Workers' Comp Claims Analyst I — Investigate & Resolve

Loyalty360; Scarborough (ME); On-site; USD 3,656,000 - 5,484,000; Full time

Job summary

Ahold Delhaize USA is seeking a Workers' Compensation Claims Manager to investigate and manage WC claims from start to settlement, interfacing with associates, attorneys, and providers. The role emphasizes adherence to deadlines, risk mitigation, and cross-functional collaboration.

The ideal candidate will hold a licensed adjuster status or ability to obtain one, plus a bachelor’s degree or equivalent WC claims experience, and strong negotiation and communication skills.

Qualifications

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

Responsibilities

• Investigation of workers' compensation claims to determine compensability.
• Manage WC caseload within targets and applicable authority.
• Ensure timely statutory filings and deadlines.
• Analyze facts to develop strategies and mitigate total cost of risk.
• Collaborate with safety, legal, and brand teams; communicate with stakeholders.
• Resolve claim issues via phone, email, and online applications.

Skills

Negotiation skills

Communication skills

Relationship building

Attention to detail

Problem solving

Education

Bachelor's degree or equivalent in related field

Job description

Ahold Delhaize USA is seeking a Workers' Compensation Claims Manager to investigate and manage WC claims from start to settlement, interfacing with associates, attorneys, and providers. The role emphasizes adherence to deadlines, risk mitigation, and cross-functional collaboration.

The ideal candidate will hold a licensed adjuster status or ability to obtain one, plus a bachelor’s degree or equivalent WC claims experience, and strong negotiation and communication skills.