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Disability Claims Case Manager Jobs in Virginia (NOW HIRING)

FCCI Insurance Group

Medical Case Manager

Glen Allen, VA · On-site +1

$62K - $96K/yr

... management on assigned workers' compensation claims. The selected new hire will provide ... physical disability, race, color, religion, gender, national origin, age, genetic information ...

Elevance Health

Nurse Case Manager I

Ashburn, VA

$77K - $115K/yr

Assists in problem solving with providers, claims, or service issues. Minimum Requirements ... disabilities is a huge plus. * Home health experience, utilization management, and/or hospital ...

Elevance Health

Nurse Case Manager I

Ashburn, VA · On-site

$77K - $115K/yr

Assists in problem solving with providers, claims, or service issues. Minimum Requirements ... disabilities is a huge plus. * Home health experience, utilization management, and/or hospital ...

Sedgwick

Disability Clinical Specialist

Richmond, VA · On-site

Consults with providers and employees by providing case direction and ensures medical information ... Acts as clinical resource to claims examiners to provide guidance on the medical management of ...

Behavioral Health Group

Case Manager

Glen Allen, VA

$20 - $23/hr

Case Manager We're looking for a committed and proactive Case Manager who is dedicated to patient ... Medical, dental and vision coverage, plus life insurance and disability protection. * Competitive ...

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All JobsDisability Claims Case JobsDisability Claims Case Manager JobsDisability Claims Case Manager Jobs in Virginia

Disability Claims Case Manager information

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$16

$27

$46

How much do disability claims case manager jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for disability claims case manager in Virginia is $27.38, according to ZipRecruiter salary data. Most workers in this role earn between $21.20 and $31.44 per hour, depending on experience, location, and employer.

What is the difference between Disability Claims Case Manager vs Disability Claims Adjuster?

AspectDisability Claims Case ManagerDisability Claims Adjuster
CredentialsTypically requires a bachelor’s degree in healthcare, social work, or related field; certifications like CPC or CRC are commonOften requires a bachelor’s degree; certifications such as CPC or AIC may be preferred
Work EnvironmentOffice-based, interacting with claimants, healthcare providers, and employersOffice or field-based, evaluating claims and inspecting medical or work sites
Employer & IndustryInsurance companies, government agencies, third-party administratorsInsurance companies, third-party administrators, government agencies

Disability Claims Case Managers and Disability Claims Adjusters both handle disability claims but differ mainly in focus. Case Managers coordinate care and support claimants throughout the process, while Adjusters evaluate and authorize claims. Both roles require relevant credentials and work in similar environments within the insurance industry.

How to become a disability claims case manager?

To become a disability claims case manager, candidates typically need a bachelor's degree in fields like social work, healthcare, or related areas. Relevant skills include strong communication, organization, and knowledge of insurance policies; some roles may require certification such as the Certified Disability Management Specialist (CDMS). Experience in claims processing or social services can also be beneficial for entry into this role.

What does a disability claims case manager for people with disabilities do?

A disability claims case manager for people with disabilities reviews and processes benefit claims, evaluates medical and supporting documentation, and communicates with claimants to determine eligibility. They often coordinate with healthcare providers and use case management software to ensure accurate and timely decisions, helping clients access appropriate disability benefits.

What is a disability claims case manager?

A disability claims case manager is a professional who reviews and processes disability insurance claims, ensuring applicants meet eligibility requirements. They evaluate medical documentation, coordinate with healthcare providers, and communicate decisions to claimants, often using case management software. Strong organizational skills and knowledge of insurance policies are essential for this role.

What are popular job titles related to Disability Claims Case Manager jobs in Virginia?

For Disability Claims Case Manager jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Disability Claims Case Manager jobs in Virginia look for?

The top searched job categories for Disability Claims Case Manager jobs in Virginia are:

What cities in Virginia are hiring for Disability Claims Case Manager jobs?

Cities in Virginia with the most Disability Claims Case Manager job openings:

Disability Claims Case Manager jobs near you
Infographic showing various Disability Claims Case Manager job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 2% Contract, and 1% Nights. Highlights an 96% Physical, 2% Hybrid, and 2% Remote job distribution, with an average salary of $56,953 per year, or $27.4 per hour.

Nurse Case Manager

US Tech Solutions

Richmond, VA • On-site

Other

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

Job description

Richmond, VA

Contract

Responsibilities:

Richmond VA and surrounding area.

Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues

Facilitates optimal outcomes. Identifies and follow through with continuous quality/ compliance opportunities . Educates/ empowers members to ensure compliance, satisfaction and promote patient advocacy.

Duties

  • Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to programs and plans.

  • Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.

  • Assessments take into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.

  • Reviews prior claims to address potential impact on current case management and eligibility.

  • Assessments include the member's level of work capacity and related restrictions/limitations.

  • Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality.

  • Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management.

  • Utilizes case management processes in compliance with regulatory and company policies and procedures.

  • Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.

Experience

Case management and/or discharge planning experience preferred

Position Summary

  • Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness.

  • Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration.

  • Services strategies policies and programs are comprised of network management and clinical coverage policies.

Education

Active RN license in Virginia required

Associate or Bachelor's in nursing

Skills:

RN, Case management

About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com (http://www.ustechsolutionsinc.com/) .

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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About US Tech Solutions

Sourced by ZipRecruiter

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.

Industry

It services

Company size

1,001 - 5,000 Employees

Headquarters location

Jersey City, NJ, US

Year founded

2000

Social media

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