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