Назад
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9 часов назад

Case Manager II, Claims Management

70 000 - 130 000$
Формат работы
onsite
Тип работы
fulltime
Грейд
middle
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Case Manager II, Claims Management (Workers’ Compensation and General Liability): Managing mid-complexity claims throughout the claim lifecycle with an accent on compensability analysis, medical treatment authorization, reserving, payments, and regulatory compliance. Focus on negotiating settlements, identifying fraud indicators, escalating cases within authority limits, and improving claim outcomes.

Location: 608 SW 8th St., Bentonville, Arkansas, United States; onsite at the Bentonville Home Office

Annual salary: $70,000–$130,000, plus performance-based bonuses and possible stock compensation

Company

hirify.global supports Walmart’s claims services operations, managing workers’ compensation and general liability claims.

What you will do

  • Review initial claim reports and determine compensability under applicable jurisdictional statutes.
  • Manage mid-complexity workers’ compensation and general liability claims through the full claim lifecycle.
  • Establish and adjust reserves within authority limits and escalate claims exceeding thresholds.
  • Authorize and monitor medically necessary treatment according to applicable guidelines.
  • Calculate wages, issue indemnity payments, communicate with claimants and stakeholders, and negotiate settlements.
  • Identify potential fraud, present claims for review approval, and ensure compliance with regulatory and internal policies.

Requirements

  • Experience in claims investigations, resolution, and case management within workers’ compensation, general liability, insurance operations, or a related area.
  • Either a high school diploma, GED, or equivalent plus 1 year of relevant experience, or 3 years of relevant experience.
  • Current or prior Property & Casualty Adjuster License held within the last 3 years.
  • Knowledge of regulatory and jurisdictional requirements, reserving, adjudication, escalation, and claims lifecycle management.
  • Ability to communicate with injured associates, customers, legal representatives, and other stakeholders.
  • Ability to analyze data and apply best practices to improve claim outcomes and operational efficiency.

Nice to have

  • Experience settling claims.
  • Customer service experience.

Culture & Benefits

  • Medical, vision, and dental coverage.
  • 401(k), stock purchase plan, and company-paid life insurance.
  • Paid time off, sick leave, parental leave, family care leave, bereavement leave, jury duty leave, and voting leave.
  • Short- and long-term disability coverage, company discounts, military leave pay, and adoption and surrogacy reimbursement.
  • Live Better U provides Walmart-paid education programs, including high school completion, bachelor’s degrees, English language learning, and certificates.

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