Worker's Compensation Claims Adjuster I | Salisbury, NC

Detailed Information

  • Location: Salisbury, NC

  • Company: Retail Business Services

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. 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 Manage book of claims business (up $1 million WC) with authority to settle/negotiate a single claim within their authority of up to $50,000 (Corporate Authority policy) Communicate ongoing causes of WC injuries to Safety and Brands.

Serve as the primary point of contact to address and resolve claim issues impacting customer, associate, vendor, and the Brands. Research and resolve claim/legal issues. Provide timely communication related to the claim, resolving issues, and responding to questions via phone, email, and online applications. Basic Qualifications: Licensed adjuster or ability to obtain license (as appropriate by jurisdiction) Bachelor's degree or 4 years WC claims experience Thorough knowledge of rules, regulations, statutes and procedures pertaining to workers' compensation claims.

Knowledge of medical terminology involved in complex claims Strong negotiation skills. Skills and Abilities: Demonstrates -relationship building and communication skills, both written and verbal. Highly self-motivated, goal oriented, and works well under pressure. Customer focused solid understanding of WC legal procedures, processes, practices and standards in the handling of complex claims Ability to identify problems and effectuate solutions Ability to manage multiple tasks simultaneously with excellent follow-up and attention to detail Able to apply critical thinking when solving problems and making decisions.

#LI-SM1 #LI-Hybrid Retail Business Services currently provides services to five omnichannel grocery brands, including Food Lion, Giant Food, The GIANT Company, Hannaford and Stop & Shop. Retail Business Services leverages the scale of the local brands to drive synergies and provide industry-leading expertise, insights and analytics to local brands to support their strategies.

We are committed to diversity, equity and inclusion and we foster a community of belonging where everyone is valued. Retail Business Services is an equal opportunity employer. We comply with all applicable federal, state and local laws. Qualified applicants are considered without regard to interaction, race, color, ancestry, national origin, citizenship status, religion, age, marital status (including civil unions), military service, veteran status, pregnancy (including childbirth and related medical conditions), genetic information, interactionual orientation, gender identity, legally recognized disability, domestic violence victim status or any other characteristic protected by law.

We provide reasonable accommodations to applicants and employees with disabilities. As important as what we do is how we do it. Our team embodies our values of Courage, Care, Teamwork, Integrity and Humor in everything that they do. We have a culture of care that values and celebrates the qualities and perspectives that make us all unique. If you have a disability and require assistance in the application process, please contact our Talent Acquisition Department at xyz X@. For more information, visit . Job Requisition: 355603_external_USA-NC-Salisbury_1292023

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