Hiring: Workers Compensation Analyst II Claims Adjuster Company: Ahold Delhaize USA Location: Scarborough, ME Job Posted Time: 2026-09-10 11:36:09 Employment Type: Full-time / Remote Target Skills & Keywords : Risk Management About the job Experience: •5 years of Workers' Compensation claims adjudicating experience, including lost-time claims. •Minimum 5 years of Workers' Compensation claims adjudicating experience, including lost-time claims. Required Skills: •Manage an assigned caseload of incident-only, medical-only, and lost-time Workers' Compensation claims in compliance with applicable state laws and company policies. •Conduct timely investigations to determine compensability, evaluate exposure, and develop appropriate claim strategies. •Negotiate and manage settlements within assigned authority. Authority levels vary based on experience and demonstrated competency and align with corporate guidelines. •Actively manage medical treatment to minimize disability duration and promote safe, timely return-to-work. •Partner closely with Store Management, Distribution, Transportation, and Human Resources to support participation in the Light Duty RTW Program •Utilize nurse triage services at injury intake and during early claim activity to ensure appropriate care direction and reduce unnecessary emergency room utilization. •Coordinate with PBM partners to monitor prescriptions and ensure medications are injury-related and appropriate. •Identify potential fraud indicators and escalate concerns in accordance with established protocols. Qualifications: •Risk Management & Insurance •Claims Management (5157503) •Analysts collaborate closely with internal partners and vendors and escalate complex issues to Specialists, Analyst III resources, or the Team Manager as appropriate. The role does not have direct people-management responsibility. •This position follows a hybrid schedule (1 day in-person at a core location, 4 remote days). This position can be based in one of our offices located in Salisbury, NC, Scarborough, ME, Quincy, MA and Carlisle, PA. •Applicants must be currently authorized to work in the United States on a full-time basis. •Requires extensive, hands-on experience investigating and adjudicating claims, including gathering statements and evidence, reviewing medical records, determining compensability, establishing reserves, and managing claims through resolution." •Active adjuster license(s), as required by jurisdiction, or ability to obtain. •Bachelor's degree or equivalent professional experience. Compensation: •$63,440 - $95,160 / year •Actual compensation offered to a candidate may vary based on their unique qualifications and experience, internal equity, and market conditions Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!