Workers Compensation Analyst II Claims Adjuster

Category/Area of Expertise: Risk Management & Insurance
Job Requisition: 535968
Address: USA-MA-Quincy-1385 Hancock Street
Store Code: Claims Management (5157503)
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.
Role Summary
The Analyst II role 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 to Specialists, Analyst III resources, or the Team Manager as appropriate. The role does not have direct people-management responsibility.
This position follows a hybrid schedule (1 day in-person at a core location, 4 remote days). This position can be based in one of our offices located in Salisbury, NC, Scarborough, ME, Quincy, MA and Carlisle, PA.
Applicants must be currently authorized to work in the United States on a full-time basis.
Key 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.

Financial & Operational Impact

• Manages an assigned book of WC claims aligned with departmental performance targets.
• Works 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.

Basic Qualifications

• Minimum 5 years of Workers' Compensation claims adjudicating experience, including lost-time claims.
• Requires extensive, hands-on experience investigating and adjudicating claims, including gathering statements and evidence, reviewing medical records, determining compensability, establishing reserves, and managing claims through resolution."
• 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 & Abilities

• 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.

ME/NC/PA/SC Salary Range: $63,440-$95,160
IL/MA/MD/NY Salary Range: $72,880 - $109,320
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.
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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.
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