Ahold Delhaize USA · 10 hours ago
Workers' Compensation Analyst III Claims Adjuster
Salisbury, NC
Full-time
Hybrid
Senior Level
7+ years expAhold Delhaize USA is part of a global food retailer and is actively seeking a Workers' Compensation Analyst III Claims Adjuster. This role manages complex claims with a focus on high dollar and litigated claims, ensuring compliance with regulations and mentoring junior analysts.
GroceryRetailSales
No H1B
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
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
Excellent interpersonal skills
Ability to multi-task
Excellent time management skills
High level of negotiation, analytical, planning, influence, communication, and presentation skills
Proven leadership and management skills, with ability to work with all levels of management
Mature level of knowledge for company, business, and industry practices
Demonstrates a personal acceptance of change and the ability to adapt and drive change
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
Ahold Delhaize USA provides retail media solutions for brands to advertise to grocery shoppers across ADUSA brands using data-driven tools.
10001+ employees
Funding
Current Stage
Late StageRecent News
GlobeNewswire
2026-01-16
2025-12-30
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