Назад
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4 часа 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 decisions, reserves, medical treatment authorization, indemnity payments, and negotiated resolutions. Focus on investigating claims, adjudicating cases within financial authority, maintaining regulatory compliance, and presenting claims for settlement authority.

Location: Bentonville, Arkansas, United States; office-based at the Bentonville Home Office

Salary: $70,000–$130,000 annually, plus performance-based bonus compensation and potential stock compensation.

Company

hirify.global is part of Walmart, a large retail organization.

What you will do

  • Review and investigate initial workers’ compensation and general liability claim reports.
  • Manage mid-complexity claims throughout the full claim lifecycle and determine compensability under applicable statutes.
  • Establish and adjust financial reserves within authority limits, escalating cases that exceed thresholds.
  • Authorize and monitor medically necessary treatment and calculate wages and indemnity payments.
  • Communicate with claimants, associates, customers, legal representatives, and other stakeholders.
  • Negotiate resolutions, prepare claims for review, and maintain compliance with regulatory and internal procedures.

Requirements

  • Experience managing workers’ compensation or general liability claims through the claim lifecycle.
  • Strong claims investigation, resolution, adjudication, case management, negotiation, and risk management skills.
  • Ability to establish accurate reserves and make decisions within assigned financial authority.
  • Knowledge of medical treatment authorization using Official Disability Guidelines and nurse resources.
  • Current or recently held Property & Casualty Adjuster License, held within the last three years.
  • High school diploma or GED plus at least one year of relevant experience, or three years of relevant experience.

Nice to have

  • Bachelor’s degree in Risk Management, Insurance, Business Administration, Legal Studies, or a related field.
  • Experience settling claims and providing customer service.
  • Industry designations such as AIC or WCCP.

Culture & Benefits

  • Full-time employment with medical, vision, and dental coverage.
  • 401(k), stock purchase opportunities, company-paid life insurance, and disability coverage.
  • Paid time off, sick leave, parental leave, family care leave, bereavement leave, jury duty leave, and voting leave.
  • Company discounts, military leave pay, and adoption and surrogacy expense reimbursement.
  • Access to Live Better U, including Walmart-paid education programs, tuition, books, and fees.

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