Hybrid WC Claims Analyst I (Remote/Onsite)

ViziRecruiter,LLC.; Salisbury, Northern (NC, KY); Hybrid; USD 37,000 - 63,000; Full time

Job summary

Ahold Delhaize USA is seeking a claims professional to investigate workers' compensation claims, manage the file through resolution, and collaborate with safety and brand partners. This role interfaces with associates, attorneys, healthcare providers, and vendors to resolve issues, while meeting service levels.

The position supports a flexible hybrid work model with one in-person day and remote days, and requires authorization to work in the United States on a full-time basis.

Qualifications

• Licensed adjuster or ability to obtain license by jurisdiction.
• Bachelor's degree or 4 years WC claims experience.
• Thorough knowledge of rules, regulations, statutes and procedures pertaining to workers' compensation claims.
• Knowledge of medical terminology involved in complex claims.
• Strong negotiation skills.

Responsibilities

• Manage WC caseload within established targets and appropriate level.
• Monitor and ensure timely execution of all statutory deadlines or legal filings as needed.
• Analyze fact of the loss to understand the nature of the claim to develop strategies that provide optimal outcome.
• Identify fraud indicators and actively pursue subrogation opportunities.
• Collaborate with the Safety department to identify hazards and minimize risks.
• Build and maintain relationships with internal and external customers.

Skills

Relationship building

Written and verbal communication

Self-motivated

Customer focus

Critical thinking

Multitasking

Problem solving

Negotiation

Education

Bachelor's degree

Job description

Ahold Delhaize USA is seeking a claims professional to investigate workers' compensation claims, manage the file through resolution, and collaborate with safety and brand partners. This role interfaces with associates, attorneys, healthcare providers, and vendors to resolve issues, while meeting service levels.

The position supports a flexible hybrid work model with one in-person day and remote days, and requires authorization to work in the United States on a full-time basis.