General Liability Claims Adjuster Analyst I

Address: USA-ME-Scarborough-145 Pleasant Hill Rd
Store Code: Claims Management (5157507)
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:
Initiates the investigation of more complex types of claims made against the company in order to determine the proximate cause and evaluate the loss exposure. Based on the investigation results, provides the appropriate response for disposition of the claim.
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:
Claims Management

• Performs thorough investigations, evaluations and disposition of all claims in adherence with the departmental Claims Standards and Procedures.
• Ensures that all claims are in compliance with statutory and legal obligations.
• Maintains quality file control by utilizing the claim diary system and reporting guidelines.
• Provides excellent customer experiences by timely contacts and immediate follow up with concerns and/or complaints.
• Determines proximate cause based on a detailed investigation of the loss facts. Initiates a plan for settlement or denial in accordance with jurisdictional compliance and/or state statutory requirements.
• Maintains an accurate reserve level for the life of the claim based on the level of severity and extent of the loss exposure.
• Recommends and presents settlement values to management above their level of authority for approval.
• Negotiates settlements within corporate authority limit, unless otherwise authorized by management.
• Issues timely payments to mitigate increasing costs.

Financial Impact Administration

• Identifies all claims with subrogation potential and submit the appropriate requests for reimbursement.
• Utilizes National Index Bureau to identify and follow up with any fraud indicators.
• Partners with the Safety department in identifying hazards that exist in the retail and distribution operations and ways to minimize these risks.
• Audits and approves for payment all bills for legal and vendor services.
• Establishes personal and business goals that include interaction with legal, loss prevention and safety in order to enhance the skill set.
• Provides coaching and mentoring to less experienced team members.
• Enhances technical skills by attending outside training and educational opportunities.
• Partners with Litigation Specialists to enhance skills and knowledge.

Self-Development

• Establish personal and business goals that include interaction with legal, loss prevention and safety in order to enhance the skill set.
• Provides coaching and mentoring to less experienced team members.
• Enhances technical skills by attending outside training and educational opportunities.
• Partners with Litigation Specialists to enhance skills and knowledge.

Basic Qualifications:

• Licensed adjuster (as appropriate by jurisdiction) or qualified to sit for licensing exam following at least I year in house training.
• Bachelor's degree preferred, but must have minimum of 3 years claims management experience
• Thorough knowledge of legal procedures and processes involved in handling claims.
• Thorough knowledge of rules, regulations, statutes and procedures pertaining to workers' compensation and general liability claims.
• Knowledge of coaching principles and practices
• Knowledge of medical terminology involved in complex claims
• Knowledge of customer relations principles and techniques

Skills and Abilities:

• A desire to develop a professional claims career through on-the-job training, continuing education and self-development opportunities.
• 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

#LI-SM1 #LI-Hybrid
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.
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.
Job Requisition: 429280_external_USA-ME-Scarborough