Analyst HRIS Release & Testing | Scarborough, ME

This role is responsible for the timely, good faith adjustment and disposition of self-administered casualty claims in multiple jurisdictions. Responsibility extends to all aspects and phases of investigations to determine compensability or liability, evaluations, negotiations and settlements/denials of Workers' Compensation claims.

This role has direct responsibility for managing the claim in its entirety while maintaining service and quality level targets. This role is responsible, specialized technical work investigating and processing claims for self-insured claims programs. This role is the primary claim interface to associates, attorneys, healthcare providers, vendor partners and

Brand partners Principle Duties and Responsibilities: Claims Management Manage assigned Workers Compensation caseload within established targets and financial authority.

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 Brand bottom lines. Identify fraud indicators and actively pursue subrogation

opportunities. Monitor and actively manage medical treatment with the goal of minimizing disability and fostering a successful re-entry to the workplace.

Solid understanding of state and federal laws associated with employee relations, including, but not limited to: FMLA, and ADA, Closely monitor and manage prescriptions. Work with PBM to authorize prescriptions related to the injury. 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 effective 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 Workers' Compensation claims business up to $5 million with authority to settle/negotiate a single claim within their authority of up to $75,000 (Corporate Authority policy) Communicate ongoing causes of associate or customer injuries to Safety and Brands. Serve as the primary point of contact to address and resolve claim issues impacting 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 Qualfications Licensed adjuster (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 and general liability claims. Knowledge of medical terminology involved in complex claims Strong negotiation skills. #LI-SM1 #LI-hybrid #INDRetail 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: 354844_external_USA-ME-Scarborough_1282023

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