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Skills
- Analysis Skillsunmatched
- Case Managementunmatched
- Claims Managementunmatched
- Claims Processingunmatched
- Communication Skillsunmatched
- Customer Support/Serviceunmatched
- Insurance Claimsunmatched
- Legalunmatched
- Litigationunmatched
- Litigation Settlementunmatched
- Negotiation Skillsunmatched
- Problem Solving Skillsunmatched
- Riskunmatched
- Risk Analysisunmatched
- Short Messaging Service (SMS)unmatched
Description
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
Requirements:
- 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
The pay range is the lowest to highest compensation we reasonably in good faith believe we would pay at posting for this role. We may ultimately pay more or less than this range. Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs. This range may be modified in the future.
We offer comprehensive benefits including medical/dental/vision insurance, HSA, FSA, 401(k), and life, disability & ADD insurance to eligible employees. Salaried personnel receive paid time off. Hourly employees are not eligible for paid time off unless required by law. Hourly employees on a Service Contract Act project are eligible for paid sick leave.
Note: Pay is not considered compensation until it is earned, vested and determinable. The amount and availability of any compensation remains in Kforce's sole discretion unless and until paid and may be modified in its discretion consistent with the law.
This job is not eligible for bonuses, incentives or commissions.
Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.
By clicking “Apply Today” you agree to receive calls, AI-generated calls, text messages or emails from Kforce and its affiliates, and service providers. Note that if you choose to communicate with Kforce via text messaging the frequency may vary, and message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You will always have the right to cease communicating via text by using key words such as STOP.
Numbers & Facts
| Location | New York, NY (Remote) |
| Industry | Financial Services |
| Salary | $100,000–$125,000 |
| Company Size | 1,000 to 1,499 employees |
| Year Founded | 1962 |
| Website | http://www.kforce.com/ |
About Company
Kforce is a solutions firm specializing in technology, finance and accounting, and professional staffing services. Our KNOWLEDGEforce® empowers top companies to achieve their digital transformation goals. We curate teams of technical experts who deliver solutions custom-tailored to each client’s needs. These scalable, flexible outcomes are shaped by deep market knowledge, thought leadership and our multi-industry expertise.
Our integrated approach is rooted in 60 years of proven success deploying highly skilled professionals on a temporary and direct-hire basis. Each year, approximately 18,000 talented experts work with the Fortune 500 and other leading companies. Together, we deliver Great Results Through Strategic Partnership and Knowledge Sharing®.