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Claims Manager Medical Malpractice Jobs (NOW HIRING)

Sedgwick Claims Management Services Ltd

$100K/yr

We are seeking experienced professionals to manage complex medical malpractice claims involving severe injury and high exposure. Ideal candidates demonstrate strong analytical and negotiation skills ...

Artius Solutions

Senior Claims Specialist

Orange, CA · On-site

$110K - $130K/yr

Manage medical malpractice claims including high complexity and large financial exposure cases * Assign, direct, and coordinate with defense counsel in compliance with internal claims guidelines

Sarno da Costa D'Aniello Maceri Webb LLC

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Medical Malpractice Paralegal

Roseland, NJ · On-site

$55K - $85K/yr

This role involves supporting attorneys handling medical malpractice matters, including organizing case files, managing deadlines, and maintaining accurate case management systems. Day-to-day tasks ...

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Claims Manager Medical Malpractice information

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$35K

$87.9K

$139K

How much do claims manager medical malpractice jobs pay per year?

As of Sep 12, 2026, the average yearly pay for claims manager medical malpractice in the United States is $87,861.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $105,000.00 per year, depending on experience, location, and employer.

What does a claims manager medical malpractice do?

A Claims Manager in Medical Malpractice oversees and manages insurance claims related to alleged medical errors or negligence. They investigate claims, assess liability, coordinate with legal teams, and work with healthcare providers and claimants to resolve disputes. Their goal is to ensure claims are handled efficiently, fairly, and in compliance with legal and regulatory requirements, often aiming to minimize financial losses for the insurer.

What are the key skills and qualifications needed to thrive as a claims manager medical malpractice?

To thrive as a Claims Manager in Medical Malpractice, you need in-depth knowledge of insurance claims processes, medical terminology, legal principles, and typically a degree in business, law, or a related field. Familiarity with claims management software, risk assessment tools, and relevant certifications such as AIC (Associate in Claims) are commonly required. Strong analytical thinking, negotiation skills, and the ability to communicate complex information clearly set top performers apart. These competencies are vital for efficiently resolving claims, minimizing risk, and ensuring fair outcomes for all parties involved.

What are some common challenges faced by a claims manager medical malpractice, and how can they be addressed?

Claims Managers in Medical Malpractice often encounter complex cases that require balancing legal, medical, and insurance perspectives. A major challenge is efficiently investigating claims to determine liability while coordinating with healthcare providers, legal teams, and insured parties. Staying current with evolving healthcare regulations and legal precedents is essential. Building strong relationships with stakeholders and fostering clear communication can help manage expectations and resolve claims effectively. Ongoing training in negotiation, risk assessment, and regulatory compliance also supports success in this dynamic role.

What are popular job titles related to Claims Manager Medical Malpractice jobs?

For Claims Manager Medical Malpractice jobs, the most frequently searched job titles are:

Infographic showing various Claims Manager Medical Malpractice job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, and 4% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $87,861 per year, or $42.2 per hour.

Medical Malpractice Claims Specialist | Remote

Des Moines, IA • Remote

KING'S INSURANCE STAFFING LLC
See more jobs at KING'S INSURANCE STAFFING LLCexternal

$100K - $120K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 14 days ago

Job description

Our client, a well-established insurance carrier specializing in professional liability coverage, is seeking an experienced Medical Malpractice Claims Adjuster to join its Claims team. This individual will independently manage a portfolio of medical malpractice and healthcare professional liability claims from initial notice through final resolution.
 
The ideal candidate will bring strong technical claims expertise, sound judgment, and experience handling complex and litigated medical malpractice matters. This role requires the ability to conduct thorough investigations, analyze coverage and liability, evaluate claim exposure, and work closely with insureds, defense counsel, medical experts, and other stakeholders to drive effective claim outcomes.
 
Responsibilities:
  • Independently manage medical malpractice and healthcare professional liability claims throughout the full claim lifecycle, from initial reporting through resolution.
  • Analyze policy language, coverage provisions, and claim circumstances to identify coverage issues and determine claim applicability.
  • Conduct comprehensive claim investigations, including reviewing medical records, legal documentation, expert reports, and other relevant materials.
  • Communicate with insureds, claimants, attorneys, medical professionals, expert consultants, and other parties throughout the claim process.
  • Evaluate liability, damages, venue, litigation exposure, and overall claim value while developing appropriate resolution strategies.
  • Manage complex and litigated claims, including selecting, retaining, and partnering with defense counsel and medical experts.
  • Negotiate settlements and pursue timely, cost-effective claim resolutions within assigned authority.
  • Draft clear and professional claim correspondence, including coverage determinations, reservation of rights letters, and other coverage-related communications.
  • Maintain accurate claim documentation, reserves, action plans, and file updates in accordance with internal standards and regulatory requirements.
  • Proactively identify claim trends, emerging exposures, and opportunities to mitigate loss severity.
 
Qualifications:
  • 5+ years of experience handling medical malpractice, healthcare professional liability, or comparable complex professional liability claims.
  • Demonstrated experience managing complex and litigated claims from inception through resolution.
  • Strong understanding of liability investigations, coverage analysis, policy interpretation, damages evaluation, and litigation management.
  • Experience working directly with defense counsel, medical experts, insured healthcare professionals, and other external partners.
  • Working knowledge of medical terminology and legal processes related to medical malpractice and professional liability claims.
  • Strong negotiation, analytical, organizational, and decision-making skills.
  • Excellent written and verbal communication skills, including the ability to prepare professional coverage and claim correspondence.
  • Ability to independently manage multiple complex claims, prioritize competing deadlines, and maintain a high level of attention to detail.
  • Bachelor’s degree preferred.
  • Professional insurance designations such as AIC, CPCU, SCLA, or similar credentials are a plus.
 
Compensation & Benefits
  • Base Salary: $115,000–$125,000, depending on experience
  • Comprehensive medical, dental, and vision insurance
  • Paid time off
  • Paid holidays
  • Additional benefits and retirement programs available