Position Summary...What you'll do...Role summary: The Manager, Claims Management oversees the evaluation and resolution of claim disputes by coordinating with experts and ensuring accurate claim disposition. This role leads quality assurance initiatives to enhance claims handling procedures and compliance. The position manages third-party billing requirements, mitigates legal exposure through collaboration with outside counsel, and drives continuous improvement by analyzing claims data and trends. The manager fosters strong relationships with internal and external partners, supports team development, and ensures adherence to company policies, promoting operational efficiency and risk mitigation within claims management processes.
About the team: The Workers' Compensation Claims Management team is dedicated to delivering consistent, accountable, and high-quality claims handling. The team utilizes data analytics and industry best practices to identify trends, mitigate risks, and enhance service delivery. Focused on continuous improvement, the team collaborates across functions to implement process enhancements and ensure compliance. Members are committed to maintaining rigorous quality assurance standards and fostering professional development. This team plays a vital role in managing claims resolution, risk management, and claims processing to support the company's operational goals and uphold its commitment to excellence.
What you'll do: - Supervise claim disputes by reviewing files, coordinating with adjusters and experts to evaluate claim validity and determine appropriate disposition.
- Manage quality assurance audits to identify trends, improve claims handling consistency, and enhance communication with customers.
- Oversee compliance with third-party billing requirements, collaborating with internal teams to resolve system gaps and ensure accuracy.
- Minimize legal exposure by engaging outside counsel, participating in arbitrations, and structuring complex settlements.
- Lead continuous improvement initiatives by analyzing claims data, monitoring legislative developments, and refining claims processes.
- Provide supervision, training, and development opportunities to associates, fostering accountability and performance.
What you'll bring: - Proven expertise in claims resolution, including evaluating claim validity and managing dispute processes.
- Strong knowledge of quality assurance practices to enhance claims handling consistency and compliance.
- Experience in risk management and minimizing legal exposure through collaboration with legal counsel and structured settlements.
- Ability to interpret and implement third-party billing requirements ensuring accuracy and regulatory compliance.
- Skilled in analyzing claims data trends to develop innovative strategies for process improvement.
- Demonstrated leadership in supervising, mentoring, and developing claims management teams.
- Commitment to upholding ethical standards, company policies, and fostering a culture of accountability and continuous learning.
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. The amount you receive depends on your job classification and length of employment. It will meet or exceed the requirements of paid sick leave laws, where applicable.
For information about PTO, see https://one.walmart.com/notices.
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.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to a specific plan or program terms.
For information about benefits and eligibility, see One.Walmart.
The annual salary range for this position is $80,000.00 - $155,000.00
Additional compensation includes annual or quarterly performance bonuses.
Additional compensation for certain positions may also include :
- Stock
ㅤ
ㅤ
ㅤ
ㅤ
Minimum Qualifications...Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications.
Minimum Qualifications: Bachelor's degree and 2 years' experience in insurance claims or relevant area OR 4 years' experience in insurance claims or related area
Preferred Qualifications...Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications.
Customer Service, Supervising Associates
Primary Location...905 Customer Dr, Bentonville, AR 72716, United States of America
