Workers Compensation Analyst II Claims Adjuster
Ahold Delhaize USA, a division of global food retailer Ahold Delhaize, supports five leading omnichannel grocery brands—Food Lion, Giant Food, The GIANT Company, Hannaford, and Stop & Shop—with services including Finance, Legal, Sustainability, Commercial, Digital and E-commerce, and Technology.
About the role
The Analyst II is an experienced adjusting position responsible for managing a caseload of incident-only, medical-only, and lost-time Workers' Compensation claims across multiple jurisdictions. This role functions as an independent claims handler, ensuring timely, compliant, and cost-effective claim resolution while supporting injured associates through recovery and return-to-work. Analysts collaborate closely with internal partners and vendors and escalate complex issues as appropriate. This position follows a hybrid schedule (1 day in-person at a core location, 4 remote days) and can be based in Salisbury, NC; Scarborough, ME; Quincy, MA; or Carlisle, PA.
Responsibilities
- Manage an assigned caseload of incident-only, medical-only, and lost-time Workers' Compensation claims in compliance with applicable state laws and company policies.
- Conduct timely investigations to determine compensability, evaluate exposure, and develop appropriate claim strategies.
- Negotiate and manage settlements within assigned authority. Authority levels vary based on experience and demonstrated competency and align with corporate guidelines.
- Actively manage medical treatment to minimize disability duration and promote safe, timely return-to-work.
- Partner closely with Store Management, Distribution, Transportation, and Human Resources to support participation in the Light Duty RTW Program.
- Utilize nurse triage services at injury intake and during early claim activity to ensure appropriate care direction and reduce unnecessary emergency room utilization.
- Coordinate with PBM partners to monitor prescriptions and ensure medications are injury-related and appropriate.
- Identify potential fraud indicators and escalate concerns in accordance with established protocols.
- Communicate clearly and professionally with associates, medical providers, attorneys, and vendors while maintaining strict confidentiality.
- Manage an assigned book of WC claims aligned with departmental performance targets.
- Work closely with the Safety team to enhance injury prevention and improve claim outcomes by sharing injury trends, supporting root-cause analysis, and reinforcing early intervention strategies focused on reducing lost time and claim escalation.
Requirements
- Minimum 5 years of Workers' Compensation claims handling experience, including lost-time claims.
- Active adjuster license(s), as required by jurisdiction, or ability to obtain.
- Bachelor's degree or equivalent professional experience.
- Working knowledge of Workers' Compensation statutes, claim handling practices, and medical terminology.
Preferred Qualifications
- Experience handling Workers' Compensation claims in multiple jurisdictions.
- Familiarity with retail, distribution, or transportation operations.
- Working knowledge of FMLA, ADA, and return-to-work coordination.
Skills
- Strong negotiation, analytical, and problem-solving skills.
- Effective communication skills with internal and external partners.
- Ability to manage competing priorities in a fast-paced, high-volume environment.
- Demonstrated adaptability and willingness to grow technical claim expertise.
Pay
- ME/NC/PA/SC Salary Range: $63,440–$95,160
- IL/MA/MD/NY Salary Range: $72,880–$109,320
Actual compensation offered may vary based on unique qualifications and experience, internal equity, and market conditions. Final compensation decisions will be made in accordance with company policies and applicable laws.
Benefits
Ahold Delhaize USA is committed to offering a welcoming work environment where all associates can succeed and thrive. The company invests in its people, empowering them to learn, grow, and deliver at all levels of the business while fostering a culture of collaboration, curiosity, and continuous learning.