Case Manager I, Claims Management

Walmart•Bentonville, AR

17d•Onsite

About The Position

The Case Manager I is responsible for investigating, evaluating, and resolving low complexity workers’ compensation or general liability claims. This is an Onsite job, based in Bentonville Arkansas. The 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.

Requirements

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
Option 1: High school diploma, GED, or equivalent.
Option 2: 2 years’ experience in claims processing, insurance operations, or customer-facing service roles.

Nice To Haves

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

Responsibilities

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.

Benefits

Competitive pay
Performance-based bonus awards
Medical coverage
Vision coverage
Dental coverage
401(k)
Stock purchase
Company-paid life insurance
PTO (including sick leave)
Parental leave
Family care leave
Bereavement
Jury duty
Voting leave
Short-term disability
Long-term disability
Company discounts
Military Leave Pay
Adoption and surrogacy expense reimbursement
PTO and/or PPTO that can be used for vacation, sick leave, holidays, or other purposes.
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.