Demo

Workers' Compensation Claims Administrator I

Peapod Digital Labs
Scarborough, ME Full Time
POSTED ON 1/25/2025
AVAILABLE BEFORE 4/22/2025

Category / Area of Expertise : Risk Management & Insurance

Job Requisition : 409323

Address : USA-ME-Scarborough-145 Pleasant Hill Rd

Store Code : Claims Management (5157499)

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. Our associates support the brands with a wide range of services, including Finance, Legal, Sustainability, Commercial, Digital and E-commerce, Technology and more.

Primary Purpose

Admin is responsible for investigation of newly reported Workers Compensation claims, including determining compensability / liability and whether it meets the criteria to be transferred to an Analyst. This position supports Analysts / Specialists / Managers.

Our flexible / hybrid work schedule includes 3 in-person days at one of our core locations and 2 remote days.

Applicants must be currently authorized to work in the United States on a full-time basis.

Principle Duties and Responsibilities

  • Conducts investigations on assigned Workers Compensation Med Only claims, determines coverage, creates action plans for resolution, evaluates financial exposure and sets appropriate reserves.
  • Effectively communicates with local management and outside professionals.
  • Maintains confidentiality of information and records.
  • Develop a working knowledge of banner policies and procedures.
  • Supports adjusters by researching and gathering necessary documentation for claims.
  • Supports adjusters by updating claims files with correspondence and notes.
  • Supports projects assigned by Manager as needed.
  • Additional job duties may be assigned as needed to meet the needs of the business and support our Values.

Basic Qualifications

  • High School diploma or equivalent
  • Ability to maintain confidentiality.
  • Strong time management skills.
  • Exceptional organizational skills.
  • Ability to multi-task.
  • Possess mental flexibility to find innovative solutions.
  • Self-motivator who has strength in organization and prioritization of tasks.
  • Must be able to work under pressure.
  • Must be a team player with the ability to lead and follow.
  • Polished and professional written and verbal communication skills.
  • Develop and maintain relationships with associates, employers and attorneys.
  • Proficient in Office 365 and other business-related software.
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