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How much do medical malpractice claims jobs pay per hour?

As of Aug 11, 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 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $35,000 per year, or $16.8 per hour.

CLAIMS SPECIALIST II / SR. CLAIMS SPECIALIST

Cooperative of American Physicians, Inc

Los Angeles, CA • On-site

$110K - $130K/yr

Full-time

Posted 6 days ago

Job description

Job Type
Full-time
Description
OVERVIEW: Performs technical and administrative duties to manage assigned claim files. Participates in the continued training and supervision of Claim Specialist I's.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
• Manage medical malpractice claims, including the assignment, direction and control of defense counsel, under supervision and in compliance with the Claims Technical Manual, the Defense Attorney Guidelines, and the MPT Agreement. Manage increasingly complex cases with larger financial exposure. Review all bills for reasonableness.
• Investigate and evaluate claim files including complying with the standards of performance, interviewing members, reviewing medical records, corresponding with plaintiff attorneys, obtaining preliminary expert evaluation/opinions, and preparing interview summaries.
• Prepare case evaluation reports for publication and presentation to the CRC and CSC.
• Prepare case evaluation reports for discretionary authority on selected cases.
• Manage and participate in all litigation activity, including discovery plan, mediation, MSC, and negotiation under supervision, as necessary.
• Monitor trials and arbitrations including daily progress reports, providing member and defense attorney with support.
• Prepare claim file resolution documentation.
• Timely update the claims database.
• Document all important case developments under the chronology tab.
• Code the claims file and update as relevant information is available.
• Time Provide assistance to management as indicated on special project.
• Identify, investigate and follow-up on coverage issues.
• Timely review and index documents to the On Base system.
• Take Hotline calls as requested and as necessary and prepare hotlines.
• Attend staff and department meetings as indicated.
• Assist management in training of Claims Specialist I
• Perform other duties as necessary
Requirements
EDUCATION and/or EXPERIENCE:
Bachelor's degree from four-year college or university;
Relevant legal and/or medical education background or the equivalent.
Minimum three years of medical malpractice claims management experience and/or one year CAP claims experience.
CERTIFICATES, LICENSES, REGISTRATIONS:
Valid California driver license
OTHER SKILLS and ABILITIES:
Excellent demonstrated verbal and written communication skills.
Effective time management skills.
Ability to manage multiple priorities/deadlines
Personal computer literate preferred.
Strong analytical skills
Salary Description
$110,000-$130,000/year (Depending on Experience)

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