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