Case Manager - Claims

Case Manager - Claims

Walmart | Bentonville, AR, 72712, US

Posted 21 days ago

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Description

Position Summary...

What you'll do...

Associate must live within 50 miles of primary work location

Leads claim investigations by conducting ongoing medical and legal reviews; commissioning field investigators, reconstructionists, and cause and origin specialists to determine claim origination; managing media exposure during investigations; synthesizing information from outside counsel; and reviewing, documenting, and indexing information received on each claim in the claim/image management system.


Handles monetary aspects of assigned claims by establishing reserves within approval level; notifying store managers of significant reserve increases; monitoring reserves for all open claims; authorizing payment for approval or facilitating denial of the claim; and reserving file for payments that exceed authority for manager and serious case review.


Minimizes legal exposure by securing services of outside legal counsel; attending and participating in arbitrations; auditing and paying outside counsel invoices; assessing the impact claim may have on case law and precedent prior to making claim payment; and structuring complex settlements.


Manages moderately complex cases involving alleged bodily injury, personal injury, and property damage by interviewing key witnesses; securing evidence; analyzing evidence; reviewing applicable laws; interpreting medical reports; deducing causes and responsibilities; documenting case details; determining whether payment is warranted; and managing multiple claims related to a single event as required.


Manages interpretation of medical reports and case information; reviewing records for preexisting conditions; referencing applicable case law/statutes; and presenting claim reviews and decisions to senior management for approval or guidance.


Manages negotiations with customer, customer's attorney, or third party to resolve claims by sharing investigative results and rationale; listening to claimant perspective and arguments; influencing claimant's perspective; and coming to consensus on appropriate and final resolution.


Coordinates, completes, and oversees job-related activities and assignments by developing and maintaining relationships with key stakeholders; supporting plans and initiatives to meet customer and business needs; identifying and communicating goals and objectives; building accountability for and measuring progress in achieving results; identifying and addressing improvement opportunities; and demonstrating adaptability and promoting continuous learning.


Provides supervision and development opportunities for associates by hiring and training; mentoring; assigning duties; providing recognition; and ensuring diversity awareness.


Ensures compliance with company policies and procedures and supports company mission, values, and standards of ethics and integrity by implementing related action plans; utilizing and supporting the Open Door Policy; and providing direction and guidance on applying these in executing business processes and practices.


Live our Values


Culture Champion
Models the Walmart values to foster our culture; holds oneself and others accountable; and supports Walmarts commitment to communities, social justice, corporate social responsibility, and sustainability; maintains and promotes the highest standards of integrity, ethics and compliance.


Servant Leadership
Acts as an altruistic servant leader and is consistently humble, self-aware, honest, and transparent.


Embrace Change


Curiosity & Courage
Demonstrates curiosity and a growth mindset; fosters an environment that supports learning, innovation, and intelligent risk-taking; and exhibits resilience in the face of setbacks.


Digital Transformation & Change
Seeks and implements continuous improvements and encourages the team to leverage new digital tools and ways of working.


Deliver for the Customer


Customer Focus
Delivers expected business results while putting the customer first and consistently applying an omni-merchant mindset and the EDLP and EDLC business models to all plans.


Strategic Thinking
Adopts a holistic perspective that considers data, analytics, customer insights, and different parts of the business when making plans and shaping the teams strategy.


Focus on our Associates


Diversity, Equity & Inclusion
Identifies, attracts, and retains diverse and inclusive team members; builds a high-performing team; embraces diversity in all its forms; and actively supports diversity goal programs.
Collaboration & Influence
Builds strong and trusting relationships with team members and business partners; works collaboratively and cross-functionally to achieve objectives; and communicates with energy and positivity to motivate, influence, and inspire commitment and action.


Talent Management
Creates a discipline and focus around developing talent, promotes an environment allowing everyone to bring their best selves to work, empowers associates and partners to act in the best interest of the customer and company, and regularly recognizes others contributions and accomplishments.

Minimum Qualifications...

Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications.

Insurance Adjuster license OR will obtain an Insurance Adjuster license within 30 days of job entry date.

Preferred Qualifications...

Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications.

Bachelor's degree OR 2 years experience in insurance claims or related area, Settling claims and customer service

Primary Location...702 SW 8TH ST, BENTONVILLE, AR 72716, United States of America