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 with internal partners and vendors and escalate complex issues as needed. 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, aligned with corporate guidelines.
- Actively manage medical treatment to minimize disability duration and promote safe, timely return-to-work.
- Partner 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.
- 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.
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 qualifications, experience, internal equity, and market conditions.
Schedule
Hybrid schedule: 1 day in-person at a core location, 4 remote days.