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Complex Case Manager Jobs (NOW HIRING)

The Complex Case Unit position is responsible for providing a high level of technical knowledge ... Monitor and manage approved independent adjusters and attorneys in the field, including attorneys ...

The Complex Case Unit position is responsible for providing a high level of technical knowledge ... Monitor and manage approved independent adjusters and attorneys in the field, including attorneys ...

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Complex Case Manager information

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How much do complex case manager jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for complex case manager in the United States is $24.76, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $26.92 per hour, depending on experience, location, and employer.

What is a Complex Case Manager?

A Complex Case Manager is a healthcare professional who coordinates care for patients with multiple or serious health conditions that require comprehensive management. They assess patient needs, develop care plans, and work closely with patients, families, and healthcare providers to ensure optimal outcomes. Complex Case Managers help navigate healthcare systems, address barriers to care, and connect patients with resources, aiming to improve quality of life and reduce hospitalizations. Their role is crucial in managing cases that involve chronic illnesses, behavioral health issues, or social challenges.

What are some common challenges faced by Complex Case Managers and how can they be addressed?

Complex Case Managers often encounter challenges such as coordinating care across multiple providers, managing high caseloads, and addressing social determinants of health that impact patient outcomes. Effective communication, strong organizational skills, and leveraging interdisciplinary teamwork are key strategies to overcome these challenges. Additionally, staying updated on resources and support services in the community can help ensure clients receive comprehensive care. Regular team meetings and ongoing professional development also support success in this dynamic role.

What are the key skills and qualifications needed to thrive as a Complex Case Manager, and why are they important?

To thrive as a Complex Case Manager, you need a background in healthcare or social work, typically with a relevant degree and licensure such as RN, LCSW, or CCM certification. Familiarity with case management software, electronic health records (EHRs), and care coordination tools is essential. Excellent communication, critical thinking, and problem-solving skills are vital for building trust with clients and collaborating with multidisciplinary teams. These competencies ensure effective management of complex patient needs, improved outcomes, and efficient resource utilization.
More about Complex Case Manager jobs
What cities are hiring for Complex Case Manager jobs? Cities with the most Complex Case Manager job openings:
What states have the most Complex Case Manager jobs? States with the most job openings for Complex Case Manager jobs include:
Infographic showing various Complex Case Manager job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 78% Full Time, 17% Part Time, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $51,494 per year, or $24.8 per hour.
Complex Case Unit

Complex Case Unit

Canal Insurance

Greenville, SC • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.


Job description

About Canal Insurance
Canal Insurance Company specializes in insurance for commercial trucking and specialty transportation operations. Canal was founded in 1939 and is located in Greenville, South Carolina. At Canal, we recognize that our success would not be possible without the hard work and dedication of our employees. We know that happiness and productivity go hand in hand, and to that end, we consciously cultivate a culture that enables us to recruit and retain the very best talent in the business.
A Culture With YOU in Mind
  • Located in beautiful downtown Greenville, SC
  • Career growth & advancement opportunities
  • Comprehensive benefits package
  • Employee referral program
  • Casual dress code
  • Innovation-focused & customer-centric
  • 80+ years of industry expertise
  • Committed to giving back to our community
  • Unquestioned integrity and commitment
Benefits at Canal
  • Company paid Basic Life Insurance
  • Medical, Dental, & Vision
  • Company paid Short Term & Long-Term Disability
  • 401(k) plan with company match up to 6%
  • Flexible Spending Accounts
  • Employer Funded Health Savings Accounts
  • Employee Assistance Programs
  • Generous PTO Plan
  • Onsite Wellness Clinic
Complex Case Unit
Job Summary: The Complex Case Unit position is responsible for providing a high level of technical knowledge while working as a critical resource on complex commercial claims and coverage issues.
Major Accountabilities:
  1. Verify coverage/coverage primacy as new losses are received.
  2. Adjust complex claims with significant and potentially excess exposure, including investigating, evaluating, negotiating, documenting, and validating to conclusion within authority level.
  3. Evaluate options on problematic files and choose the best solutions.
  4. Collaborate internally regarding complex coverage issues and claims resolution.
  5. Monitor and manage approved independent adjusters and attorneys in the field, including attorneys assigned in the defense of the insured.
  6. Attend mediations and trials as a representative of the Company.
  7. Communicate with interested parties (i.e., insured, claimants, agents, attorneys, reinsurers) in a professional manner.
  8. Establish and maintain reserves and communicate with management on a consistent basis.
  9. Assist in developing technical knowledge within the department.
  10. Function as a resource for team questions and/or training of new employees as assigned by management.
  11. Perform other duties as assigned by management.

Qualifications
Education/Training Requirements: Bachelor's Degree required. Professional insurance designation preferred. Adjuster licensing required.
Experience/Specialized Skills:
  • Minimum 10 years' experience adjusting bodily injury claims required.
  • Experience adjusting commercial auto claims required.
  • Experience adjusting transportation (trucking) liability claims preferred.
  • Advanced knowledge of insurance and tort law, advanced understanding of legal principles and terminology as it relates to insurance operations, and advanced knowledge of medical terminology and procedures required.
  • Advanced knowledge of insurance coverage required.
  • Intermediate computer skills (word processing, spreadsheets, databases, Internet, e-mail) required.

Special Considerations
Physical Requirements: Constant use of vision, hearing, and communication (oral and written/in-person and via telephone). Frequent concentration, standing, walking, handling, reaching, and grasping. Occasional bending, kneeling, and lifting (up to 25 lbs.) Heavy use of computer and office equipment.
Travel/Hours of Service: Frequent travel required. Periodic work outside of standard business hours or on weekends may be required.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.