(USA) Manager, Claims Management

Walmart • Bentonville, AR • 1h ago

Position Summary...

What you'll do...

Role summary:

The Manager, Claims Management oversees the evaluation and resolution of claim disputes, ensuring accuracy and compliance with regulatory and company standards. This role leads quality assurance initiatives to enhance claims handling processes and manages relationships with internal teams and external partners to drive continuous improvement. The position requires strategic oversight of billing procedures, risk mitigation, and legal exposure while fostering a high-performing team through effective supervision and development. The manager champions integrity, operational excellence, and collaboration to support business objectives and deliver consistent, efficient claims management outcomes.

About the team:

The Walmart Claims Services team leads the management and resolution of claims through thorough investigations, audits, and quality assurance processes. This team ensures compliance with industry standards and regulatory requirements while minimizing financial and legal risks. Collaborating with internal and external partners, they enhance claims handling efficiency and accuracy. Committed to continuous improvement, the team supports professional growth and fosters accountability and integrity. Their efforts contribute to delivering consistent, high-quality service aligned with Walmart's mission and values, driving operational excellence and risk management across the organization.

What you'll do:

Supervise claim disputes by reviewing files, coordinating with experts, and determining claim validity to ensure accurate settlement or denial.

Manage quality assurance audits to enhance claims handling consistency, compliance, and communication with customers.

Oversee third-party billing procedures, ensuring alignment with regulatory and industry standards to reduce financial risk.

Minimize legal exposure by collaborating with outside counsel, participating in arbitrations, and structuring complex settlements.

Drive continuous improvement by analyzing claims data, monitoring trends, and developing strategies to optimize claims management processes.

Provide leadership through hiring, training, mentoring, and fostering accountability within the claims team.

What you'll bring:

Proven expertise in claims resolution, risk management, and claims processing within complex environments.

Strong leadership skills with experience supervising and developing teams to achieve performance goals.

Ability to conduct quality assurance audits and analyze trends to enhance claims handling procedures.

Proficiency in managing compliance with third-party billing requirements and regulatory standards.

Skilled in fostering collaborative relationships with internal and external partners to drive continuous improvement.

Demonstrated adaptability and commitment to ethical practices aligned with company values.

Experience leveraging data analytics to inform strategic decisions and optimize claims management processes.

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 (https://one.walmart.com/) .

The annual salary range for this position is $80,000.00 - $155,000.00 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.

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...

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.

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.

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