Manager, Claims Management

Position Summary...

What you'll do...

Supervises claim disputes by reviewing the claim file to evaluate claim disposition coordinating independent adjusters mechanical experts or estimate auditors findings in claim evaluation analyzing facts obtained during investigations to determine validity of claim and ensuring settlement or denial of the claim

Manages quality assurance reviews to improve claims handling procedures by performing quality assurance audits analyzing audit results for trends in claims handling compliance and developing solutions to improve communications to customers claims handling consistency adherence to claims handling procedures and claims adjuster training

Manages and implements the requirements and billing procedures of third party plans to ensure accuracy and compliance with government and commercially funded programs by interpreting third party requirements ensuring alignment with industry standards determining impact to current systems and processes collaborating with information systems division to identify and resolve system gaps communicating with stores and clubs to ensure understanding of new systems and implications and ensuring payer requirements are satisfied to improve efficiencies at store level reduce financial risk and meet centers for services requirements and industry billing standards

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

Manages the continuous improvement of claims management initiatives and processes by developing and maintaining relationships with internal business leaders and external partners to improve claims handling performance and ensure business needs are met leveraging and analyzing claims data trends and future business needs to develop innovative strategies to improve efficiencies evaluating claims quality and processes through standardized reviews and audits monitoring performance of internal teams and third party providers reviewing and modifying claim system rules and compensation and general liability areas to identify areas for growth and capitalize on opportunities

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 promoting a belonging mindset in the workplace

 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

Respect the individual: Demonstrates and encourages respect for all builds a high performing team seeks and embraces differences in people cultures ideas and experiences creates a workplace where all associates feel seen supported and connected through culture of belonging so associates thrive and perform drives a positive associate and customer member experience for all identifies attracts and retains the best team members

Respect the individual: Creates a discipline and focus around developing talent through feedback coaching mentoring and developmental opportunities 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 member and company and regularly recognizes others contributions and accomplishments

Respect the individual: Builds strong and trusting relationships with team members and business partners works collaboratively and cross functionally to achieve objectives and communicates and listens attentively with energy and positivity to motivate influence and inspire commitment and action

Act with Integrity: Maintains and promotes the highest standards of integrity ethics and compliance models the Walmart values and leads by example to foster our culture support Walmart’ goal of becoming a regenerative company by making a positive impact for associates customers and the world around us e.g. creating a sense of belonging eliminating waste participating in local giving

Act with Integrity: Follows the law our code of conduct and company policies and sets expectations for others to do the same promotes an environment where associates feel comfortable sharing concerns and reinforces our culture of nonretaliation listens to concerns raised by associates takes action and encourages others to do the same holds self and others accountable for achieving results in a way that is consistent with our values

Act with Integrity: Acts as an altruistic servant leader and is consistently humble, self-aware, honest and transparent

Serve our Customers and Members Delivers expected business results while putting the customer member first and consistently applying an omni merchant mindset and acts with an Every Day LowCost mindset to drive value and Every Day Low Prices for customers members

Serve our Customers and Members Adopts a holistic perspective that considers data analytics customer member insights and different parts of the business when making plans and shaping the teams strategy

Strive for Excellence: Consistently raises the bar and seeks to improve demonstrates curiosity and a growth mindset seeks feedback asks thoughtful questions fosters an environment that supports learning innovation and learning from mistakes and intelligent risk taking and exhibits resilience in the face of setbacks

Strive for Excellence: Seeks and implements continuous improvements and encourages the team to leverage new digital tools and ways of working

initiatives for efficiency and compliance and monitoring trends and legislative developments in workers

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.

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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.

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For information about PTO, see https://one.walmart.com/notices.

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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.

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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.

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For information about benefits and eligibility, see One.Walmart.

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The annual salary range for this position is $80,000.00-$155,000.00

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Additional compensation includes annual or quarterly performance bonuses.

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Additional compensation for certain positions may also include:

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- Stock

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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...

608 Sw 8Th St, Bentonville, AR 72712-6207, United States of America