Case Manager II, Claims Management

Position Summary... What you'll do... Role summary: The Case Manager II, Claims Management, plays a critical role in managing complex claims involving bodily injury, personal injury, and property damage. This position requires thorough investigation, analysis of medical and legal information, and coordination with external counsel to minimize legal exposure. The role involves negotiating settlements, managing reserves, and ensuring compliance with company policies. The Case Manager II also supports continuous improvement initiatives, fosters strong stakeholder relationships, and provides guidance to associates, contributing to effective claims resolution and upholding Walmarts standards of integrity and service excellence. About the team: The Claims Management team is dedicated to thorough investigation and resolution of customer claims, focusing on minimizing legal exposure and ensuring accurate case assessments. This team manages complex cases involving bodily injury and property damage by analyzing evidence, medical reports, and applicable laws. Collaborating with internal and external partners, they drive effective claim resolutions while maintaining compliance with company policies and ethical standards. The team fosters continuous learning, accountability, and clear communication to deliver results that support business goals and enhance the customer experience through diligent case management and claims resolution. What you'll do: Manage complex claims by reviewing medical reports, legal precedents, and case information to determine appropriate resolutions. Conduct thorough investigations including interviews, evidence collection, and coordination with specialists to assess claim validity. Oversee monetary aspects of claims by establishing reserves, monitoring payments, and facilitating approvals or denials within authority levels. Negotiate settlements by presenting investigative findings and legal rationale to claimants and third parties to reach consensus. Coordinate with internal and external stakeholders to support claims processes and ensure compliance with company policies. Provide guidance and development opportunities to associates, fostering accountability and continuous improvement. What you'll bring: Proven experience in managing complex claims involving bodily injury, personal injury, and property damage. Strong skills in claims investigation, resolution, and case management with attention to legal and medical report interpretation. Ability to coordinate and collaborate with outside legal counsel, investigators, and specialists to support claim outcomes. Proficiency in assessing claim impacts on case law and structuring settlements within established guidelines. Demonstrated capability in negotiating claim resolutions with claimants and third parties effectively. Experience in monitoring and managing claim reserves and authorizing payments within approval limits. Commitment to upholding company policies, ethical standards, and fostering a culture of accountability and continuous improvement. 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 1 years experience in claims management, insurance operations, or related area. Option 2: 3 years experience in claims management, insurance operations, or related area. 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. Settling claims and customer service 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.