Case Manager I, Claims Management

Walmart; Bentonville (AR); On-site; USD 60,000 - 110,000; Full time

Benefits offered by this job

Health benefits

401(k)

Stock purchase program

Paid time off

Job summary

Walmart in Bentonville, AR is seeking a Case Manager I to investigate, evaluate, and resolve low complexity workers’ compensation or general liability claims onsite.

You’ll maintain licensure, manage up to 140 active claims, review reports, set reserves, adjudicate within limits, and provide empathetic service to associates and customers.

Qualifications

• High school diploma, GED, or equivalent.
• 2 years’ experience in claims processing, insurance operations, or customer-facing service roles.

Responsibilities

• 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.
• Identify and elevate potential fraudulent claims and Early Claims Assessment (ECA) opportunities.
• Communicate with injured associates or customers with empathy and guide them through the claims process.
• Establish timely and accurate reserves on claims and escalate when exceeding authority.
• Adjudicate claims within reserve authority up to $35,000; payment authority $2,500.
• Authorize and approve payment for reasonable medical treatment or damages.
• Issue settlement payments within authority and escalate when necessary.
• Deliver exceptional customer service to associates, customers, and clients.
• Pass the adjuster licensing exam and obtain state-issued license within deadlines.

Skills

Organizational skills

Verbal and written communication

Claims processing

Customer service

Education

High school diploma or GED

Job description

Position Summary...

What you'll do...

This is an Onsite job, based in Bentonville Arkansas.

About The Team

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.

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

What you’ll do

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 elevate potential fraudulent claims.
• Identify and elevate 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.

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. For information about PTO, see https://one.walmart.com/notices.

Live Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high school completion to bachelor's degrees, including English Language Learning and short-form certificates. Tuition, books, and fees are completely paid for by Walmart.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to a specific plan or program terms.

For Information About Benefits And Eligibility, See One.Walmart.

The annual salary range for this position is $60,000.00 - $110,000.00 Additional compensation includes annual or quarterly performance bonuses. Additional compensation for certain positions may also include :

• Stock

Minimum Qualifications

Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications.

Option 1: High school diploma, GED, or equivalent.

Option 2: 2 years’ experience in claims processing, insurance operations, or customer-facing service roles.

Preferred Qualifications

Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications.

Certification in claims management or insurance (e.g., AIC)., Prior experience applying jurisdiction specific regulatory requirements, and in negotiation and settlement processes.

Primary Location:

905 Customer Dr, Bentonville, AR 72716, United States of America

Walmart and its subsidiaries are committed to maintaining a drug-free workplace and has a no tolerance policy regarding the use of illegal drugs and alcohol on the job. This policy applies to all employees and aims to create a safe and productive work environment.