1 час назад
Case Manager II, Claims Management
70 000 - 130 000$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
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, reserve management, medical treatment authorization, and regulatory compliance. Focus on investigating claims, calculating indemnity payments, negotiating settlements, and resolving cases within financial authority limits.
Location: Onsite in Bentonville, Arkansas, United States
Salary: $70,000–$130,000 annually, plus performance-based bonuses and possible stock compensation.
Company
Walmart is a large retail and commerce corporation providing claims management services for transportation, fleet, workers’ compensation, and general liability operations.
What you will do
- Review claim reports, investigate cases, determine compensability, and assess compliance with jurisdictional statutes.
- Manage mid-complexity workers’ compensation and general liability claims through the full claim lifecycle.
- Establish and adjust reserves within authority limits, escalating claims that exceed approved thresholds.
- Authorize and monitor medical treatment, calculate wages, and issue indemnity payments according to applicable regulations.
- Communicate with claimants, internal stakeholders, legal counsel, safety teams, external carriers, and other involved parties.
- Negotiate settlements, present claims for approval, maintain documentation and licensure, and support process improvements.
Requirements
- High school diploma, GED, or equivalent plus at least one year of experience in claims management, insurance operations, or a related area; alternatively, three years of relevant experience.
- Current or recently held Property & Casualty Adjuster License, held within the past three years.
- Experience with claims investigations, resolution, and case management in workers’ compensation or general liability.
- Knowledge of medical treatment authorization using Official Disability Guidelines and nurse resources.
- Ability to adjudicate claims, establish reserves within financial authority, manage a mid-complexity caseload, and meet performance goals.
- Strong communication, negotiation, analytical, investigative, and relationship-management skills.
Nice to have
- Experience settling claims and providing customer service.
Culture & Benefits
- Medical, vision, and dental coverage.
- 401(k), stock purchase program, company-paid life insurance, and performance-based bonuses.
- Paid time off, sick leave, parental leave, family care leave, bereavement leave, jury duty leave, voting leave, and military leave pay.
- Short- and long-term disability coverage, company discounts, and adoption and surrogacy expense reimbursement.
- Live Better U provides eligible full-time and part-time associates with Walmart-paid education programs, including tuition, books, and fees.
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