Senior Analyst, Claims Litigation

Position Summary... What you'll do... The Senior Analyst, Claim Litigation is responsible for investigating, evaluating, and resolving complex workers compensation or general liability bodily injury claims. This role is heavily engaged in claims that are either at risk for litigation or are already litigated depending on the line of business. The Senior Claim Analyst leverages their extensive claim knowledge and expertise to teach, train, and mentor lower tenured case managers. What you'll do... Claims Management Manage an active caseload of up to 100 complex 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. Communicate with injured associates or customers that have sustained bodily injury with empathy and help them navigate the claims process. Timely escalate claims that meet the criteria of the internal Escalation Requirement List to leadership and internal Tort partners and/or outside counsel. Collaborate with leadership, in-house counsel and outside counsel early to establish an agreed upon value, align on approach, and develop a strategy to get the best claim outcome possible. Report timely to insurers when a claim meets the reporting criteria. Establish timely and accurate reserves; Escalate claims to the Claims Manager if claim value exceeds reserve authority. Adjudicate claims within reserve authority up to $175,000 and payment authority $50,000 Authorize, monitor, and issue payment for medical treatment that is reasonable, necessary, and related. Leverage the Official Disability Guidelines (ODG) and nurse resources to coordinate early return to work to prevent/mitigate lost time. If lost time occurs, calculate wages and issue indemnity payment(s) timely in accordance with the jurisdictional requirement. Negotiate and resolve claims with associates, customers or their attorney. Effectively oversee and manage outside counsel to ensure the litigation is moving forward and that there is a plan of action in place to reach resolution in a timely manner. Approve payment for reasonable and related medical treatment or damages. Issue settlement payments within authority limit; Escalate claims to the Claims Manager if payment exceeds authority. Prepare for and present claims during roundtable and serious case reviews to discuss claim or resolution strategies and/or secure settlement authority. 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. Training & Mentoring Teach, train, and mentor lower tenured case managers Share claims knowledge and expertise Serve as a subject matter expert (SME) as needed for special projects or initiatives What you'll bring... Bachelor's degree in Business, Arts, Science, or related field and 1 year experience in insurance claims, law or related field OR 3 years of experience in insurance claims, law or related field. Insurance adjuster license. Strong organizational skills and the ability to manage time effectively in a fast-paced environment. Excellent verbal and written communication skills 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 $70,000.00 - $130,000.00 Additional compensation includes annual or quarterly performance bonuses. Additional compensation for certain positions may also include : - Stock Minimum Qualifications... Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications. Option 1: High school diploma, GED, or equivalent and 2 years experience in claims handling. Option 2: 4 years experience in claims handling, including experience with complex or litigated workers compensation or general liability claims. Current or prior (within last 3 years) Property & Casualty Adjuster License. Preferred Qualifications... Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications. Insurance industry or claims experience, Paralegal diploma approved by American Bar Association OR National Association of Legal Assistants Certified Legal Assistant certificate, Working in a legal environment Doctorate: Law, Masters: Business Administration Primary Location... 905 Customer Dr, Bentonville, AR 72716, United States of America Walmart and its subsidiaries are committed to maintaining a drug-free workplace and has a no tolerance policy regarding the use of illegal drugs and alcohol on the job. This policy applies to all employees and aims to create a safe and productive work environment. About Walmart: Fifty years ago, Sam Walton started a single mom-and-pop shop and transformed it into the world's biggest retailer. Since those founding days, one thing has remained consistent: our commitment to helping our customers save money so they can live better. Today, we're reinventing the shopping experience and our associates are at the heart of it. You'll play a crucial role in shaping the future of retail, improving millions of lives around the world. This is that place where your passions meet purpose. Join our family and create a career you're proud of.