Workers Compensation Analyst II Claims Adjuster

Ahold Delhaize USA; Salisbury (NC); On-site; USD 63,440 - 95,160; Full time

Benefits offered by this job

Hybrid schedule

Job summary

Ahold Delhaize USA is seeking an Analyst II to manage a portfolio of Workers' Compensation claims across multiple jurisdictions. The role emphasizes independent claim handling, timely resolution, and cost control while supporting injured associates toward successful return-to-work.

The position collaborates with internal partners and vendors, escalating complex issues as needed. This is a hybrid role with in-person days at a core location and remote days, with no direct people-management

Qualifications

• Minimum 5 years of Workers' Compensation claims handling experience.
• Active adjuster license(s) or able to obtain.
• Bachelor's degree or equivalent experience.

Responsibilities

• Manage an assigned caseload of incident-, medical-, and lost-time WC claims.
• Conduct timely investigations to determine compensability and exposure.
• Negotiate settlements within authority and guidelines.
• Manage medical treatment to minimize disability and support return-to-work.
• Collaborate with Store Management, Distribution, Transportation, and HR to support RTW initiatives.
• Coordinate with nurse triage and PBM partners to ensure appropriate care.
• Identify fraud indicators and escalate as needed.
• Communicate clearly with associates, providers, attorneys, and vendors.

Skills

Negotiation

Analytical thinking

Problem-solving

Communication

Multitasking

Adaptability

Education

Bachelor's degree

Job description

Location

Hybrid schedule: 1 day in‑person at a core location, 4 remote days. Offices located in Salisbury, NC; Scarborough, ME; Quincy, MA; and Carlisle, PA.

Employment Eligibility

Applicants must be currently authorized to work in the United States on a full‑time basis.

Role Summary

The Analyst II role is an experienced adjusting position responsible for managing a caseload of incident‑only, medical‑only, and lost‑time Workers' Compensation claims across multiple jurisdictions. This role functions as an independent claims handler, ensuring timely, compliant, and cost‑effective claim resolution while supporting injured associates through recovery and return‑to‑work.

Analysts collaborate closely with internal partners and vendors and escalate complex issues to Specialists, Analyst III resources, or the Team Manager as appropriate. The role does not have direct people‑management responsibility.

Key Responsibilities

• Manage an assigned caseload of incident‑only, medical‑only, and lost‑time Workers' Compensation claims in compliance with applicable state laws and company policies.
• Conduct timely investigations to determine compensability, evaluate exposure, and develop appropriate claim strategies.
• Negotiate and manage settlements within assigned authority. Authority levels vary based on experience and demonstrated competency and align with corporate guidelines.
• Actively manage medical treatment to minimize disability duration and promote safe, timely return‑to‑work.
• Partner closely with Store Management, Distribution, Transportation, and Human Resources to support participation in the Light Duty RTW Program.
• Utilize nurse triage services at injury intake and during early claim activity to ensure appropriate care direction and reduce unnecessary emergency room utilization.
• Coordinate with PBM partners to monitor prescriptions and ensure medications are injury‑related and appropriate.
• Identify potential fraud indicators and elevate concerns in accordance with established protocols.
• Communicate clearly and professionally with associates, medical providers, attorneys, and vendors while maintaining strict confidentiality.

Financial & Operational Impact

• Manages an assigned book of WC claims aligned with department performance targets.
• Works closely with the Safety team to enhance injury prevention and improve claim outcomes by sharing injury trends, supporting root‑cause analysis, and reinforcing early intervention strategies focused on reducing lost time and claim escalation.

Basic 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.

Preferred Qualifications

• Experience handling Workers' Compensation claims in multiple jurisdictions.
• Familiarity with retail, distribution, or transportation operations.
• Working knowledge of FMLA, ADA, and return‑to‑work coordination.

Skills & Abilities

• Strong negotiation, analytical, and problem‑solving skills.
• Effective communication skills with internal and external partners.
• Ability to manage competing priorities in a fast‑paced, high‑volume environment.
• Demonstrated adaptability and willingness to grow technical claim expertise.

Salary Range

ME/NC/PA/SC: $63,440–$95,160. IL/MA/MD/NY: $72,880–$109,320. Actual compensation may vary based on qualifications, experience, internal equity, and market conditions.