Workers Compensation Claims Adjuster Analyst I
Ahold Delhaize USA · Carlisle, PA · 1 mo ago
Hybrid$26.54–$39.81/hrFull-time
We need to output HTML fragment with sections only when content present. Use for headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must not repeat job title. Must not include Job ID etc. Remove boilerplate. Preserve all substantive info.
We need to parse the posting.
Key info:
- Category/Area of Expertise: Risk Management & Insurance (maybe part of About the role)
- Job Requisition: 538804 (drop)
- Address: USA-PA-Carlisle-1149 Harrisburg Pike (maybe location)
- Company description: Ahold Delhaize USA ... (About the role)
- Position Summary: Primary responsibilities include investigation of Workers Compensation claims to determine either compensability of the claim. This role has direct responsibility of managing the claim in its entirety while maintaining service level targets and achieving established claims goals. This role is the primary interface to associates, attorneys, healthcare providers, vendor partners and Brand partners. Our flexible/hybrid work schedule includes 1 in-person day at one of our core locations and 4 remote days. This position can be based in one of our offices located in Salisbury, NC, and Quincy, MA. Applicants must be currently authorized to work in the United States on a full-time basis.
- Principle Duties and Responsibilities: (list of duties)
- Financial Impact Administration (maybe part of responsibilities)
- Basic Qualifications: (list)
- Skills and Abilities: (list)
- ME/NC/PA/SC Salary Range: $26.54 - $39.81
- IL/MA/MD/NY Salary Range: $30.54 - $45.81
- Additional note about compensation variation.
- Benefits? Not explicitly listed. There's mention of flexible/hybrid schedule, maybe schedule. No explicit benefits listed. So we should not create Benefits section unless posting actually states them. It does not list benefits like health insurance etc. So we omit Benefits.
- Pay: we have salary ranges. So we can create Pay section with those ranges.
- Schedule: we have flexible/hybrid work schedule includes 1 in-person day at one of our core locations and 4 remote days. Also location options: Salisbury, NC, and Quincy, MA. So we can put Schedule section.
- About the role: include company description and position summary.
- Responsibilities: combine Principle Duties and Responsibilities and Financial Impact Administration.
- Requirements: maybe Basic Qualifications.
- Qualifications: maybe Skills and Abilities? Actually Basic Qualifications is qualifications; Skills and Abilities is skills. We could map: Requirements = Basic Qualifications; Skills = Skills and Abilities. Or we could combine. The instruction: Use headings for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we need to decide which sections to include based on content.
We have content for About the role, Responsibilities, Requirements (Basic Qualifications), Skills (Skills and Abilities), Pay, Schedule. No Benefits.
We should not create Qualifications heading if we already used Requirements for qualifications; but we could also have Qualifications for something else like education/license? However Basic Qualifications includes license, degree, experience, knowledge. That's qualifications. So we can put Requirements for duties? Actually typical: Responsibilities = duties; Requirements = qualifications; Skills = skills. We'll follow that.
Thus:
for headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must not repeat job title. Must not include Job ID etc. Remove boilerplate. Preserve all substantive info.
We need to parse the posting.
Key info:
- Category/Area of Expertise: Risk Management & Insurance (maybe part of About the role)
- Job Requisition: 538804 (drop)
- Address: USA-PA-Carlisle-1149 Harrisburg Pike (maybe location)
- Company description: Ahold Delhaize USA ... (About the role)
- Position Summary: Primary responsibilities include investigation of Workers Compensation claims to determine either compensability of the claim. This role has direct responsibility of managing the claim in its entirety while maintaining service level targets and achieving established claims goals. This role is the primary interface to associates, attorneys, healthcare providers, vendor partners and Brand partners. Our flexible/hybrid work schedule includes 1 in-person day at one of our core locations and 4 remote days. This position can be based in one of our offices located in Salisbury, NC, and Quincy, MA. Applicants must be currently authorized to work in the United States on a full-time basis.
- Principle Duties and Responsibilities: (list of duties)
- Financial Impact Administration (maybe part of responsibilities)
- Basic Qualifications: (list)
- Skills and Abilities: (list)
- ME/NC/PA/SC Salary Range: $26.54 - $39.81
- IL/MA/MD/NY Salary Range: $30.54 - $45.81
- Additional note about compensation variation.
- Benefits? Not explicitly listed. There's mention of flexible/hybrid schedule, maybe schedule. No explicit benefits listed. So we should not create Benefits section unless posting actually states them. It does not list benefits like health insurance etc. So we omit Benefits.
- Pay: we have salary ranges. So we can create Pay section with those ranges.
- Schedule: we have flexible/hybrid work schedule includes 1 in-person day at one of our core locations and 4 remote days. Also location options: Salisbury, NC, and Quincy, MA. So we can put Schedule section.
- About the role: include company description and position summary.
- Responsibilities: combine Principle Duties and Responsibilities and Financial Impact Administration.
- Requirements: maybe Basic Qualifications.
- Qualifications: maybe Skills and Abilities? Actually Basic Qualifications is qualifications; Skills and Abilities is skills. We could map: Requirements = Basic Qualifications; Skills = Skills and Abilities. Or we could combine. The instruction: Use headings for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we need to decide which sections to include based on content.
We have content for About the role, Responsibilities, Requirements (Basic Qualifications), Skills (Skills and Abilities), Pay, Schedule. No Benefits.
We should not create Qualifications heading if we already used Requirements for qualifications; but we could also have Qualifications for something else like education/license? However Basic Qualifications includes license, degree, experience, knowledge. That's qualifications. So we can put Requirements for duties? Actually typical: Responsibilities = duties; Requirements = qualifications; Skills = skills. We'll follow that.
Thus:
About the role
with paragraph(s) containing company description and position summary.
Responsibilities
with - list of duties.
We need to extract duties from Principle Duties and Responsibilities and Financial Impact Administration.
Let's list them:
Principle Duties and Responsibilities:
- Claims Management
- Manage WC caseload within established targets and appropriate level.
- Performance standards include thorough investigations, evaluations, negotiation and disposition of all claims, while ensuring that all claims are in compliance with statutory and legal obligations.
- 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 Banners' bottom lines.
- Identify fraud indicators and actively pursue subrogation opportunities.
- 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 positive relationships with internal (Brands, Distributions Centers, Transportation, Ecommerce, Human Resources, Legal, Insurance) and external (vendors, healthcare providers, outside attorneys) customers.
- Financial Impact Administration
- Manage book of claims business (up $1 million WC) with authority to settle/negotiate a single claim within their authority of up to $50,000 (Corporate Authority policy)
- Communicate ongoing causes of 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.
We need to turn each bullet into
- . Could combine some sentences.
We'll produce list items for each distinct duty.
Now Requirements (Basic Qualifications):
- Licensed adjuster or ability to obtain license (as appropriate by jurisdiction)
- Bachelor's degree or 4 years WC claims experience
- Thorough knowledge of rules, regulations, statutes and procedures pertaining to workers' compensation claims.
- Knowledge of medical terminology involved in complex claims
- Strong negotiation skills.
Now Skills and Abilities:
- Demonstrates relationship building and communication skills, both written and verbal.
- Highly self-motivated, goal oriented, and works well under pressure.
- Customer focused solid understanding of WC legal procedures, processes, practices and standards in the handling of complex claims
- Ability to identify problems and effectuate solutions
- Ability to manage multiple tasks simultaneously with excellent follow-up and attention to detail
- Able to apply critical thinking when solving problems and making decisions.
We need to ensure each is a list item.
Now Pay section: include salary ranges.
We have two ranges based on state groupings. We'll present both.
Maybe:
ME/NC/PA/SC: $26.54 - $39.81 per hour
and IL/MA/MD/NY: $30.54 - $45.81 per hour
. Also note that actual compensation may vary based on qualifications, internal equity, market conditions.
We should preserve that note.
Now Schedule section: flexible/hybrid work schedule includes 1 in-person day at one of our core locations and 4 remote days. Position can be based in Salisbury, NC, and Quincy, MA. Also mention applicants must be authorized to work in US full-time (maybe include in About the role or Schedule). We'll include in Schedule.
Now About the role: include company description and position summary.
Company description: "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."
Position summary: "Primary responsibilities include investigation of Workers Compensation claims to determine either compensability of the claim. This role has direct responsibility of managing the claim in its entirety while maintaining service level targets and achieving established claims goals. This role is the primary interface to associates, attorneys, healthcare providers, vendor partners and Brand partners."
We can combine into paragraphs.
Now ensure we don't repeat job title. Not include Job ID etc.
Now output HTML fragment only.
Let's craft.
We'll need to wrap sections in appropriate tags.
We'll produce:
About the role
...
...
Responsibilities
- ...
...
Requirements
...
Skills
...
Pay
...
...
Actual compensation offered to a candidate may vary based on their unique qualifications and experience, internal equity, and market conditions. Final compensation decisions will be made in accordance with company policies and applicable laws.
Schedule
Flexible/hybrid work schedule: 1 in‑person day at one of our core locations and 4 remote days.
Position can be based in Salisbury, NC, or Quincy, MA.
Applicants must be currently authorized to work in the United States on a full‑time basis.
Check for any duplicated lines: we have not included boilerplate.
Now ensure we preserve all substantive info: Did we miss any? Let's review original text for any other details.
Original includes: "Category/Area of Expertise: Risk Management & Insurance" - we didn't include that explicitly. Could be part of About the role. We could add a sentence: "Category/Area of Expertise: Risk Management & Insurance." Might be considered substantive. We should include it. Add to About the role paragraph.
Also "Job Requisition: 538804" we drop.
Address: "USA-PA-Carlisle-1149 Harrisburg Pike" maybe location but we already have location options. The address might be the headquarters? Not needed.
Also "At Ahold Delhaize USA, we provide services to one of the largest portfolios of grocery companies in the nation, and we're actively seeking top talent. Our team shares a common motivation to drive change, take ownership and enable our brands to better care for their customers. We thrive on supporting great local grocery brands and their strategies. Our associates are the heartbeat of our organization. We are committed to offering a welcoming work environment where all associates can succeed and thrive. Guided by our values of courage, care, teamwork, integrity (and even a little humor), we are dedicated to being a great place to work. 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."
This is more company culture/values. Should we include? It's substantive info about the company. Could be part of About the role. We'll include a paragraph about values and culture.
Thus About the role will have multiple paragraphs: company description, position summary, category/expertise, culture/values.
Now ensure we didn't miss any duties: "Monitor and ensure timely execution of all statutory deadlines or legal filings as needed." included.
"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 Banners' bottom lines." included.
"Identify fraud indicators and actively pursue subrogation opportunities." included.
"Collaborate with the Safety department in identifying hazards that exist in the retail and distribution operations and ways to minimize these risks." included.
"Build and maintain positive relationships with internal (Brands, Distributions Centers, Transportation, Ecommerce, Human Resources, Legal, Insurance) and external (vendors, healthcare providers, outside attorneys) customers." included.
Financial Impact Administration bullets included.
Now check if any other duties like "Serve as the primary point of contact to address and resolve claim issues impacting customer, associate, vendor, and the Brands." included.
"Research and resolve claim/legal issues." included.
"Provide timely communication related to the claim, resolving issues, and responding to questions via phone, email, and online applications." included.
Now check if any other qualifications: "Licensed adjuster or ability to obtain license (as appropriate by jurisdiction)" included.
"
ME/NC/PA/SC: $26.54 - $39.81 per hour
andIL/MA/MD/NY: $30.54 - $45.81 per hour
. Also note that actual compensation may vary based on qualifications, internal equity, market conditions. We should preserve that note. Now Schedule section: flexible/hybrid work schedule includes 1 in-person day at one of our core locations and 4 remote days. Position can be based in Salisbury, NC, and Quincy, MA. Also mention applicants must be authorized to work in US full-time (maybe include in About the role or Schedule). We'll include in Schedule. Now About the role: include company description and position summary. Company description: "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." Position summary: "Primary responsibilities include investigation of Workers Compensation claims to determine either compensability of the claim. This role has direct responsibility of managing the claim in its entirety while maintaining service level targets and achieving established claims goals. This role is the primary interface to associates, attorneys, healthcare providers, vendor partners and Brand partners." We can combine into paragraphs. Now ensure we don't repeat job title. Not include Job ID etc. Now output HTML fragment only. Let's craft. We'll need to wrap sections in appropriate tags. We'll produce:About the role
...
...
Responsibilities
- ... ...
Requirements
- ...
Skills
- ...
Pay
...
...
Actual compensation offered to a candidate may vary based on their unique qualifications and experience, internal equity, and market conditions. Final compensation decisions will be made in accordance with company policies and applicable laws.
Schedule
Flexible/hybrid work schedule: 1 in‑person day at one of our core locations and 4 remote days.
Position can be based in Salisbury, NC, or Quincy, MA.
Applicants must be currently authorized to work in the United States on a full‑time basis.
Check for any duplicated lines: we have not included boilerplate. Now ensure we preserve all substantive info: Did we miss any? Let's review original text for any other details. Original includes: "Category/Area of Expertise: Risk Management & Insurance" - we didn't include that explicitly. Could be part of About the role. We could add a sentence: "Category/Area of Expertise: Risk Management & Insurance." Might be considered substantive. We should include it. Add to About the role paragraph. Also "Job Requisition: 538804" we drop. Address: "USA-PA-Carlisle-1149 Harrisburg Pike" maybe location but we already have location options. The address might be the headquarters? Not needed. Also "At Ahold Delhaize USA, we provide services to one of the largest portfolios of grocery companies in the nation, and we're actively seeking top talent. Our team shares a common motivation to drive change, take ownership and enable our brands to better care for their customers. We thrive on supporting great local grocery brands and their strategies. Our associates are the heartbeat of our organization. We are committed to offering a welcoming work environment where all associates can succeed and thrive. Guided by our values of courage, care, teamwork, integrity (and even a little humor), we are dedicated to being a great place to work. 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." This is more company culture/values. Should we include? It's substantive info about the company. Could be part of About the role. We'll include a paragraph about values and culture. Thus About the role will have multiple paragraphs: company description, position summary, category/expertise, culture/values. Now ensure we didn't miss any duties: "Monitor and ensure timely execution of all statutory deadlines or legal filings as needed." included. "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 Banners' bottom lines." included. "Identify fraud indicators and actively pursue subrogation opportunities." included. "Collaborate with the Safety department in identifying hazards that exist in the retail and distribution operations and ways to minimize these risks." included. "Build and maintain positive relationships with internal (Brands, Distributions Centers, Transportation, Ecommerce, Human Resources, Legal, Insurance) and external (vendors, healthcare providers, outside attorneys) customers." included. Financial Impact Administration bullets included. Now check if any other duties like "Serve as the primary point of contact to address and resolve claim issues impacting customer, associate, vendor, and the Brands." included. "Research and resolve claim/legal issues." included. "Provide timely communication related to the claim, resolving issues, and responding to questions via phone, email, and online applications." included. Now check if any other qualifications: "Licensed adjuster or ability to obtain license (as appropriate by jurisdiction)" included. "