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Walmart Canada · 1 week ago

Case Manager I, Claims Management

Bentonville, AR

Full-time

Onsite

Entry Level

$60K/yr - $110K/yr

2+ years exp

Walmart Canada is seeking a Case Manager I for their Claims Management team. This role involves investigating, evaluating, and resolving low complexity workers’ compensation and general liability claims while ensuring compliance with regulatory requirements and delivering exceptional customer service to injured associates and customers.

DeliveryRetailShopping

Responsibilities

Secure and maintain the required licensure required by the state(s)

Manage an active caseload of up to 140 low complexity workers’ compensation or general liability claims

Secure and review initial claim reports, gather information, facts, and evidence to determine compensability or negligence in accordance with state specific statutes

Identify and escalate potential fraudulent claims

Identify and escalate claims with Early Claims Assessment (ECA) potential

Communicate with injured associates or customers that have sustained minor bodily injury or property damage with empathy and help them navigate the claims process

Establish timely and accurate reserves on claims; Escalate claims to the Claims Manager if claim value exceeds reserve authority

Adjudicate claims within reserve authority up to $35,000; Payment authority $2,500

Authorize and approve payment for reasonable and related medical treatment or damages

Negotiate and resolve claims with associates and customers

Issue settlement payments within authority limit; Escalate claims to the Claims Manager if payment exceeds authority

Escalate claims with increasing complexity or litigation potential to the Claims Manager

Meet or exceed goals on key performance metrics

Ensure compliance with all regulatory, jurisdictional, and internal standard operating procedures

Deliver exceptional customer service to injured associates, customers, the employer, and clients

Pass the adjuster licensing exam and obtain the state-issued adjuster license within required deadlines

Qualification

Insurance Adjuster licenseClaims managementCustomer serviceOrganizational skillsVerbal communicationWritten communicationTime managementNegotiation

Required

High School Diploma or GED required

Strong organizational skills and the ability to manage time effectively in a fast-paced environment

Excellent verbal and written communication skills

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

Preferred

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

Benefits

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.

Live Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities.