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Job Summary

We are seeking an experienced Medical Malpractice Claims Examiner for a temp-to-hire opportunity in Pasadena, CA. This role is ideal for a claims professional with healthcare experience who is skilled in investigating, evaluating, and resolving professional liability claims involving alleged medical negligence.

The Medical Malpractice Claims Examiner will work closely with legal counsel, risk management, medical staff, insurance carriers, and internal stakeholders to help manage financial and reputational risk. This position offers the opportunity to join a professional healthcare services environment with supportive leadership, collaborative teamwork, and meaningful work that directly supports responsible claims resolution and organizational risk management.

Key Responsibilities

- Manage the defense and disposition of medical malpractice, professional liability, general liability, and employment liability claims within established guidelines.
- Investigate pre-suit claims, evaluate liability and damages, and determine appropriate resolution strategies.
- Set and review claim reserves based on exposure, probable outcomes, and ongoing case developments.
- Retain, direct, and collaborate with defense counsel while monitoring legal fees, litigation strategy, and compliance with case management guidelines.
- Prepare and analyze discovery responses, attend depositions, hearings, settlement conferences, and trials as needed.
- Maintain accurate claims files, calendars, databases, reports, and documentation while supporting process improvement projects.

Compensation and Benefits

- Pay rate: $40.00 to $45.00 per hour.
- Job type: Temp-to-hire.
- Location: Pasadena, CA.

Equal Opportunity Employer / Disabled / Protected Veterans

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For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.

We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Additional Skills

Required Qualifications and Skills

- Manage moderately complex to complex healthcare liability claims from investigation through resolution.
- Develop case strategy and action plans with outside counsel and internal stakeholders.
- Evaluate claim exposure, establish reserves, and conduct periodic reserve reviews.
- Support litigation management, discovery responses, settlements, reporting, and claims documentation.

- Bachelor’s degree required.
- Minimum of 3 years of relevant experience working in healthcare.
- Proven experience handling professional liability, employment liability, and general liability claims.
- Experience interacting with medical staff, legal counsel, risk managers, and insurance carriers.
- Knowledge of medical malpractice litigation, healthcare claims practices, and relevant legal developments.
- Experience with insurance applications, portfolio management, and coverage analysis.
- Strong analytical, negotiation, documentation, and case management skills.
- Ability to manage sensitive information, competing deadlines, and complex claim details with accuracy and professionalism.

Preferred Qualifications

- Current industry certification.
- Current clinical license.
- Experience managing directors and officers, auto, or property liability claims.
- Demonstrated success with complex coverage analysis and excess insurer reporting.