General Liability Claims Adjuster Analyst I

Loyalty360; Salisbury (NC); Hybrid; USD 60,000 - 80,000; Full time

Job summary

A leading company in the legal sector is seeking a Claims Management professional to investigate complex claims and ensure compliance with legal obligations. The role offers a flexible/hybrid work schedule, combining in-person and remote work. Ideal candidates will have a background in claims management, strong communication skills, and a desire for professional growth. Join a team that values diversity and invests in employee development.

Qualifications

• Minimum 3 years claims management experience.
• Licensed adjuster or eligible for licensing after in-house training.

Responsibilities

• Performs thorough investigations and evaluations of claims.
• Ensures compliance with statutory and legal obligations.
• Provides excellent customer service with timely contact.

Skills

Time Management

Organizational Skills

Communication

Education

Bachelor's Degree

Tools

Office 365

Job description

Category/Area of Expertise:

Legal

Job Requisition:

429280

Address:

USA-NC-Salisbury-2085 Harrison Road

Store Code:

Claims Management (5157507)

Company Overview:

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

Position Summary:

Initiates investigations into complex claims made against the company to determine causes and evaluate loss exposure. Based on investigation outcomes, provides appropriate responses for claim disposition.

Work Schedule:

Flexible/hybrid, including 1 in-person day at a core location and 4 remote days.

Eligibility:

Applicants must be authorized to work in the US full-time.

Principle Duties and Responsibilities:

Claims Management

• Performs thorough investigations, evaluations, and dispositions of claims following departmental standards.
• Ensures compliance with statutory and legal obligations.
• Maintains quality control through claim diary systems and reporting guidelines.
• Provides excellent customer service with timely contact and follow-up.
• Determines proximate cause and plans settlement or denial in accordance with legal requirements.
• Maintains accurate reserve levels based on claim severity.
• Recommends and presents settlement values for management approval.
• Negotiates settlements within authority limits.
• Issues timely payments to control costs.

Financial Impact Administration

• Identifies claims with subrogation potential and seeks reimbursement.
• Uses National Index Bureau to detect fraud indicators.
• Collaborates with Safety department to identify and mitigate hazards.
• Audits and approves legal and vendor bills for payment.
• Sets personal and business goals involving legal, loss prevention, and safety teams.
• Provides coaching and mentoring to less experienced team members.
• Enhances skills through external training and collaboration with Litigation Specialists.

Self-Development

• Establishes personal and professional goals for growth.
• Provides coaching and mentoring.
• Attends external training to improve technical skills.
• Partners with Litigation Specialists for skill enhancement.

Basic Qualifications:

• Licensed adjuster or eligible for licensing after in-house training.
• Bachelor's degree preferred; minimum 3 years claims management experience.
• Knowledge of legal procedures, workers' compensation, and liability claims.
• Understanding of medical terminology and customer relations principles.

Skills and Abilities:

• Desire for professional growth in claims.
• Strong time management and organizational skills.
• Ability to multi-task and find innovative solutions.
• Self-motivated with good organization and prioritization skills.
• Ability to work under pressure and lead or follow in a team.
• Excellent communication skills and proficiency in Office 365.

#LI-SM1 #LI-Hybrid

We value diversity, equity, inclusion, and belonging, and invest in our employees' wellness and growth, fostering a culture of collaboration and continuous learning.