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Malpractice Claims Jobs (NOW HIRING)

Senior Claims Specialist

Orange, CA · On-site

$110K - $130K/yr

Senior Claims Specialist - Medical Malpractice Location: Orange, CA 92859 (Onsite) Employment Type: Contract / Contract-to-Hire (Based on Performance) Schedule: Full-Time Position Overview We are ...

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Malpractice Claims information

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$30.5K

$64.6K

$90K

How much do malpractice claims jobs pay per year?

As of Sep 3, 2026, the average yearly pay for malpractice claims in the United States is $64,609.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,000.00 and $75,500.00 per year, depending on experience, location, and employer.

What are malpractice claims?

Malpractice claims are legal actions brought against professionals, such as doctors, lawyers, or accountants, when a client or patient believes they have been harmed due to the professional's negligence or failure to provide an adequate standard of care. These claims typically allege that the professional's actions or omissions deviated from accepted practices, resulting in injury, loss, or damage. Malpractice claims are most common in the medical and legal fields, but can apply to any profession where specialized knowledge and duty of care are expected.

What are the key skills and qualifications needed to thrive as a malpractice claims adjuster, and why are they important?

To thrive as a Malpractice Claims Adjuster, you need expertise in insurance law, claims investigation, and risk assessment, typically supported by a bachelor’s degree in a related field and relevant industry experience. Familiarity with claims management software, legal research tools, and sometimes professional certifications like AIC (Associate in Claims) is essential. Strong analytical thinking, negotiation skills, and clear communication are vital soft skills for evaluating claims and interacting with clients and legal professionals. These skills ensure accurate claim resolutions, minimize liability, and support fair outcomes for all parties involved.

What are the most common challenges faced by professionals handling malpractice claims, and how can they be addressed?

Professionals working with malpractice claims often encounter challenges such as managing complex case files, navigating sensitive client communications, and collaborating with multiple stakeholders like legal teams and insurance adjusters. Staying organized and developing strong communication skills are essential for effectively handling confidential information and meeting tight deadlines. Building a solid understanding of medical or legal terminology, depending on the context, can also help professionals proactively address issues and provide better support throughout the claims process.

What is the difference between Malpractice Claims vs Medical Assistants?

AspectMalpractice ClaimsMedical Assistants
Required CredentialsLegal knowledge, healthcare regulationsCertification, basic medical training
Work EnvironmentLegal settings, healthcare facilitiesClinics, hospitals, outpatient offices
Industry UsageLegal and healthcare sectorsHealthcare delivery
Common Search IntentLegal issues, liability casesMedical support roles, clinical tasks

Malpractice Claims involve legal actions related to professional negligence in healthcare, often requiring legal expertise and understanding of healthcare laws. Medical Assistants perform clinical and administrative tasks in healthcare settings. While both are connected to healthcare, they serve different roles—one in legal accountability, the other in patient care support.

More about Malpractice Claims jobs

What states have the most Malpractice Claims jobs?

States with the most job openings for Malpractice Claims jobs include:

Infographic showing various Malpractice Claims job openings in the United States as of August 2026, with employment types broken down into 90% Full Time, 8% Part Time, and 2% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $64,609 per year, or $31.1 per hour.

Medical Malpractice Claims Specialist | Remote

KING'S INSURANCE STAFFING LLC

Des Moines, IA • Remote

$100K - $120K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 5 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