Senior Manager, Claims Management

Position Summary

Position Summary... The Senior Manager, Claims Management leads the execution of strategic business initiatives optimizing claims operations and consistent outcomes. This role provides oversight of claims resolution, quality assurance, and vendor performance across a portfolio of states, including accountability for the Texas Non-Subscriber program. Leveraging strong program management capabilities, the role collaborates with internal and external partners to drive innovative solutions that grow efficiency, control costs, mitigate financial risk, and enhance client satisfaction within Walmart businesses.

The role requires demonstrated leadership in managing complex claims operations and fostering a culture of integrity and accountability while influencing the delivery of consistent, high-quality results.

The TPA Operations team provides strategic oversight of a large Third-Party Administrator managing workers’ compensation claims across 14 states. The team drives accountability, consistency, and exceptional outcomes in a complex, high-volume environment. It includes direct oversight of California and Texas non-subscriber operations, requiring strong leadership and sound judgment to navigate regulatory and operational challenges. Team members collaborate with internal and external partners to enhance performance, improve processes, and ensure effective claims administration s team thrives on complexity, continuous improvement, and leading through change to deliver impactful results.

• Lead execution of business plans by identifying operational needs, setting priorities, and removing obstacles to enhance performance.
• Provide strategic oversight and direction to third-party claims managers, team leaders, and examiners to ensure consistent delivery of claims outcomes and service excellence.
• Partner with Director, Claims Management on claims strategy and portfolio operational execution.
• Oversee claims disputes by evaluating files, coordinating with experts, and ensuring accurate settlements or denials.
• Collaborate with legal counsel to manage company exposure and structure complex settlements.
• Lead legal round tables and claim reviews to drive resolution and continuous engagement across internal and external teams.
• Analyzing claims data, monitoring trends, and implementing innovative strategies.

• Extensive experience in claims resolution, processing, and investigations, with strong knowledge of workers' compensation regulations in California, Texas, and Washington.
• Proven leadership skills in managing teams, including training, mentoring, and influential leadership to foster a high-performing, collaborative environment.
• Expertise in project management and continuous improvement processes to enhance claims handling efficiency and compliance.
• Ability to manage and influence third-party administrator (TPA) vendor relationships.
• Strong analytical skills to interpret claims data trends and develop innovative strategies for risk mitigation and operational excellence.

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…