Case Manager II, Claims Management

Manage mid-complexity workers’ compensation and general liability claims throughout the claim lifecycle, including reviewing reports, determining compensability, establishing reserves, and adjudicating claims within financial authority.

About the team

The Auto Liability Claims team oversees transportation and fleet-related claims from initiation to resolution. Team members conduct thorough investigations, evaluate coverage, and manage case documentation while communicating with involved parties. They collaborate with internal partners, legal counsel, safety teams, and external carriers to identify risks, control claim exposure, and ensure regulatory compliance. Utilizing strong analytical, investigative, communication, negotiation, and relationship-management skills, the team delivers consistent and fair claim outcomes in complex situations, supporting the company’s commitment to effective claims management and operational excellence.

Responsibilities

• Review and analyze claim reports to determine compensability and compliance with jurisdictional statutes.
• Manage a caseload of mid-complexity workers’ compensation and general liability claims throughout the claim lifecycle.
• Establish and adjust reserves within authority limits, escalating cases exceeding thresholds.
• Authorize and monitor medical treatments to ensure necessity and appropriateness.
• Calculate wages and issue indemnity payments in accordance with regulations.
• Communicate effectively with claimants and stakeholders to facilitate claim resolution.
• Negotiate settlements and present claims in review forums to secure approvals.
• Maintain required licensure and ensure regulatory compliance.
• Support continuous improvement initiatives and collaborate with key partners to enhance claim outcomes.

Requirements

• Proven experience in claims investigations, resolution, and case management within workers’ compensation or general liability contexts.
• Ability to review and analyze claim reports, determining compensability in accordance with jurisdictional statutes.
• Strong skills in adjudicating claims and establishing reserves within financial authority limits.
• Knowledge of medical treatment authorization processes using Official Disability Guidelines and nurse resources.
• Effective communication and negotiation skills to resolve claims with associates, customers, or legal representatives.
• Current or recently held Property & Casualty Adjuster License and understanding of regulatory compliance.
• Capacity to manage mid-complexity claims caseloads while meeting performance goals and delivering quality service.

Qualifications

• Option 1: High school diploma, GED, or equivalent and 1 year’s 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

• Experience settling claims and customer service.

Benefits

• Competitive pay with performance-based bonus awards.
• Health benefits including medical, vision, and dental coverage.
• Financial benefits: 401(k), stock purchase, and company-paid life insurance.
• Paid time off (PTO) including sick leave, parental leave, family care leave, bereavement, jury duty, and voting.
• Short-term and long-term disability.
• Company discounts.
• Military Leave Pay.
• Adoption and surrogacy expense reimbursement.
• Live Better U: Walmart-paid education benefit program for full-time and part-time associates, covering tuition, books, and fees for high school completion, bachelor’s degrees, English Language Learning, and short-form certificates. Eligibility requirements apply.

Pay

The annual salary range for this position is $70,000.00 - $130,000.00. Additional compensation includes annual or quarterly performance bonuses and stock for certain positions.

Schedule

This is an onsite job based in Bentonville, AR.