Hybrid WC Claims Analyst II: Complex Injury Resolution

ViziRecruiter,LLC.; Salisbury (NC); Hybrid; USD 63,440 - 95,160; Full time

Job summary

Ahold Delhaize USA is seeking an Analyst II to manage a caseload of Workers' Compensation claims across multiple jurisdictions. The role emphasizes timely, compliant, and cost‑effective resolution while supporting injured associates through recovery and return‑to‑work.

This position follows a hybrid schedule (1 day in‑person at a core location, 4 remote days) and requires applicants to be authorized to work in the United States on a full‑time basis.

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.
• Working knowledge of Workers' Compensation statutes, claim handling practices, and medical terminology.

Responsibilities

• Manage an assigned caseload of incident‑only, medical‑only, and lost‑time WC claims in compliance with state laws and company policies.
• Conduct timely investigations to determine compensability, evaluate exposure, and develop claim strategies.
• Negotiate and manage settlements within assigned authority according to corporate guidelines.
• Actively manage medical treatment to minimize disability duration and promote return‑to‑work.
• Partner with Store Management, Distribution, Transportation, and HR to support the Light Duty RTW Program.
• Coordinate with PBM partners to ensure injury‑related medications and appropriate care.
• Identify potential fraud indicators and elevate concerns per protocols.
• Communicate clearly with associates, medical providers, attorneys, and vendors while maintaining confidentiality.

Skills

Negotiation

Analytical

Problem solving

Communication

Time management

Adaptability

Education

Bachelor's degree or equivalent

Job description

Ahold Delhaize USA is seeking an Analyst II to manage a caseload of Workers' Compensation claims across multiple jurisdictions. The role emphasizes timely, compliant, and cost‑effective resolution while supporting injured associates through recovery and return‑to‑work.

This position follows a hybrid schedule (1 day in‑person at a core location, 4 remote days) and requires applicants to be authorized to work in the United States on a full‑time basis.