Workers' Compensation Adjuster Analyst II

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 – Food Lion, Giant Food, The GIANT Company, Hannaford and Stop & Shop.

This role is responsible for the timely, good faith adjustment and disposition of self-administered casualty claims in multiple jurisdictions. Responsibility extends to all aspects and phases of investigations to determine compensability or liability, evaluations, negotiations and settlements / denials of Workers' Compensation claims.

Position Summary

This role has direct responsibility for managing the claim in its entirety while maintaining service and quality level targets.

Our flexible / hybrid work schedule includes 1 in-person day at one of our core locations and 4 remote days. Applicants must be currently authorized to work in the United States on a full-time basis.

Principle Duties And Responsibilities

• Manage assigned Workers Compensation caseload within established targets and financial authority.
• Monitor and ensure timely execution of all statutory deadlines or legal filings as needed.
• Analyze fact of the loss to understand the nature of the claim to develop strategies that provide optimal outcome and mitigate the overall Total Cost of Risk to the Brand bottom lines.
• Identify fraud indicators and actively pursue subrogation opportunities.
• Monitor and actively manage medical treatment with the goal of minimizing disability and fostering a successful re-entry to the workplace.
• Solid understanding of state and federal laws associated with employee relations, including, but not limited to : FMLA, and ADA,
• Closely monitor and manage prescriptions. Work with PBM to authorize prescriptions related to the injury.
• Collaborate with the Safety department in identifying hazards that exist in the retail and distribution operations and ways to minimize these risks.
• Build and maintain effective relationships with internal (Brands, Distributions Centers, Transportation, Ecommerce, Human Resources, Legal, Insurance) and external (vendors, healthcare providers, outside attorneys) customers.

Financial Impact Administration

Basic Qualifications

Skills And Abilities

We offer an experience where our associates are valued; Diversity, Equity, Inclusion and Belonging are infused in our business and our employees are representative of the communities that we serve. We believe in total wellness, which encompasses a blend of physical, financial and emotional wellness.

We believe in collaboration, curiosity, and continuous learning in all that we think, create and do. While building a culture where personal and professional growth are just as important as business growth, we invest in our people, empowering them to learn, grow and deliver at all levels of the business.

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