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Medical Malpractice Claim Analyst Jobs (NOW HIRING)

Principal Financial Group

Claim Analyst 3

Des Moines, IA · On-site +1

$30.58 - $40.96/hr

Analyze medical, vocational, and financial information to make effective and timely claim decisions. This includes having an in-depth knowledge of claim procedures, product design, contract ...

Principal Financial Group

Claim Analyst 3

Des Moines, IA · On-site +1

$22.93 - $40.96/hr

Analyze medical, vocational, and financial information to make effective and timely claim decisions. This includes having an in-depth knowledge of claim procedures, product design, contract ...

CVS Health

Medical Claim Analyst

$18.50 - $31.72/hr

Position Summary The Medical Claim Analyst is responsible for the initial review, assessment, and triage of assigned claims. This role determines coverage, verifies member eligibility, identifies and ...

CVS Health

Medical Claim Analyst

$18.50 - $38.82/hr

Administers policies and procedures for medical cost management. Coordinates support functions for claim adjudication. What you will do * Executes both routine and non-routine business support tasks ...

Lewis Brisbois

Medical Malpractice Partner

Tampa, FL · On-site

Experience defending nursing homes and medical malpractice lawsuits is required. A portable book of ... writing and analytical skills, and the ability to manage multiple projects in a fast-paced ...

Lewis Brisbois

Medical Malpractice Partner

Tampa, FL · On-site

Experience defending nursing homes and medical malpractice lawsuits is required. A portable book of ... writing and analytical skills, and the ability to manage multiple projects in a fast-paced ...

Ramos Law

Attorney - Medical Malpractice

Northglenn, CO · On-site

... malpractice cases from initial evaluation through resolution or trial, ensuring successful advocacy ... This includes conducting indepth claim investigations, analyzing medical and legal issues, crafting ...

Lewis Brisbois

Medical Malpractice Partner

Tampa, FL · On-site

Experience defending nursing homes and medical malpractice lawsuits is required. A portable book of ... writing and analytical skills, and the ability to manage multiple projects in a fast-paced ...

Secure Eclaims LLC

Medical Claim Analyst

Miami, FL · On-site

* Reviews all medical/surgical billings for reasonable and necessary charges. Examines coding of operative reports, procedures, and multiple and complicated surgeries. * Performs hospital length of ...

Northside Hospital Inc.

Risk Management, RN

Canton, GA · On-site

... medical malpractice claim management, medical record review, or legal nurse consultant experience. * 2. Demonstrated computer knowledge. Work Hours: 8 a.m. to 4:30 p.m. Weekend Requirements: No ...

Northside Hospital Inc.

Risk Management, RN

Canton, GA · On-site

... Experience in medical malpractice claim management, medical record review, or legal nurse consultant experience. * 2. Demonstrated computer knowledge. Work Hours:8 a.m. to 4:30 p.m. Weekend ...

Northside Hospital Inc.

Risk Management, RN

Canton, GA · On-site

... Experience in medical malpractice claim management, medical record review, or legal nurse consultant experience. * 2. Demonstrated computer knowledge. Work Hours:8 a.m. to 4:30 p.m. Weekend ...

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All JobsFinance And Insurance JobsInsurance JobsInsurance Claims Specialist JobsMedical Malpractice Claim Analyst Jobs

Medical Malpractice Claim Analyst information

See salary details

$15

$25

$41

How much do medical malpractice claim analyst jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for medical malpractice claim analyst in the United States is $25.11, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $25.24 per hour, depending on experience, location, and employer.

What is the difference between Medical Malpractice Claim Analyst vs Medical Claims Processor?

AspectMedical Malpractice Claim AnalystMedical Claims Processor
Required CredentialsTypically requires a healthcare or legal background, certifications in insurance or claims processingHigh school diploma or equivalent; certifications are a plus but not mandatory
Work EnvironmentInsurance companies, healthcare organizations, legal firmsHospitals, clinics, insurance companies
Job FocusAnalyzing complex malpractice claims, legal and medical reviewProcessing routine medical claims, data entry
Common Search IntentUnderstanding roles in malpractice claims, legal insurance jobsMedical billing, claims processing jobs

The Medical Malpractice Claim Analyst focuses on analyzing complex malpractice claims, often requiring legal or healthcare knowledge, while a Medical Claims Processor handles routine medical claims processing. Both roles are essential in healthcare and insurance industries but differ in complexity and specialization.

What are popular job titles related to Medical Malpractice Claim Analyst jobs?

For Medical Malpractice Claim Analyst jobs, the most frequently searched job titles are:

Infographic showing various Medical Malpractice Claim Analyst job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $52,237 per year, or $25.1 per hour.

Medical Malpractice Claim Specialist

Manhattan, NY • On-site

The Doctors Company
Insurance Services • 501 - 1,000 employees
Learn more about The Doctors Companyexternal

$83K - $117K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

Job description

Healthcare Risk Advisors is seeking a medical malpractice Claims Specialist to join our claims team. This is a hybrid opportunity based out of New York City.
This position is responsible for performing investigations, evaluations, negotiations, and settlements to equitably resolve claims for a major academic health system in the metropolitan NY area. Position conducts business with policyholders and others in a manner that achieves economy and upholds the company's reputation for quality service. This position has contacts with employees, vendors, lawyers, and policyholders. This position works under immediate supervision.
Qualifications:
  • Bachelor's degree required.
  • Minimum of 2-5 years as a claims adjuster, paralegal, attorney, or related experience.
  • Adjusters license required, or JD in lieu of requirement.
  • Excellent interpersonal and organizational skills.
  • Strong knowledge of medical malpractice law.
  • Strong listening skills.
  • Strong negotiating skills.
  • Strong Microsoft Office Suite skills.

Responsibilities:
Service / Support Delivery
  • Provides clear communication to client and follows up as necessary based on expectations agreed to with the client.
  • Maintains awareness of client's needs and context of their communication in order to provide proper support.
  • Elevates concerns expressed by the insured client to management as necessary.
  • Provides excellent service to team members who submit requests to the team.
  • Provides high-quality, comprehensive work product that facilitates efficient/effective downstream workflow.
  • Identify and elevate ERM exposure.

Claim Guidelines
  • Adhere to best practices.
  • Understands the venues, applicable law and reserving philosophy of HRA to properly evaluate the exposures contained within the assigned caseload.
  • Ensures effective documentation of established reserves.

Claims Investigation / Analysis
  • Provides timely analysis of cases to establish appropriate reserves.
  • Escalate cases that are unique or unusual to leadership for evaluation, escalation, and communication as necessary.
  • Determines the proper course of resolution based on the directed investigation by assigned staff and makes recommendations to leadership accordingly.
  • Gives appropriate insight and advice to clients, staff and defense counsel on the best possible outcome for both the insured client and the company.
  • Completes coverage analysis and requests coverage review as appropriate.
  • Makes appropriate and decisive decisions to establish a plan of action on all cases assigned to the team.
  • Directs all reporting to High Exposure Committee and Reinsurers as necessary.

Litigation Management & Claims Resolution
  • Makes recommendation for assignment of litigated matters to appropriate defense panel members based on ability and experience.
  • Partners with defense counsel for optimum outcome on all assigned cases.
  • Monitors and approves fees and expenses within authority to comply with company guidelines and state statutory guidelines.
  • Attends and monitors (directly or indirectly) settlement conferences, mediations and trials, reports out timely and insightfully, and escalates as needed.
  • Evaluates attorney work product/performance and advises supervisor of any need for corrective action or improvement.
  • Recommends the proper course of resolution timely to leadership and/or client based on the investigation and discovery.

Technical Knowledge and Professional Development
  • Maintain technical knowledge and skills to efficiently and effectively support and advance the department strategic plan and goals.
  • Completes any training required to maintain or advance the skills set necessary to reach department and company goals.

Other Duties as Assigned
  • Makes oneself available for any and all duties.
  • Accepts delegated tasks readily and completes assigned duties as directed.

Salary Range: $83,166 - $117,845
Compensation varies based on skills, knowledge, and education. We consider factors such as specialized skills, depth of knowledge in the field, and educational background to ensure fair and competitive pay. Salary may include additional geographic differential for employees working in higher-cost labor markets, including states such as New York and California.
Benefits:
Healthcare Risk Advisors offers competitive compensation, an incentive bonus plan, outstanding career opportunities, an exceptional work environment, and an impressive benefits package, which starts with medical, family and bereavement leave; same-sex domestic partner benefits; short- and long-term disability programs; and an employee assistance program. There's more:
  • Health, dental, and vision insurance
  • Health and dependent care tax-free spending accounts with a company match
  • 401(k) and Roth IRA with company match, as well as catch-up plans for both
  • Paid vacation, sick days, and personal days each calendar year (with vacation increases based on length of service)
  • 11 paid holidays each calendar year
  • Life and travel insurance
  • Tax-free commuter benefits
  • In-person and online learning opportunities
  • Cross-function career opportunities
  • Business casual work environment
  • Time off to volunteer
  • Matching donations to qualifying nonprofit organizations
  • Company-sponsored participation at non-profit events

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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