Workers' Comp Claims Analyst I — Hybrid/Remote

Ahold Delhaize USA; Quincy (MA); Hybrid; USD 43,000 - 63,000; Full time

Job summary

Ahold Delhaize USA is seeking a Workers' Compensation Claims Specialist to investigate and manage WC claims from start to finish. The role interfaces with associates, healthcare providers, attorneys, and Brand partners, handling filings, negotiations, and settlements within defined authority.

This position supports a hybrid schedule with in-person and remote work options and is based in Quincy, MA. The candidate will monitor deadlines, assess loss facts, and strategize for optimal outcomes while

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.

Responsibilities

• Manage WC caseload within established targets and appropriate level, including investigations, evaluations, negotiation, and disposition of all claims.
• Monitor and ensure timely execution of statutory deadlines or legal filings.
• Analyze facts of loss to develop strategies that mitigate Total Cost of Risk for the org.
• Identify fraud indicators and pursue subrogation opportunities.
• Collaborate with Safety to identify hazards and mitigation approaches.
• Build and maintain relationships with internal and external customers.
• Manage a book of claims up to $1M with authority to settle up to $50,000.
• Communicate ongoing causes of WC injuries to Safety and Brands.
• Provide timely communication to resolve claim issues via phone, email, and online applications.

Skills

Relationship building

Communication

Customer focus

Attention to detail

Problem solving

Multi-tasking

Critical thinking

Education

Bachelor's degree or equivalent

Job description

Ahold Delhaize USA is seeking a Workers' Compensation Claims Specialist to investigate and manage WC claims from start to finish. The role interfaces with associates, healthcare providers, attorneys, and Brand partners, handling filings, negotiations, and settlements within defined authority.

This position supports a hybrid schedule with in-person and remote work options and is based in Quincy, MA. The candidate will monitor deadlines, assess loss facts, and strategize for optimal outcomes while