Medical Malpractice Claims Adjuster III

Intercare Holdings Insurance Services

Claims Adjuster managing complex medical professional liability cases for AvonRisk. Ensuring compliance, evaluating claims coverage, and leading litigation processes with a collaborative team.

Posted 6/19/2026full-timeRemote • 🇺🇸 United StatesSeniorLead💰 $100,000 - $120,000 per yearWebsite

About the role

Key responsibilities & impact

Maintain culture of positivity, respect, supportiveness, collaboration, patience, accountability, and excellence
Assist with team building ideas and events
Lead by example and through service
Develop and maintain strong and collaborative client relationships
Establish prompt contact on all new losses within 24 hours of receipt of the claim to include the insured, claimant, or claimant representative to document relevant facts surrounding the incident itself as well to obtain information relevant to analysis of liability and damages
Thoroughly and accurately evaluate coverage on a timely basis, document coverage analysis, identify coverage issues and draft appropriate coverage letters
Thoroughly and accurately investigate all claims and document ongoing case facts and relevant information necessary for establishing liability and damages, perform and document ongoing analysis and evaluation and document what is being done to move the case toward closure
Litigation management - Direct, manage, and control the litigation process for nationwide programs
Assure that all assigned claims are maintained on an active 30 to 45 diary and have an up-to-date plan of action outlining activities and actions anticipated for ultimately resolving the claim
Obtain consultant and/or expert reviews for early evaluation
Aggressively pursue contribution on multiple defendant cases or where provided by employment or independent contractor agreements and apportionment when there is shared liability
Assure that the claim file is handled in accordance with applicable statutes as well as in-force service contracts and company guidelines
Establish, monitor, and adjust claim reserves in strict accordance with assigned authority levels and client claim handling instructions
Exhibit and maintain a courteous and helpful attitude and project a professional image on behalf of the company and client
Respond to telephone messages and inquiries within 24 hours of receipt and to written inquiries within one week of receipt
Travel for mediations, trials, client meetings and/or industry related conferences
Requires a working knowledge of medical terminology and various jurisdictional issues
Handle other duties and tasks as deemed appropriate by the Supervisor or Manager

Requirements

What you’ll need

JD and/or RN preferred
Bachelor's degree from four-year college or university
At least seven years related experience and/or training, or equivalent combination of education and experience
Requires a high degree of claims handling expertise to include a minimum of at least five years' experience managing medical professional liability cases, many with complex litigation or high potential value
Ability to read, analyze, and interpret insurance policies, statutes, legal opinions, general business periodicals, professional journals, technical procedures, and governmental regulations
Ability to write complex coverage letters, reports, business correspondence, procedure manuals, and correspondence to clients, colleagues, and industry peers
Ability to effectively present information, both verbally and written, and respond to questions from groups of managers, clients, customers, and the general public
Fluent spoken and written English is required.

Benefits

Comp & perks

Comprehensive medical, dental, and vision benefits
Company contributions to HSA and FSA plans
Employer paid life and disability insurance
401(k) with company match
Paid time off (PTO) and company paid holidays
Learning and development opportunities that support real career advancement
Employee assistance resources and a supportive culture that values balance and wellbeing

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

claims handlinglitigation managementcoverage analysismedical terminologyinsurance policy interpretationreport writingbusiness correspondenceprocedure manual writingclient communicationcase evaluation

Soft Skills

collaborationleadershipcommunicationpatienceaccountabilitypositivitysupportivenessprofessionalismteam buildingcourtesy

Certifications

JDRN