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Medical Malpractice Claims Jobs (NOW HIRING)

Artius Solutions

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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How much do medical malpractice claims jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for medical malpractice claims in the United States is $16.83, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $18.27 per hour, depending on experience, location, and employer.

What are medical malpractice claims?

Medical malpractice claims are legal cases brought by patients who believe they have been harmed due to the negligence or wrongful actions of a healthcare professional, such as a doctor, nurse, or hospital. These claims typically involve allegations that the provider failed to meet the accepted standard of care, resulting in injury or harm to the patient. Common examples include surgical errors, misdiagnosis, medication mistakes, or inadequate treatment. To succeed in a malpractice claim, the patient must generally prove that the provider owed a duty of care, breached that duty, and caused measurable harm as a result.

What are some common challenges faced by professionals handling medical malpractice claims?

Professionals managing medical malpractice claims often encounter challenges such as navigating complex medical records, staying updated on evolving healthcare regulations, and balancing the interests of clients with the realities of legal standards. They must communicate effectively with medical experts, attorneys, and insurance representatives, often under tight deadlines. Additionally, managing emotionally sensitive situations with claimants and healthcare providers requires strong interpersonal skills and professionalism.

What is the difference between Medical Malpractice Claims vs Medical Claims Adjusters?

AspectMedical Malpractice ClaimsMedical Claims Adjusters
CredentialsLegal and medical knowledge, often with law or healthcare backgroundsInsurance and claims processing certifications, such as CPCU or AIC
Work EnvironmentLegal settings, hospitals, or insurance companiesInsurance companies, healthcare facilities, or third-party claims organizations
Industry UsageLegal and healthcare sectorsInsurance and healthcare industries
Search IntentUnderstanding legal claims related to medical errorsProcessing and evaluating insurance claims for medical services

Medical Malpractice Claims involve legal processes to address injuries caused by medical errors, often requiring legal expertise. Medical Claims Adjusters focus on evaluating insurance claims for medical expenses, primarily within insurance companies. While both roles deal with medical issues, their functions, credentials, and work environments differ significantly.

What are the key skills and qualifications needed to thrive in medical malpractice claims, and why are they important?

To excel in Medical Malpractice Claims, you need a solid understanding of healthcare law, case analysis, and risk management, often supported by a law degree or paralegal certification and experience in medical-legal environments. Familiarity with legal research databases, case management software, and medical record review tools is typically required. Strong analytical thinking, attention to detail, and clear communication are crucial soft skills for effectively evaluating cases and collaborating with clients and experts. These competencies are essential for accurately assessing liability, building strong cases, and achieving favorable outcomes in complex legal and medical contexts.
More about Medical Malpractice Claims jobs
What cities are hiring for Medical Malpractice Claims jobs? Cities with the most Medical Malpractice Claims job openings:
What states have the most Medical Malpractice Claims jobs? States with the most job openings for Medical Malpractice Claims jobs include:
What job categories do people searching Medical Malpractice Claims jobs look for? The top searched job categories for Medical Malpractice Claims jobs are:
Medical Malpractice Claims jobs near you
Infographic showing various Medical Malpractice Claims job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $35,000 per year, or $16.8 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

Posted 9 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