Case Manager I, Claims Management

Claims Management Team Position

Our Claims Management team is dedicated to delivering fair, timely, and empathetic resolution of workers' compensation and general liability claims, ensuring compliance with all regulatory requirements. We operate collaboratively, leveraging expertise and strategic initiatives to drive claim resolution and support injured associates and customers throughout the process.

Case Manager I

The Case Manager I is responsible for investigating, evaluating, and resolving low complexity workers' compensation or general liability claims.

Claims Management:

• Secure and maintain the required licensure required by the state(s).
• Manage an active caseload of up to 140 low complexity workers' compensation or general liability claims.
• Secure and review initial claim reports, gather information, facts, and evidence to determine compensability or negligence in accordance with state specific statutes.
• Identify and escalate potential fraudulent claims.
• Identify and escalate claims with Early Claims Assessment (ECA) potential.
• Communicate with injured associates or customers that have sustained minor bodily injury or property damage with empathy and help them navigate the claims process.
• Establish timely and accurate reserves on claims; escalate claims to the Claims Manager if claim value exceeds reserve authority.
• Adjudicate claims within reserve authority up to $35,000; payment authority $2,500.
• Authorize and approve payment for reasonable and related medical treatment or damages.
• Negotiate and resolve claims with associates and customers.
• Issue settlement payments within authority limit; escalate claims to the Claims Manager if payment exceeds authority.
• Escalate claims with increasing complexity or litigation potential to the Claims Manager.
• Meet or exceed goals on key performance metrics.
• Ensure compliance with all regulatory, jurisdictional, and internal standard operating procedures.
• Deliver exceptional customer service to injured associates, customers, the employer, and clients.
• Pass the adjuster licensing exam and obtain the state-issued adjuster license within required deadlines.

What you'll bring

• High School Diploma or GED required.
• Strong organizational skills and the ability to manage time effectively in a fast-paced environment.
• Excellent verbal and written communication skills.
• Prior claims, insurance, or customer service experience is preferred.

The above information has been designed to indicate the general nature and level of work performed in the role. It is not designed to contain or be interpreted as a comprehensive inventory of all responsibilities and qualifications required of employees assigned to this job. The full Job Description can be made available as part of the hiring process.

Benefits & Perks:

At Walmart, we offer competitive pay as well as performance-based bonus awards and other great benefits for a happier mind, body, and wallet. Health benefits include medical, vision and dental coverage. Financial benefits include 401(k), stock purchase and company-paid life insurance. Paid time off benefits include PTO (including sick leave), parental leave, family care leave, bereavement, jury duty, and voting. Other benefits include short-term and long-term disability, company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more. You will also receive PTO and/or PPTO that can be used for vacation, sick leave, holidays, or other purposes. The amount you receive depends on your job classification and length of employment. It will meet or exceed the requirements of paid sick leave laws, where applicable.

About Walmart:

At Walmart, we help people save money so they can live better. This mission serves as the foundation for every decision we make, from responsible sourcing to sustainabilityand everything in between. As a Walmart associate, you will play an integral role in shaping the future of retail, tech, merchandising, finance and hundreds of other industriesall while affecting the lives of millions of customers all over the world. Here, your work makes an impact every day.

Minimum Qualifications:

• Insurance Adjuster license OR will obtain an Insurance Adjuster license within 30 days of job entry date.

Preferred Qualifications:

• Bachelor's degree OR 2 years' experience in insurance claims or related area, settling claims and customer service.

Primary Location: 608 Sw 8Th St, Bentonville, AR 72712-6207, United States of America

Walmart, Inc. is an Equal Opportunity Employer- By Choice. We believe we are best equipped to help our associates, customers, and the communities we serve live better when we really know them. That means understanding, respecting, and valuing diversity- unique styles, experiences, identities, abilities, ideas and opinions- while being inclusive of all people.