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Job Details

Job Number 13-035942
Post Date 09/19/2013
Job Title Occupational Claims Adjuster - Delhaize America
Positions Available 1
Operating Company Delhaize America
Full/Part Time Status Full-Time
FLSA Status Exempt (Salary)
Location Store #45655 -- Salisbury
Address 2110 Executive Drive
City Salisbury
State NC
Description Job Title: Occupational Claim Adjuster - Delhaize America

Position Summary: Professionally handle all financial, medical, vocational and legal aspects of workers’ compensation claims of associates with consideration of departmental/company standards, individual state guidelines and insurance industry best practices. Strategically manages available resources to achieve best claims outcomes at the lowest cost.
Requirements Principle Duties and Responsibilities:

•Provides professional, technical guidance for the management of workers’ compensation claims using regulatory knowledge, familiarity of Company policies and Human Resource practices.
•Conducts investigations on assigned claims, creates action plans for resolution, evaluates financial exposure and sets appropriate reserves.
•Provides direction, advice and support to Company associates and all levels of management on the technical aspects of workers’ compensation management in a cost effective manner.
•Analyzes compensability based on individual state workers’ compensation laws, Company claims standards and their knowledge/experience in the handling of W/C claims.
•Assigns and directs outside resources including attorneys, rehabilitation counselors and investigators whole developing partnerships to maximize efficiency.
•Manages medical treatment of associates and develops relationship with providers to ensure cost effective and best available treatment plans.
•Coordinates with other internal departments to provide the accurate payroll information, availability of alternate work duties and securing appropriate legal documentation.
•Effectively communicates with local management and outside professionals.
•Maintains confidentiality of information and records.

Skills and Abilities:

•Excellent interpersonal skills.
•Ability to multi-task.
•Negotiation skills.
•Ability to work in a team environment.
•Telephone skills.

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