Worker's Compensation Medical Claims Administrator

Retail Business Services, ranked No. 25 on Fast Company’s 2022 100 Best Workplaces for Innovators, is the services company of leading grocery retail group Ahold Delhaize USA, which includes Food Lion, Giant Food, The GIANT Company, Hannaford and Stop & Shop.

Primary Purpose: 

Admin is responsible for investigation of newly reported Workers Compensation claims, including determining compensability/liability and whether it meets the criteria to be transferred to an Analyst. This position supports Analysts/Specialists/Managers.  

Principle Duties and Responsibilities: 

• Conducts investigations on assigned Workers Compensation Med Only claims, determines coverage, creates action plans for resolution, evaluates financial exposure and sets appropriate reserves. 
• Effectively communicates with local management and outside professionals. 
• Maintains confidentiality of information and records. 
• Develop a working knowledge of banner policies and procedures. 
• Supports adjusters by researching and gathering necessary documentation for claims. 
• Supports adjusters by updating claims files with correspondence and notes. 
• Supports projects assigned by Manager as needed

Basic Qualifications: 

• High school diploma or equivalent 
• Two years of experience in an insurance or self-insured environment preferred  
• Knowledge of medical, legal, insurance and claims terminology preferred

Skills and Abilities:

• Ability to multi-task
• Ability to work independently
• Excellent time management skills
• Communication skills (both oral and written)
• Customer Service skills
• Attention to detail
• Analytical skills
• Office 365

#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 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. 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 tad@retailbusinessservices.com.

For more information, visit https://www.retailbusinessservices.com.