||Occupational Claims Adjuster - Delhaize America
||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.
•Ability to work in a team environment.