Position Summary...
What you'll do...
The Claims Manager is responsible for leading a team of case managers in the management of workers' compensation or general liability claims from initial report to resolution. This role ensures timely, accurate, and compliant claims handling while driving engagement, performance, continuous improvement, and customer satisfaction.
Key Responsibilities:
Team Leadership & Development
Manage end-to-end the case manager hiring process including screening, interviewing, selection, and onboarding.
Lead , support, train, coach , and mentor a team of workers' compensation or general liability case managers.
Manage team dynamics, resolving conflicts constructively and facilitating productive discussions.
Lead by example , setting a high standard for performance, professionalism, and accountability.
Foster a culture of belonging, collaboration, accountability, and continuous improvement.
Promote individual and team engagement.
Identify skill gaps and training needs and coordinate learning opportunities for team members.
Conduct regular one-on-ones and performance check-ins to support employee growth, clarifying goals, and remove barriers for success.
Provide timely and specific feedback to case managers through claim reviews, audits, performance metric reviews, and one-on-one discussions to enable career growth and improve claim outcomes.
Complete root cause analysis to identify and resolve problems.
Conduct performance evaluations and administer disciplinary actions.
Be a champion of change; Support and effectively lead through change.
Mentor emerging leaders, building a pipeline of future leadership within the department.
Operational Oversight
Responsible for annual claim cost spend of up to $35,000,000 .
Assign new losses based on claim complexity matching to an appropriately tenured case manager with the necessary skill set to achieve an optimal claim outcome.
Escalate claims to leadership based on the internal escalation guidelines and ensure the claims are reported to the insurers if applicable.
Monitor inventory and caseloads to ensure workloads are appropriate and claims are moving through the lifecycle as efficiently as possible to prevent claim aging.
Ensure timely and accurate investigation, documentation, evaluation, and resolution of claims in compliance with jurisdictional requirements.
Oversee day-to-day handling of claims to ensure adherence to internal standard operating procedures and regulatory requirements.
Review complex, high-exposure, and litigated claims and provide technical guidance on claim valuation, reserving, and claim strategy to achieve optimal outcomes.
Provide reserve authority up to $400,000 and payment authority up to $75,000 (We will need to increase the GL Manager authority levels to align with above which is the WC authority levels)
Collaborate with legal counsel, stakeholders, and the employer to drive claim strategy.
Resolve escalated complaints from the client, customer, or associate.
Monitor the team's phone queue to ensure that customer needs are addressed timely.
Quality Assurance & Compliance
Conduct claim reviews to ensure accurate coding, claim quality, accuracy, compliance with jurisdictional requirements, timeliness of benefits, and adherence to internal standard operating procedures.
Ensure compliance with state laws, company policies, and client-specific service instructions.
Maintain compliance with state audit and AIG requirements; provide a COE plan if results fall below acceptable requirements
Performance Monitoring & Reporting
Track and analyze key claims metrics such as inventory, closure rates, attorney representation rates, litigation rates, and return-to-work outcomes.
Leverage "views" within the claim system to effectively manage inventory, ensure accurate claim coding, and ensure forward movement to prevent claim aging.
Identify gaps in performance, processes or technology and complete a root cause analysis, develop an action, execute, and resolve.
Collaborate with leadership to develop strategies for improving claim outcomes and reducing total cost of risk.
Support cost containment strategies.
Provide regular reporting on team performance, compliance findings, and strategic initiatives.
Qualifications:
Bachelor's degree in business, Insurance, or related field or equivalent experience
Proven experience in claims management or a related field
Exceptional communication, interpersonal, and organizational skills
Professional designations, industry experience, and/or prior leadership experience 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:
Beyond our great compensation package, you can receive incentive awards for your performance. Other great perks include 401(k) match, stock purchase plan, paid maternity and parental leave, PTO, multiple health plans, and much more.
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 unique styles, experiences, identities, ideas, and opinions - while being inclusive of all people.
Living the Walmart Value:
Focus on our Associates / Belonging - Identifies, attracts, and retains top talent; builds a high-performing team; embraces a culture of belonging.
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.
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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.
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For information about PTO, see https://one.walmart.com/notices .
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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.
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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.
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For information about benefits and eligibility, see One.Walmart (https://bit.ly/3iOOb1J) .
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The annual salary range for this position is $80,000.00-$155,000.00
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Additional compensation includes annual or quarterly performance bonuses.
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Additional compensation for certain positions may also include:
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Stock
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Minimum Qualifications...
Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications.
Minimum Qualifications: Bachelor's degree and 2 years' experience in insurance claims or relevant area OR 4 years' experience in insurance claims or related area
Preferred Qualifications...
Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications.
Customer Service, Supervising Associates
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.
