Case Manager I, Claims Management

Walmart•Bentonville, AR

22h•$60,000 - $110,000•Onsite

About The Position

The Case Manager I investigates, evaluates, and resolves low-complexity workers’ compensation or general liability claims. This onsite role is based in Bentonville, Arkansas, and is part of a Claims Management team focused on fair, timely, and empathetic claim resolution, regulatory compliance, and support for injured associates and customers. The position manages an active caseload of up to 140 claims, gathers and evaluates facts and evidence, determines compensability or negligence under applicable state statutes, and resolves claims within defined reserve and payment authority. The Case Manager communicates with injured associates and customers, authorizes appropriate payments, negotiates settlements, identifies and escalates fraud or complex claims, and follows regulatory, jurisdictional, and internal procedures. The role requires obtaining the applicable state-issued adjuster license within required deadlines. Walmart offers competitive pay, performance-based bonuses, and benefits that may include health coverage, financial benefits, paid time off, leave programs, disability coverage, discounts, education assistance, and other programs. Eligibility and benefit terms may depend on job classification and length of employment.

Requirements

High school diploma, GED, or equivalent.
Alternatively, two years of experience in claims processing, insurance operations, or customer-facing service roles.
Strong organizational skills and the ability to manage time effectively in a fast-paced environment.
Excellent verbal and written communication skills.
Obtain the applicable state-issued adjuster license within required deadlines.

Nice To Haves

Prior claims, insurance, or customer service experience.
Certification in claims management or insurance, such as AIC.
Prior experience applying jurisdiction-specific regulatory requirements and in negotiation and settlement processes.

Responsibilities

Secure and maintain required state licensure.
Manage an active caseload of up to 140 low-complexity workers’ compensation or general liability claims.
Secure and review initial claim reports and gather information, facts, and evidence to determine compensability or negligence under state-specific statutes.
Identify and escalate potential fraudulent claims.
Identify and escalate claims with Early Claims Assessment (ECA) potential.
Communicate empathetically with injured associates or customers who have sustained minor bodily injury or property damage and help them navigate the claims process.
Establish timely and accurate reserves, escalating claims to the Claims Manager when claim value exceeds reserve authority.
Adjudicate claims within reserve authority up to $35,000, with payment authority up to $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 limits and escalate payments exceeding authority to the Claims Manager.
Escalate claims with increasing complexity or litigation potential to the Claims Manager.
Meet or exceed goals on key performance metrics.
Ensure compliance with 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

Medical, vision, and dental coverage.
401(k).
Stock purchase plan.
Company-paid life insurance.
Paid time off, including sick leave.
Parental leave, family care leave, bereavement leave, jury duty leave, and voting leave.
Short-term and long-term disability.
Company discounts.
Military Leave Pay.
Adoption and surrogacy expense reimbursement.
PTO and/or PPTO, usable for vacation, sick leave, holidays, or other purposes.
Live Better U education benefit, with tuition, books, and fees paid for eligible programs.
Performance-based annual or quarterly bonuses.
Stock may be additional compensation for certain positions.