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General Liability Claims Adjuster II

Posting date: 10/16/2024

Location: Scarborough, ME

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Category/Area of Expertise: Risk Management & Insurance
Job Requisition: 401292_external_USA-ME-Scarborough
Address: USA-ME-Scarborough-145 Pleasant Hill Rd
Store Code: Claims Management (2762226)

Ahold Delhaize USA, a division of global food retailer Ahold Delhaize, is part of the U.S. family of brands, which includes five leading omnichannel grocery brands - Food Lion, Giant Food, The GIANT Company, Hannaford and Stop & Shop. Our associates support the brands with a wide range of services, including Finance, Legal, Sustainability, Commercial, Digital and E-commerce, Technology and more.

Position Summary

Primary responsibilities include investigation of General Liability claims to determine liability exposure. 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. Primary responsibilities include investigation of General Liability claims to determine liability exposure. 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.

Our flexible/hybrid work schedule includes 1 in-person day at one of our core locations and 4 remote days.

Applicants must be currently authorized to work in the United States on a full-time basis.

Principle Duties and Responsibilities:

Claims Management
  • Manage 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 facts 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 to $ 2million) with authority to settle/negotiate a single claim within their authority of up to $25,000.
  • Communicate ongoing causes of incidents 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 (as appropriate by jurisdiction)
  • Bachelor's degree or experience handling General Liability claims or equivalent expertise.
  • Thorough knowledge of rules, regulations, statutes, and procedures pertaining to general liability claims.
  • Knowledge of medical terminology involved in complex claims
  • Negotiates resolution of claims of various exposure and complexity

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 legal procedures, processes, practices and standards in the handling of general liability 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

At Ahold Delhaize USA, we provide services to one of the largest portfolios of grocery companies in the nation, and we're actively seeking top talent. Our team shares a common motivation to drive change, take ownership and enable our brands to better care for their customers. We thrive on supporting great local grocery brands and their strategies.

We offer an experience where our associates are valued; Diversity, Equity, Inclusion and Belonging are infused in our business and our employees are representative of the communities that we serve. We believe in total wellness, which encompasses a blend of physical, financial and emotional wellness.

We believe in collaboration, curiosity, and continuous learning in all that we think, create and do. While building a culture where personal and professional growth are just as important as business growth, we invest in our people, empowering them to learn, grow and deliver at all levels of the business.

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Under the Federal Transparency in Coverage rule, group health plans are required to make publicly available machine-readable files that include in-network rates and out-of-network allowed amounts and billed charges. Click here to view the in-network rates and out-of-network allowed amounts and billed charges for health benefits offered by Ahold Delhaize USA
 

At Ahold Delhaize USA, we value Diversity, Equity, Inclusion and Belonging (DEI&B). Our employees and prospective employees are treated with respect and dignity. As an equal opportunity employer, we comply with all applicable federal, state and local laws. Qualified applicants are considered without regard to sex, 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, sexual 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. If you have a disability and require assistance in the application process, please contact our Talent Acquisition Department at tad@adusa.com.