Workers' Compensation Analyst III Claims Adjuster jobs in United States
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Ahold Delhaize USA · 7 hours ago

Workers' Compensation Analyst III Claims Adjuster

Ahold Delhaize USA, a division of global food retailer Ahold Delhaize, is part of the U.S. family of brands, which includes five leading omnichannel grocery brands. They are seeking a Workers' Compensation Analyst III Claims Adjuster to manage complex claims, ensure compliance with state laws and company policies, and mentor assigned analysts.

GroceryRetailSales
badNo H1Bnote

Responsibilities

Provides professional, technical and strategic guidance for the management of WC claims using regulatory knowledge, familiarity with company policies and Human Resources practices
Conducts investigations on assigned Workers Compensation claims, creates action plans for resolution, evaluates financial exposure and sets appropriate reserves
Directs, advises and supports Company associates and all levels of management on technical aspects of claims management in a cost-effective manner
Assigns and directs the efforts of outside resources including attorneys, rehabilitation counselors and investigators. Develops partnerships to maximize service at lowest possible cost
Represents the Brands in the litigation process of claims by attending mediations/hearings while serving as a specific technical expert for internal management staff
Mentors Analysts in adherence to claims standards, time management skills department policies and requirements of best in class status
Effectively communicates with all levels of internal management and outside professionals
Work in a collaborative manner while maintaining confidentiality of complex and sensitive subjects
Manage book of claims business ($100 million WC) with authority to settle/negotiate a single claim within their authority of up to $125,000.00 (Corporate Authority policy)
Communicate ongoing causes and trends of GL/WC injuries to Safety and Brands
Serve as the primary point of contact to address and resolve claim issues impacting customer, associate, vendor, and the Brands. Research and resolve claim/legal issues. Provide timely communication related to the claim, resolving issues, and responding to questions via phone, email, and online applications

Qualification

Licensed adjusterWorkers' Compensation knowledgeClaims management experienceIndustry Designation AICIndustry Designation ARMIndustry Designation CPCULegal procedures knowledgeMedicare regulations knowledgeAnalytical skillsInterpersonal skillsTime management skillsNegotiation skillsLeadership skills

Required

Licensed adjuster (as appropriate by jurisdiction)
Bachelor's degree or a minimum of 7 years' experience handling large caseload of complex, high dollar, litigated claims
Industry Designation (AIC, ARM, CPCU, etc.)
Thorough knowledge of rules, regulations, statutes and procedures pertaining to Workers' Compensation
Thorough knowledge of legal procedures and processes involved in handling claims
Thorough knowledge of Medicare regulations as they apply to WC
Knowledge of coaching principles and practices
Knowledge of medical terminology involved in complex claims
Knowledge of customer relations principles and techniques

Preferred

Juris Doctorate/Paralegal with specialty in Workers Compensation
Experience in risk management, self-administered programs, captives and/or insurance matters
Advanced claims management techniques

Company

Ahold Delhaize USA

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Ahold Delhaize USA provides retail media solutions for brands to advertise to grocery shoppers across ADUSA brands using data-driven tools.