based on experience and demonstrated competency and align with corporate guidelines.
• Actively manage medical treatment to minimize disability duration and promote safe, timely return‑to‑work.
• Partner closely with Store Management, Distribution, Transportation, and Human Resources to support participation in the Light Duty RTW Program.
• Utilize nurse triage services at injury intake and during early claim activity to ensure appropriate care direction and reduce unnecessary emergency room utilization.
• Coordinate with PBM partners to monitor prescriptions and ensure medications are injury‑related and appropriate.
• Identify potential fraud indicators and elevate concerns in accordance with established protocols.
• Communicate clearly and professionally with associates, medical providers, attorneys, and vendors while maintaining strict confidentiality.

Skills

Negotiation

Analytical thinking

Communication

Prioritization

Adaptability

Education

Bachelor's degree or equivalent professional experience

Job description

Ahold Delhaize USA is seeking an Analyst II to manage a caseload of incident‑only, medical‑only, and lost‑time Workers' Compensation claims across multiple jurisdictions, ensuring timely, compliant, and cost‑effective resolution.

This role collaborates with internal partners and vendors and supports injured associates through recovery and return‑to‑work. It operates on a hybrid schedule (1 day in‑person, 4 remote days) and requires U.S. work authorization for full‑time employment.