Analyst I Claims - Retail Business Services

Delhaize America Scarborough , ME 04074

Posted 2 months ago

About Retail Business Services

Retail Business Services, LLC, is the services company of Ahold Delhaize USA, currently providing services to five East Coast grocery brands, including Food Lion, The GIANT Company, Giant Food, Hannaford and Stop & Shop. Retail Business Services leverages the scale of the local brands to drive synergies and provides industry-leading expertise, insights and analytics to local brands to support their strategies with services including Information Technology, Merchandising, Marketing & Sourcing Services, Private Brand Products, Pharmacy Services, Not for Resale, Store Services, Financial Services, Legal Services, Communications, Supply Chain and People Systems and Services. Retail Business Services operates across seven campuses in the Greater Charlotte, Harrisburg, D.C., Portland, Boston and Chicago Areas. For more information, visit www.retailbusinessservices.com. To stay updated with the latest news, follow Retail Business Services on LinkedIn (@Retail-Business-Services) and Twitter (@RBServicesNews).

Position Title: Analyst I Claims

Position Location: Quincy, MA or Salisbury, NC or Scarborough, ME

Position Summary:Initiates the investigation of more complex types of claims made against the company in order to determine the proximate cause and evaluate the loss exposure. Based on the investigation results, provides the appropriate response for disposition of the claim.

Principle Duties and Responsibilities:

Claims Management

  • Performs thorough investigations, evaluations and disposition of all claims in adherence with the departmental Claims Standards and Procedures.

  • Ensures that all claims are in compliance with statutory and legal obligations.

  • Maintains quality file control by utilizing the claim diary system and reporting guidelines.

  • Provides excellent customer experiences by timely contacts and immediate follow up with concerns and/or complaints.

  • Determines proximate cause based on a detailed investigation of the loss facts. Initiates a plan for settlement or denial in accordance with jurisdictional compliance and/or state statutory requirements.

  • Maintains an accurate reserve level for the life of the claim based on the level of severity and extent of the loss exposure.

  • Recommends and presents settlement values to management above their level of authority for approval.

  • Negotiates settlements within corporate authority limit, unless otherwise authorized by management.

  • Issues timely payments to mitigate increasing costs.

Financial Impact Administration

  • Identifies all claims with subrogation potential and submit the appropriate requests for reimbursement.

  • Utilizes National Index Bureau to identify and follow up with any fraud indicators.

  • Partners with the Safety department in identifying hazards that exist in the retail and distribution operations and ways to minimize these risks.

  • Audits and approves for payment all bills for legal and vendor services.

  • Establishes personal and business goals that include interaction with legal, loss prevention and safety in order to enhance the skill set.

  • Provides coaching and mentoring to less experienced team members.

  • Enhances technical skills by attending outside training and educational opportunities.

  • Partners with Litigation Specialists to enhance skills and knowledge.

Self-Development

  • Establish personal and business goals that include interaction with legal, loss prevention and safety in order to enhance the skill set.

  • Provides coaching and mentoring to less experienced team members.

  • Enhances technical skills by attending outside training and educational opportunities.

  • Partners with Litigation Specialists to enhance skills and knowledge. Requirements Basic Qualification:

  • Licensed adjuster (as appropriate by jurisdiction) or qualified to sit for licensing exam following at least I year in house training.

  • Bachelor's degree preferred, but must have minimum of 3 years claims management experience

  • Thorough knowledge of legal procedures and processes involved in handling claims.

  • Thorough knowledge of rules, regulations, statutes and procedures pertaining to workers' compensation and general liability claims.

  • Knowledge of coaching principles and practices

  • Knowledge of medical terminology involved in complex claims

  • Knowledge of customer relations principles and techniques

Skills and Abilities:

  • Ability to follow legal procedures and processes in the handling of complex claims.

  • Ability to mentor less experienced associates.

  • Ability to establish and maintain effective working relationships.

  • Excellent oral and written communication skills.

  • Strong negotiation skills.

Apply On-line

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Analyst I Finance Operations Retail Business Services

Delhaize America

Posted 1 week ago

VIEW JOBS 7/24/2020 12:00:00 AM 2020-10-22T00:00 About Retail Business Services Retail Business Services, LLC, is the services company of Ahold Delhaize USA, currently providing services to five East Coast grocery brands, including Food Lion, The GIANT Company, Giant Food, Hannaford and Stop & Shop. Retail Business Services leverages the scale of the local brands to drive synergies and provides industry-leading expertise, insights and analytics to local brands to support their strategies with services including Information Technology, Merchandising, Marketing & Sourcing Services, Private Brand Products, Pharmacy Services, Not for Resale, Store Services, Financial Services, Legal Services, Communications, Supply Chain and People Systems and Services. Retail Business Services operates across seven campuses in the Greater Charlotte, Harrisburg, D.C., Portland, Boston and Chicago Areas. For more information, visit www.retailbusinessservices.com. To stay updated with the latest news, follow Retail Business Services on LinkedIn (@Retail-Business-Services) and Twitter (@RBServicesNews). Position Title: Analyst I Finance Operations Position Location: Salisbury, NC or Quincy, MA or Carlisle, PA or Scarborough, ME Position Summary: * Prepare journal entries each period to give audit income back to ADUSA brands * Reconcile and maintain balance sheet accounts * Review and audit promotional deals to ensure vendor allowances are billed in full * Partner with Brand Category and Cost & Deals teams to identify and fix process breakdowns that result in vendor allowances being missed * Perform quarterly analytical claim review and produce brand score carding to RBS Finance leadership team Principle Duties and Responsibilities: * Strong understanding of various company systems (GEAC, DemandTec, BICEPS, etc.) * Extensive knowledge of Vendor Allowance and Accounting Controls * Advanced knowledge of all Merchandising deal types * Advanced knowledge of Microsoft Excel, Word and Power Point, experience with complex spreadsheets including lookups, pivot tables, and conditional formatting * Experience with or ability to use query tools for reporting Requirements Basic Requirements: * Bachelor's degree in Business or related field preferred but not required. * 5-7 years of Finance or Accounting experience in a fast-paced, dynamic environment * Recovery Audit experience is a plus Skills and Abilities: * Strong understanding of various company systems (GEAC, DemandTec, BICEPS, etc.) * Extensive knowledge of Vendor Allowance and Accounting Controls * Advanced knowledge of all Merchandising deal types * Advanced knowledge of Microsoft Excel, Word and Power Point, experience with complex spreadsheets including lookups, pivot tables, and conditional formatting * Experience with or ability to use query tools for reporting * Accurate and detail-oriented with excellent follow through skills * Excellent oral and written communication skills; able to communicate effectively with all levels of management, internal and external business partners, and auditors * Vendor relations experience * Strong analytical skills * Excellent oral and written communication skills * Able to communicate effectively with all levels of management, internal and external business partners, and auditors * Ability to recognize and recommend changes * Team player * Strong business process improvement skills * Effective project management skills * Strong organizational skills, ability to work on multiple tasks concurrently * Excellent follow through skills * Ability to create and effectively deliver training to all levels of the organization Apply On-line Delhaize America Scarborough ME

Analyst I Claims - Retail Business Services

Delhaize America