Hybrid Claims Investigator – Workers’ Comp (Admin I)

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

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.