Remote NJ, NY, NE - MedMal Claims Examiner
Kforce has a client in need of a Remote NJ, NY, NE Medical Malpractice Claims Examiner. The candidate must reside in New England, NJ or NY states. Responsibilities:
- Manage and investigate complex claims to determine coverage, liability, damages, and resolution strategies
- Collaborate with insured parties, legal counsel, claimants, and other stakeholders throughout the claims process
- Develop action plans, conduct investigations, and evaluate case exposure and risk
- Partner with defense counsel to support litigation, settlement negotiations, mediations, arbitrations, and trials
- Monitor claim activity, reserves, expenses, and legal costs to ensure effective case management
- Provide recommendations on claim resolution strategies based on investigation findings
- Communicate claim status, findings, and risk assessments to stakeholders
- Support clients throughout the claim lifecycle while ensuring high-quality service and outcomes
- Bachelor's degree or equivalent combination of education and experience
- 3+ years of claims management, insurance litigation, or related claims experience
- Experience investigating, evaluating, and resolving complex liability claims
- Knowledge of litigation processes, legal procedures, settlement negotiations, and dispute resolution
- Ability to assess liability, damages, risk exposure, and claim value
- Strong analytical, problem-solving, and decision-making skills
- Excellent communication and stakeholder management abilities
- Experience working with attorneys, clients, and external partners
- Ability to manage multiple cases and priorities in a fast-paced environment
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