Workers Compensation Claims Adjuster Analyst I

Category/Area of Expertise: Risk Management & Insurance Job Requisition: 538804 Address: USA-MA-Quincy-1385 Hancock Street Store Code: Claims Management (5157501)

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:

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

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