(USA) Senior Director, Claims Management - Claims Operations
About The Position
The Senior Director of Claims Operations sets the vision and drives transformational strategy for Walmart’s Claims Operations, benchmarking against top TPAs and insurers to deliver best-in-class practices. This leader excels in function specialization, financial improvement, and change management, collaborating with stakeholders across Walmart, Sam’s Club, and core business areas. This role leads advanced process implementation, ensures compliance, and leverages analytics to optimize the claims lifecycle. About Walmart Claim Services Team Walmart Claims Services (WCS) is dedicated to delivering efficient, accurate, and customer-focused claims management across the enterprise. The organization is responsible for overseeing the end-to-end claims process, ensuring timely resolution and compliance with all regulatory requirements. WCS partners closely with internal teams and external stakeholders to drive operational excellence, mitigate risk, and support Walmart’s commitment to integrity and service.
Requirements
- The ideal candidate has 5 years’ experience in claim operations leadership at major insurer or TPA
- Lead an enterprise Claims Operations strategy, benchmarked against top TPAs/insurers to modernize best practices
- Drives financial improvement through severity reduction, leakage control, and vendor performance management
- Executes large-scale change management and process redesign across complex, multi-business environments
- Ensures compliance, governance, and audit readiness across the claims lifecycle
- Uses analytics to improve cycle time, outcomes, and operational efficiency
- Option 1: Bachelor’s degree or related area and 4 years’ experience in insurance claims or related area.
- Option 2: 6 years’ experience in insurance claims or related area.
Nice To Haves
- Customer Service
Responsibilities
- Leads all support functions for Leave of Absence (LB), Specialty, and Workers' Compensation (WC) claims.
- Defines and implements best-in-class Standard Operating Procedures (SOPs) for claims processes.
- Oversees training, associate quality, vendor quality, and ensure compliance across all support functions.
- Drives continuous improvement in operational excellence and service delivery for claims management.
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.
- 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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What This Job Offers
Job Type
Full-time
Career Level
Director
Number of Employees
11-50 employees
