Senior Claims Manager

4 weeks ago


Farmington, Arkansas, United States Walmart Full time
Job Summary

We are seeking a highly skilled Senior Claims Manager to join our team. As a key member of our insurance industry team, you will be responsible for leading claim investigations, handling monetary aspects of assigned claims, minimizing legal exposure, and managing moderately complex cases.

Key Responsibilities
  • Lead Claim Investigations: Conduct ongoing medical and legal reviews, commission field investigators, and determine claim origination.
  • Manage Claim Reserves: Establish reserves within approval level, notify store managers of significant reserve increases, and monitor reserves for all open claims.
  • Minimize Legal Exposure: Secure services of outside legal counsel, attend and participate in arbitrations, and assess the impact of claims on case law and precedent.
  • Manage Complex Cases: Interview key witnesses, secure evidence, analyze evidence, and determine whether payment is warranted.
  • Interpret Medical Reports: Review records for preexisting conditions, reference applicable case law/statutes, and present claim reviews and decisions to senior management.
  • Negotiate Claim Resolutions: Share investigative results and rationale, listen to claimant perspectives, and come to consensus on appropriate and final resolution.
  • Coordinate Job-Related Activities: Develop and maintain relationships with key stakeholders, support plans and initiatives, and identify and communicate goals and objectives.
Requirements
  • Insurance Adjuster License: Must have an Insurance Adjuster license or obtain one within 30 days of job entry date.
  • Education and Experience: Bachelor's degree or 2 years' experience in insurance claims or related area, with a focus on settling claims and customer service.
Benefits

We offer competitive pay, performance-based bonus awards, and a range of benefits, including medical, vision, and dental coverage, 401(k), stock purchase, and company-paid life insurance. You will also receive paid time off, parental leave, family care leave, bereavement, jury duty, and voting leave, as well as short-term and long-term disability, company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more.

Compensation

The annual salary range for this position is $60,000.00-$110,000.00, with additional compensation including annual or quarterly performance bonuses. Certain positions may also include stock options.

Location

The primary location for this position is 702 Sw 8Th St, Bentonville, AR 72716, United States of America.



  • Farmington, Arkansas, United States Walmart Full time

    About the RoleWalmart Global Tech is seeking a Senior Manager, Software Engineering to lead our software engineering team. As a key member of our leadership team, you will be responsible for guiding the development of our software systems, ensuring they meet the highest standards of quality, scalability, and reliability.Key Responsibilities:Lead a team of...


  • Farmington, Arkansas, United States Alex Baldwin - State Farm Agent Full time

    Job OverviewAs a vital member of the Alex Baldwin - State Farm Agent team, you will play a crucial role in our daily business operations and customer success. Your primary responsibility will be to establish and maintain meaningful customer relationships, acting as a liaison between customer needs and agency departments. You will also be responsible for...

  • Director, Operations

    1 month ago


    Farmington, Arkansas, United States Walmart Full time

    Job SummaryAs the Director of Operations - Fraud Prevention, you will be responsible for overseeing all aspects of fraud prevention, policy, investigations, and related data analytics within our organization. This includes protecting our users and brand reputation by setting up incident management strategies and operational capabilities, deterring,...


  • Farmington, Connecticut, United States American Senior Benefits Full time

    About American Senior BenefitsWe are a dedicated team serving those in need of insurance, particularly seniors. As a proudly independent organization, we prioritize our customers' needs and preferences. Our mission is to provide personalized and precise solutions at affordable prices, making a positive impact on our customers' lives and our organization's...


  • Farmington, Connecticut, United States Allied World Full time

    Claims Resolution SpecialistAt Allied World, we're seeking a skilled Claims Resolution Specialist to join our team. As a key member of our claims team, you'll be responsible for investigating, evaluating, and resolving claims made against our behavioral health and psychiatry program business.Key responsibilities include:Collaborating with counsel to develop...


  • Farmington, Michigan, United States Allied World Full time

    Job Summary:As a Cyber Claims Specialist at Allied World, you will investigate, evaluate, and resolve claims made against the Company's cyber liability insurance policies. Your expertise will be instrumental in providing superior service to all customers, whether internal or external.Key Responsibilities:Manage a high volume of cyber liability claims,...


  • Farmington, United States Allied World Full time

    Job Summary: Investigate, evaluate, and resolve claims made against the Company’s cyber liability insurance policies.  Engage in collaborative projects in support of other areas of the company, including underwriting, finance and accounting, actuarial, operations, and technology. Provide superior service to all customers, whether internal or...


  • Farmington Hills, Michigan, United States Institute of Inspection , Cleaning and Restoration Certification Full time

    Claims Management SpecialistThe Insurance Claims Coordinator will be the central point of contact for all claims, ensuring timely and efficient resolution. Key responsibilities include:Managing data entry for each claim from First Notice of Loss through to completion in the CRM systemMonitoring and updating jobs in the required operating system to ensure...


  • Farmington, Michigan, United States CareOne Senior Care Full time

    Job Title: Senior Care CoordinatorCareOne Senior Care is seeking a compassionate and organized Senior Care Coordinator to join our dynamic team. As a key member of our team, you will be responsible for ensuring our elderly clients receive the highest quality home care by coordinating schedules and services to meet their unique needs.Key...

  • Caregiver for Seniors

    4 weeks ago


    Farmington, Michigan, United States CareOne Senior Care Full time

    Job DescriptionAt CareOne Senior Care, we provide personalized care services to seniors and individuals with disabilities. As a caregiver, you will be responsible for ensuring the safety and well-being of our clients, while also providing companionship and support.Responsibilities:Assist with daily tasks, such as bathing, dressing, and grooming.Prepare meals...

  • Claims Coordinator

    4 months ago


    Farmington Hills, United States Institute of Inspection , Cleaning and Restoration Certification Full time

    Position Overview As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. The Coordinator will be responsible to...

  • Claims Coordinator

    4 weeks ago


    Farmington Hills, Michigan, United States Institute of Inspection , Cleaning and Restoration Certification Full time

    Claims Coordinator Job DescriptionAs a Claims Coordinator at Institute of Inspection, Cleaning and Restoration Certification, you will be the hub of all claims, responsible for speaking with customers, ongoing customer follow-up, handling service complaints, and ensuring that required Cycle Time and insurance Service Level Agreement tasks deadlines are met....


  • Farmington, Michigan, United States CareOne Senior Care Full time

    Job SummaryWe are seeking a dedicated Client Care Coordinator/Client Scheduler to join our dynamic team at CareOne Senior Care. As a key member of our team, you will be responsible for ensuring our elderly clients receive the highest quality home care by coordinating schedules and services to meet their unique needs.Key ResponsibilitiesClient Management:...


  • Farmington, Connecticut, United States American Senior Benefits Full time

    About American Senior BenefitsWe are a hybrid sales organization offering a unique opportunity for insurance agents in Connecticut. With access to over 220 top carriers, we provide the tools and resources you need to succeed without the headaches of chargebacks or business replacement worries.Our MissionWe are committed to providing the highest level of...


  • Farmington, United States Cedarhurst Senior Living Full time

    Cedarhurst, a regional healthcare provider and true friend of older adults, seeks a service-minded, career-oriented individual to join our team as a Certified Nurse's Assistant (CNA) at our Cedarhurst of Farmington community. As a Certified Nursing Assistant, you will assist and provide direction to residents with personal care needs which enable the...


  • Farmington, Michigan, United States MAT Holdings Full time

    Job SummaryWe are seeking a highly motivated and experienced Senior Account Manager to join our team at MAT Holdings. As a Senior Account Manager, you will be responsible for developing and maintaining strong relationships with our heavy-duty OEM customers, driving sales growth, and providing exceptional customer service.Key Responsibilities Serve as the...


  • Farmington, Michigan, United States San Juan College Full time

    Job Summary:This position is responsible for providing administrative support to the Risk Management Department at San Juan College. The successful candidate will have excellent organizational and communication skills, with the ability to work in a fast-paced environment.Key Responsibilities:Manage and maintain the approved driver's database, including...


  • Farmington, United States Allied World Insurance Company Full time

    DESCRIPTION/RESPONSIBILITIES: Job Summary: Work with claims staff to maximize counsel and vendor efficiency in claims litigation. Job Duties: * Review, analyze and audit law firm invoices submitted by defense counsel and others for compliance with Allied World Billing and Litigation Guidelines. * Partner with claims analysts and other staff to conduct...


  • Farmington, Michigan, United States RouteOne Full time

    Job SummaryThe Senior Contract Manager will provide critical support to the Legal Department at RouteOne, ensuring the effective management of the contract lifecycle. This role involves reviewing and drafting legal documents, filing documents, and performing audits as assigned. The ideal candidate will have excellent critical problem-solving and writing...


  • Farmington, United States San Juan College Full time

    Compensation: $19.65 per hour Compensation Type: Non-Exempt Employment Type: Regular Grade: NE08 Position Summary This position's primary responsibility manages several Risk Management duties and provides administrative assistance to both the Risk Management Director and the Physical Plant Senior Director. MAJOR DUTIES Risk Management Manage and maintain...


  • Farmington, United States San Juan College Full time

    Compensation: $19.65 per hour Compensation Type: Non-Exempt Employment Type: Regular Grade: NE08 Position Summary This position's primary responsibility manages several Risk Management duties and provides administrative assistance to both the Risk Management Director and the Physical Plant Senior Director. MAJOR DUTIES Risk Management Manage and maintain...


  • Farmington, Michigan, United States ServiceMaster Restore - Brighton Full time

    Job DescriptionAt ServiceMaster Restore - Brighton, we are seeking a highly skilled and experienced Assistant Water Mitigation Supervisor to join our team. This is a high-impact position that requires technical expertise and a strong ability to lead and motivate others.Key Responsibilities:Implement process improvements and best practices across the...


  • Farmington, Iowa, United States Trispoke managed services Full time

    Job Title: Senior Project Manager - Change Management & Graphic DesignWe are seeking a highly skilled and creative Senior Project Manager to lead our Change Management & Graphic Design initiatives. The ideal candidate will have expertise in advanced graphic design, visual storytelling, and change management, with the ability to create high-impact, visually...