Hybrid Workers' Comp Claims Analyst I

Loyalty360; Quincy (MA); Hybrid; USD 43,000 - 63,000; Full time

Job summary

Ahold Delhaize USA is seeking a Workers' Compensation Claims Adjuster to investigate claims, determine compensability, and manage the claim lifecycle. The role interfaces with associates, attorneys, healthcare providers, and vendor partners, with a flexible/hybrid schedule including in-person days at Quincy, MA or Salisbury, NC offices.

The ideal candidate holds a licensed adjuster (or can obtain one), has a bachelor’s degree or 4+ years WC claims experience, and demonstrates strong negotiation

Qualifications

• Licensed adjuster or ability to obtain license (as appropriate 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. Performance standards include thorough investigations, evaluations, negotiation and disposition of all claims, while ensuring that all claims are in compliance with statutory and legal obligations.
• Monitor and ensure timely execution of all statutory deadlines or legal filings as needed.
• Analyze facts of the loss to understand the nature of the claim to develop strategies that provide optimal outcome and mitigate the overall Total Cost of Risk to the Brands' bottom lines.
• Identify fraud indicators and actively pursue subrogation opportunities.
• Collaborate with the Safety department in identifying hazards that exist in the retail and distribution operations and ways to minimize these risks.
• Build and maintain positive relationships with internal and external customers.

Skills

Negotiation skills

Communication skills

Relationship building

Attention to detail

Critical thinking

Education

Bachelor's degree

WC claims experience (4 years)

Job description

Ahold Delhaize USA is seeking a Workers' Compensation Claims Adjuster to investigate claims, determine compensability, and manage the claim lifecycle. The role interfaces with associates, attorneys, healthcare providers, and vendor partners, with a flexible/hybrid schedule including in-person days at Quincy, MA or Salisbury, NC offices.

The ideal candidate holds a licensed adjuster (or can obtain one), has a bachelor’s degree or 4+ years WC claims experience, and demonstrates strong negotiation