Costco

Complex Claims Specialist

Costco$98K — $114K *
Legal & Accounting
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 6-10 years of experience in general liability claims management with a focus on serious bodily injuries and complex litigation.
  • Strong understanding of various legal principles including contract, tort, and subrogation law.
  • Proficient in managing and directing the work of outside counsel and third-party administrators.
  • Excellent verbal and written communication skills essential for stakeholder engagement.
  • Exceptional analytical skills to adjust claims handling strategies in response to evolving information.
  • Ability to interpret laws and regulations to guide claims resolution effectively.
  • Familiarity with risk management information systems and statistical data analysis.

Responsibilities

  • Directs and oversees thorough investigations of liability claims related to commercial general and automobile cases.
  • Acts as a liaison among TPAs, legal counsel, and vendors during trials and negotiations.
  • Provides training and guidance to TPAs and other staff to ensure compliance with legal standards.
  • Monitors and evaluates the quality of service from TPAs and outside counsel, providing feedback to management.
  • Ensures that settlements adhere to company policies and procedures while maintaining accurate claim documentation.
  • Prepares and submits detailed reports regarding claims management as needed.
  • Delivers exceptional member service by providing timely updates on claim progress.

Benefits

  • Comprehensive health benefits including medical, dental, vision, and behavioral health.
  • Short-term and long-term disability insurance coverage.
  • 401(k) plan and eligible stock purchase plan.
  • Paid time off and wellness programs such as health care reimbursement accounts.
  • Employee assistance programs to support mental health and well-being.
Full Job Description
To direct and oversee the investigation, evaluation and resolution of Commercial General & Automobile Liability claims outsourced to a third-party administrator (TPA). Evaluates the Company's exposure and decides the appropriate course of action to best protect and prevent undue loss, mitigate associated costs and provides reserve and settlement recommendations in accordance with Company policy.

ROLE
  • Directs and oversees thorough and impartial investigations; determines investigation method and detail as appropriate.
  • Acts as a liaison between TPAs, legal counsel and vendors to manage claims, including attending trials, arbitration, mediations, ADR and face-to-face negotiations.
  • Provides technical direction and training to TPAs, outside counsel and department members to ensure compliance with applicable state and federal laws.
  • Monitors service quality provided by TPAs, outside counsel, structured settlement vendors and makes recommendations to management.
  • Ensures settlements are consistent with Company guidelines, policy and procedure.
  • Ensures claim documentation is accurate, organized and properly maintained.
  • Submits thorough and accurate reports as necessary.
  • Provides superior member service while presenting claim updates to the member.

REQUIRED
  • 6-10 years general liability claims experience directing serious bodily injury liability claims and litigation of significant exposure and complexity on a regional or national level.
  • Strong knowledge of contract, tort, subrogation, contribution, indemnity and other related law.
  • Able to effectively direct and control work of outside counsel and TPA.
  • Superior verbal and written communication skills.
  • Excellent evaluation and analytical skills, including ability to recognize new or changing information that could affect the claims handling strategy and/or potential claims cost.
  • Able to interpret and apply applicable laws and regulations, determine the appropriate course of action and present solutions to resolve claims within multi-million-dollar retention.
  • Knowledge of risk management information systems and statistical data.
  • Able to articulate understanding of the impact that effective claims management has on the business.
  • Scheduling flexibility to meet the needs of the business; available for occasional travel.
Recommended
  • High School Diploma or GED.
  • Bachelors' Degree preferred.
  • Senior Claims Law course work or other industry training/designations.
  • Ability to assess actual damages associated with claims and conduct settlement negotiations within assigned authority limits.
  • Ability to analyze legal documents and medical records.
  • Extensive knowledge of litigation practices and procedures.


Required Documents

Cover Letter
• Resume

Pay Range: $98,000 - $114,000

We offer a comprehensive package of benefits including paid time off, health benefits - medical/dental/vision/hearing aid/pharmacy/behavioral health/employee assistance, health care reimbursement account, dependent care assistance plan, short-term disability and long-term disability insurance, AD&D insurance, life insurance, 401(k), stock purchase plan to eligible employees.

About Costco

Costco is a membership warehouse club, dedicated to bringing their members the best possible prices on quality brand-name merchandise. With hundreds of locations worldwide, Costco provides a wide selection of merchandise, plus the convenience of specialty departments and exclusive member services, all designed to make your shopping experience a pleasurable one. The company's first location, opened in 1976 under the Price Club name, was in a converted airplane hangar on Morena Boulevard in San Diego. Originally serving only small businesses, the company found it could achieve far greater buying clout by also serving a selected audience of non-business members. With that change, the growth of the warehouse club industry was off and running. In 1983, the first Costco warehouse location was opened in Seattle. Costco became the first company ever to grow from zero to $3 billion in sales in less than six years. When Costco and Price Club merged in 1993, the combined company, operating under the name PriceCostco, had 206 locations generating $16 billion in annual sales.

Costco Careers

Joining the Costco team presents a unique opportunity to be part of one of the largest wholesale membership warehouses in the world. At Costco, we are committed to providing our employees with a path to career growth and a dynamic workplace culture that values innovation, leadership, and diversity.

Work You'll Do

Embark on a professional journey with Costco and play a pivotal role in our mission to continually enhance the Costco shopping experience. You'll find yourself working in a high-energy environment where your skills will be honed and your abilities pushed to new heights.

Explore Job Opportunities

Costco offers a variety of job opportunities that cater to a range of skills and interests, from in-warehouse positions to corporate roles. Each position at Costco is designed to help you build a solid professional foundation, with ample room for growth and advancement.

Internship Programs

Kickstart your career with a Costco internship. Our internships provide invaluable workplace experience and a chance to see what it truly means to be part of a team that prioritizes quality and community. Interns at Costco gain hands-on experience that is not only rewarding but also integral to their professional development.

Professional Growth and Development

Costco is deeply invested in the professional growth of our employees. We offer robust training programs, leadership workshops, and opportunities for advancement. Our commitment to career growth ensures that our team members are always equipped to take on new challenges.

Benefits and Culture

The benefits at Costco go beyond the basics. We offer a competitive benefits package that includes health, vision, dental, and life insurance, as well as a 401(k) plan with a generous company match. More importantly, our company culture is built on a foundation of respect, integrity, and dedication to diversity and innovation.

Join Our Team

If you're looking for a career that offers job security, excellent benefits, and an opportunity to grow both personally and professionally, consider joining the Costco team. Explore our open positions, tailor your resume, and prepare for an interview where you can showcase your unique skills and passion for excellence.

Stay Connected

Keep up to date with all things related to Costco careers by joining our network. Follow us on our careers page, connect with us on professional networking sites, and stay informed about upcoming hiring events and career opportunities.

Apply Now

Ready to take the next step in your career? Search for open positions that match your skills and interests on our jobs page. At Costco, we are always looking for passionate, curious, and solution-driven team players who are ready to make a difference.

Costco Jobs – Where Careers Soar

At Costco, we don’t just offer jobs; we offer career paths. The vast opportunities for growth, coupled with our exceptional culture and benefits, make Costco not just a place to work, but a place to build a lasting career.
Learn more about Costco
Size
288,000 employees
Market Cap
$201.7 billion
Industry
Net Income
$4.3 billion
Founded
1983
5 Year Trend
+12%
Revenue
$178.6 billion
NASDAQ

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