Case Manager II, Claims Management

Posted 5 Hours Ago
Be an Early Applicant
Bentonville, AR, USA
Hybrid
70K-130K Annually
Junior
Big Data • Cloud • Logistics • Machine Learning • Retail
The Role
Manage mid-complexity workers’ compensation and general liability claims through the full lifecycle. Review claim reports, determine compensability, identify fraud indicators, establish reserves, authorize medical treatment, calculate wages, process indemnity payments, negotiate settlements, and ensure regulatory compliance. The role also communicates with claimants and stakeholders, presents claims for approval, supports process improvements, and provides guidance, mentorship, and coaching to enhance team effectiveness.
Summary Generated by Built In
Position Summary...

What you'll do...Role summary:
The (USA) Case Manager II, Claims Management, is responsible for managing mid-complexity workers’ compensation and general liability claims throughout the claim lifecycle. This role involves reviewing claim reports, determining compensability, authorizing medical treatment, and negotiating resolutions while ensuring compliance with regulatory standards. The position requires establishing accurate reserves, escalating cases as needed, and collaborating with stakeholders to achieve timely outcomes. The Case Manager II also supports strategic initiatives to improve claim resolution and provides expert guidance to enhance operational effectiveness, maintaining a strong focus on integrity, customer service, and continuous improvement.
About the team:
The team manages customer accident claims for Walmart and Sam’s Club with a strong focus on integrity, accountability, and collaboration. They handle claims investigations, resolution, and case management while ensuring compliance with policies and regulations. This group supports continuous improvement and upholds Walmart’s core values by delivering timely, accurate outcomes. Members mentor and develop associates to meet performance goals and reduce litigation exposure. The team fosters strong partnerships across the organization, maintaining a supportive environment dedicated to exceptional service and effective risk management.
What you'll do:
  • Review and analyze claim reports to determine compensability and identify potential fraud indicators.
  • Manage mid-complexity workers’ compensation and general liability claims throughout the claim lifecycle.
  • Establish and adjust reserves within authority limits, escalating cases as necessary.
  • Authorize and monitor medical treatments to ensure appropriateness and compliance with guidelines.
  • Calculate wages and process indemnity payments according to jurisdictional requirements.
  • Communicate effectively with claimants and stakeholders to facilitate claim resolution.
  • Negotiate settlements and present claims in review meetings to secure approvals.
  • Maintain compliance with regulatory standards and company policies.
  • Provide expert guidance and support to improve claim management processes.

What you'll bring:
  • Proven experience managing mid-complexity workers’ compensation or general liability claims throughout the claim lifecycle.
  • Strong skills in claims investigations, resolution, and case management with attention to regulatory compliance.
  • Ability to establish accurate reserves and adjudicate claims within assigned financial authority.
  • Proficiency in authorizing and monitoring medical treatment aligned with Official Disability Guidelines.
  • Effective communication and negotiation skills to resolve claims with stakeholders.
  • Demonstrated mentorship and coaching capabilities to support team development.
  • Commitment to integrity, ethics, and adherence to company policies and legal standards.
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 $70,000.00 - $130,000.00 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 and 1 year’s experience in claims management, insurance operations, or related area.
Option 2: 3 years’ experience in claims management, insurance operations, or related area.
Current or prior (within last 3 years) Property & Casualty Adjuster License.

Preferred Qualifications...

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

Settling claims and customer service

Primary Location...

608 Sw 8Th St., Bentonville, AR 72712-6207, United States of AmericaWalmart 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.

Skills Required

  • High school diploma, GED, or equivalent and one year of experience in claims management, insurance operations, or a related area; alternatively, three years of relevant experience.
  • Current or prior Property and Casualty Adjuster License held within the last three years.
  • Experience managing mid-complexity workers’ compensation or general liability claims throughout the claim lifecycle.
  • Skills in claims investigations, resolution, case management, and regulatory compliance.
  • Ability to establish reserves and adjudicate claims within assigned financial authority.
  • Proficiency authorizing and monitoring medical treatment according to Official Disability Guidelines.
  • Effective communication and negotiation skills for resolving claims with stakeholders.
  • Mentorship and coaching capabilities to support team development.
  • Experience settling claims and providing customer service.

Walmart Global Tech Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Walmart Global Tech and has not been reviewed or approved by Walmart Global Tech.

  • Strong & Reliable Incentives Compensation packages typically include base pay, performance bonuses, and stock awards, with access to an employee stock purchase plan. Feedback suggests annual bonus structures and stock grants are a consistent part of total compensation in many roles.
  • Retirement Support Retirement offerings include a company 401(k) match and stock purchase options that support long‑term savings. Feedback suggests these programs are a notable strength within the overall package.
  • Parental & Family Support Family benefits feature paid parental leave and adoption assistance, alongside tax‑advantaged accounts for healthcare spending. Feedback suggests these supports contribute meaningfully to perceived total rewards value.

Walmart Global Tech Insights

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The Company
HQ: Bentonville, AR
578,950 Employees

What We Do

Walmart has a long history of transforming retail and using technology to deliver innovations that improve how the world shops and empower our 2.2 million associates. It began with Sam Walton and continues today with Global Tech associates working together to power Walmart and lead the next retail disruption. We’re a high-performing, primarily virtual workforce that is human-led and tech-empowered. Our world-class software engineers, data scientists and engineers, cybersecurity professionals, product managers and business service professionals work with top talent on cutting-edge technologies that create unique and innovative experiences for our associates, customers and members across Walmart, Sam’s Club and Walmart International. At Walmart Global Tech, one line of code or bold idea can make life easier for hundreds of millions of people – talk about epic impact at a global scale.

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