General Liability Claims Adjuster Analyst I

ADUSA Distribution LLC; Scarborough (ME); Hybrid; USD 55,000 - 75,000; Full time

Job summary

A leading company in the food retail sector is seeking a General Liability Claims Adjuster Analyst I. This role involves investigating complex claims, ensuring compliance with legal obligations, and providing excellent customer service. The position offers a hybrid work model, combining in-person and remote work. Candidates should have a strong background in claims management and excellent communication skills.

Qualifications

• Minimum 3 years claims experience required.
• Licensed adjuster or eligible for licensing after training.

Responsibilities

• Investigate claims and determine disposition based on findings.
• Ensure compliance with legal obligations.
• Negotiate settlements within authority limits.

Skills

Time Management

Organizational Skills

Communication

Problem Solving

Education

Bachelor’s Degree

Tools

Office 365

Job description

General Liability Claims Adjuster Analyst I

Join to apply for the General Liability Claims Adjuster Analyst I role at Ahold Delhaize USA

Location: USA-ME-Scarborough, 145 Pleasant Hill Rd

Store Code: Claims Management (5157507)

Ahold Delhaize USA, part of the global food retailer Ahold Delhaize, supports brands like Food Lion, Giant Food, The GIANT Company, Hannaford, and Stop & Shop. Our teams provide services in finance, legal, sustainability, digital, e-commerce, technology, and more.

Position Summary

Investigate complex claims against the company to determine cause and evaluate exposure, then decide on claim disposition based on findings.

Work Schedule

Hybrid model: 1 in-person day at a core location and 4 remote days. Applicants must be authorized to work in the U.S. full-time.

Responsibilities

• Perform thorough investigations, evaluations, and dispositions of claims following departmental standards.
• Ensure compliance with statutory and legal obligations.
• Maintain quality control through claim diary systems and reporting guidelines.
• Provide excellent customer service with timely contact and follow-up.
• Determine proximate cause and plan for settlement or denial according to jurisdictional and statutory requirements.
• Maintain accurate reserves based on severity and exposure.
• Present settlement recommendations to management for approval.
• Negotiate settlements within authority limits.
• Issue timely payments to control costs.

Financial and Administrative Responsibilities

• Identify claims with subrogation potential and pursue reimbursement.
• Use resources like the National Index Bureau to detect fraud indicators.
• Collaborate with Safety to identify hazards and reduce risks.
• Audit and approve legal and vendor bills for payment.
• Set personal and business goals, including interaction with legal, loss prevention, and safety teams.
• Mentor less experienced team members and pursue ongoing training.
• Work with Litigation Specialists to improve skills and knowledge.

Self-Development

• Establish goals involving legal, loss prevention, and safety interactions.
• Provide coaching and mentorship.
• Attend external training to enhance technical skills.
• Partner with specialists to deepen expertise.

Qualifications

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

Skills & Abilities

• Drive for professional growth through training and self-development.
• Strong time management and organizational skills.
• Ability to multitask and find innovative solutions.
• Work well under pressure, with excellent communication skills.
• Ability to build relationships with stakeholders.
• Proficient in Office 365 and relevant software.

We value diversity, equity, and inclusion, and invest in our employees' wellness and growth, fostering a collaborative and curious work environment.