Case Manager II, Claims Management

Walmart•Bentonville, AR

12d•$70,000 - $130,000

About The Position

Role summary: The (USA) Case Manager II, Claims Management, plays a critical role in managing complex claims involving bodily injury, personal injury, and property damage. This position requires thorough investigation, analysis of medical and legal information, and coordination with external counsel to minimize legal exposure. The role involves negotiating settlements, managing reserves, and ensuring compliance with company policies. The Case Manager II also supports continuous improvement initiatives, fosters strong stakeholder relationships, and provides guidance to associates, contributing to effective claims resolution and upholding Walmart’s standards of integrity and service excellence. About the team: The Claims Management team is dedicated to thorough investigation and resolution of complex claims involving bodily injury, personal injury, and property damage. The team collaborates with legal counsel, medical experts, and other specialists to assess case details, manage reserves, and negotiate settlements. Emphasizing accuracy and compliance, the team supports continuous improvement and professional development. Members work collectively to deliver effective case management, ensuring decisions align with legal standards and company policies. This team fosters a respectful and accountable environment focused on achieving results while maintaining integrity and supporting the company’s mission.

Requirements

Proven experience in managing complex claims involving bodily injury, personal injury, and property damage with thorough investigation and resolution skills.
Strong ability to interpret medical reports, legal statutes, and case law to assess claim validity and structure settlements.
Expertise in coordinating with outside legal counsel, investigators, and specialists to support claim investigations and minimize legal exposure.
Proficiency in managing monetary aspects of claims, including reserve establishment, payment authorization, and negotiation with claimants and third parties.
Demonstrated leadership in supervising and developing associates while ensuring compliance with company policies and ethical standards.
High school diploma or GED with 1 year of experience in claims management, insurance operations, or related functions OR 3 years of experience in claims management, insurance operations, or related areas.
Current or prior (within last 3 years) Property & Casualty Adjuster License.

Nice To Haves

Settling claims and customer service

Responsibilities

Manage complex claims by reviewing medical reports, legal precedents, and case details to determine appropriate resolutions.
Conduct thorough investigations including interviews, evidence collection, and coordination with specialists to assess claim validity.
Oversee monetary aspects of claims by establishing reserves, monitoring payments, and facilitating approvals or denials within authority limits.
Negotiate settlements with claimants, attorneys, and third parties by presenting findings and applying relevant legislation.
Collaborate with stakeholders to support business needs, communicate goals, and identify opportunities for process improvements.
Provide guidance and development opportunities to associates, fostering accountability and continuous learning.

Benefits

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