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General Liability Claims Adjuster

2 months ago

Scarborough, United States Retail Business Services Full time
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 also includes five leading omnichannel grocery brands - Food Lion, Giant Food, The GIANT Company, Hannaford and Stop & Shop. Ahold Delhaize USA 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.

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

Ahold Delhaize USA, a division of global food retailer Ahold Delhaize, is part of the U.S. family of brands, which also includes five leading omnichannel grocery brands - Food Lion, Giant Food, The GIANT Company, Hannaford and Stop & Shop. When considered together, the companies of Ahold Delhaize USA comprise the largest grocery retail group on the East Coast and the fourth largest grocery retail group in the nation, serving millions of omnichannel customers each week.

Job Requisition: 387106_external_USA-ME-Scarborough_7112024