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Insurance Case Manager Remote Jobs in California

Medasource

Case Manager Assistant (Remote)

Sacramento, CA · On-site +1

... 100% Remote * Supports Pacific Time Zone * Candidates must reside in MST or PST time zones Hours ... Partner with Case Managers and Social Workers to: * Assess baseline patient needs * Identify post ...

Acrisure

Workers' Compensation Case Manager

San Jose, CA · On-site +1

$70K - $90K/yr

... of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more. In the ... This position is fully remote; however, candidates must be available to work a consistent Pacific ...

JBA International

Case Manager

Los Angeles, CA · On-site +1

$21.50 - $27.75/hr

... case manager who can handle all aspects of personal injury claims, including, initial client ... insurance adjusters, medical providers, and staff attorneys • Create relationships with clients ...

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Insurance Case Manager Remote information

What does an Insurance Case Manager do when working remotely?

An Insurance Case Manager working remotely is responsible for assessing insurance claims, coordinating care, and helping clients navigate their insurance benefits, all from a remote location. They communicate with clients, healthcare providers, and insurance companies to ensure claims are processed accurately and efficiently. Remote Insurance Case Managers use secure digital platforms to review case files, document interactions, and provide guidance on coverage and next steps. Their role is vital in ensuring clients receive the care and benefits they are entitled to while maintaining compliance with regulations.

How does an Insurance Case Manager collaborate with other departments in a remote work setting?

As a remote Insurance Case Manager, you'll regularly coordinate with underwriters, claims specialists, and external healthcare providers through virtual meetings and secure communication platforms. This collaboration ensures that case files are complete, accurate, and processed efficiently. You may also participate in cross-functional team discussions to resolve complex cases and update workflow standards, all while maintaining compliance with privacy regulations. Strong communication and organization skills are essential for managing these interactions remotely.

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

To thrive as a Remote Insurance Case Manager, you need a strong background in insurance policies, case management, and claims processing, typically supported by relevant insurance certifications or a degree in a related field. Familiarity with case management software, CRM systems, and electronic document management tools is often required. Exceptional organizational skills, attention to detail, and effective communication are crucial for coordinating with clients and internal teams. These competencies ensure accurate case handling, client satisfaction, and efficient workflow in a remote environment.

What is the difference between Insurance Case Manager Remote vs Insurance Claims Adjuster?

AspectInsurance Case Manager RemoteInsurance Claims Adjuster
CredentialsLicenses, certifications in case management or health insuranceAdjuster licenses, certifications in claims handling
Work EnvironmentRemote, healthcare or insurance companiesRemote or in-office, insurance companies or third-party administrators
Industry UsageHealthcare, insurance, social servicesProperty, auto, health insurance claims

Both roles often require similar certifications and can be performed remotely. Insurance Case Managers focus on coordinating care and benefits for clients, while Insurance Claims Adjusters evaluate and settle insurance claims. Understanding these differences helps job seekers find the right position aligned with their skills and interests.

What are popular job titles related to Insurance Case Manager Remote jobs in California? For Insurance Case Manager Remote jobs in California, the most frequently searched job titles are:
What job categories do people searching Insurance Case Manager Remote jobs in California look for? The top searched job categories for Insurance Case Manager Remote jobs in California are:
What cities in California are hiring for Insurance Case Manager Remote jobs? Cities in California with the most Insurance Case Manager Remote job openings:
Insurance Case Manager Remote jobs near you
Infographic showing various Insurance Case Manager Remote job openings in California as of July 2026, with employment types broken down into 2% As Needed, 78% Full Time, 16% Part Time, 1% Temporary, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution.
Bilingual Case Manager (Remote Flexible, Spanish Speaking)

Bilingual Case Manager (Remote Flexible, Spanish Speaking)

Pair Team

Merced, CA • On-site, Remote

$22.75 - $28.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 23 days ago

Job description

About Pair Team
At Pair Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we deliver whole-person care - clinical, behavioral, and social - by partnering with organizations deeply connected to the communities we serve.
We're building a care model that empowers clinicians and care teams to do what they do best: provide compassionate, high-impact care. At Pair Team, we leverage AI and automation to reduce administrative burden, streamline coordination, and ensure patients receive timely, personalized support.
Our work is powered by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals working alongside product, technology, and operations to close care gaps and improve outcomes for high-need patients.
We're one of the largest Enhanced Care Management providers in California and are on track to build the nation's largest clinically integrated network supporting high-need patients. Our model has demonstrated real impact, including a 58% reduction in emergency department visits and a 29% reduction in hospital admissions.
At Pair Team, were not just delivering care - we're building the future of more equitable, community-driven healthcare.
Our Values
  • Lead with integrity: We keep our commitments and take responsibility for our actions. We are dependable and choose authenticity over perfection.
  • Embrace challenges: We leave our egos at the door and step forward into discomfort instead of back into safety. We help each other to learn and provide feedback using candor and kindness.
  • Break through walls: We go the extra mile for our patients, partners and one another, and we run toward hard things. We are resilient in our push for consistent improvement and challenge the status quo.
  • Act beyond yourself: We build each other up and respect boundaries. We seek first to understand and assume positive intent.
  • Care comes first: We hold ourselves to the highest standards for our patients. We are relentless in the pursuit of our mission, and ensure that we are taking care of ourselves in order to care for others.
In the News
  • Forbes: For Pair Team, Accessibility Is About Delivering Healthcare To Those Who Need It The Most
  • TechCrunch: Building for Medicaid's regulatory moment with Neil Batlivala from Pair Team
  • Axios: Pair Team collects $9M for Medicaid-based care
About the Opportunity
Pair Team is building a team of deeply passionate individuals ready to change primary care operations for those who need it most. We are looking for a highly motivated full-time Lead Care Manager who is willing to think creatively and empathically to help our team change the way people access healthcare.
We seek a full-time Lead Care Manager to play a critical role in our whole-person, interdisciplinary care model, responsible for directly outreaching and engaging with individuals living with Serious Mental Illness/ Substance Use Disorder, experiencing homelessness, and/or those who have high medical needs. We believe in the power of trust and relationships to successfully engage those who may have never received the kind of whole-health care that Pair Team can provide.
This position primarily allows for remote work; however, it includes 2-3 times a month on-site visits in the community alongside a fellow PairMate. You can expect to engage in these in-person activities 2-3 times per month, close to your city, while the majority of your duties, approximately 90%, will be performed from your home
What You'll Do
  • Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals
  • Use relationship-based strategies to support members with social support navigation, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system
  • Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members
  • Work with member to identify health/wellness goals and incorporate goals into Health Action Plan/Shared Care Plan
  • Supports nurse care manager, behavioral health care manager, nurse practitioner and Community Engagement Specialist with delegated tasks
  • Collaborates on care issues with Enhanced Care Management team by participating in systematic case reviews and consulting with nurse care manager, behavioral health care manager, and nurse practitioner before taking clinical actions
  • Consistently meet monthly encounter metrics to ensure compliance with health plan regulations
  • Identify and break down barriers ensuring individuals' continuation with the program
  • Assists individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups
  • Coordinate physical care management appointments through collaboration with external and internal providers
  • Utilize external and internal online platforms to collaborate with team members and carry out daily tasks

What You'll Need
  • 1+ years of general work experience (Case Management preferred)
  • You are physically located in California
    • Field Ops requires you to maintain reliable transportation for engagement at clinic, community based organization, and health system partner locations
    • Virtual Ops requires a quiet, HIPAA compliant and internet connected space
  • Bilingual - English/Spanish
  • Strong understanding of cultural fluency
  • High degree of empathy
  • Ability to work collaboratively in a multidisciplinary team
  • An eye for optimization
  • Organizational skills
  • Ability to remain patient when faced with adversity
  • Strong technical skills and comfort with technology innovation, past experience with CRM databases, basic Excel, Word, email, and video conferencing
  • A valid driver's license and auto liability insurance
Preferred Qualifications:
  • Demonstrated professional or personal lived experience working closely with individuals experiencing complex chronic needs, homelessness, or Severe Mental Illness/Substance Use Disorder
  • 2+ years of case management experience
  • Experience with motivational interviewing
  • Knowledge of medical terminology
  • Zest for problem solving, seeking answers, and thinking outside the box
  • Detail-oriented and organized self-starter who is a rockstar multitasker
  • Reliable and comfortable in an ever-changing environment

Because We Value You
  • Salary: $22-$25/hour
  • Comprehensive health, vision & dental insurance
  • 401k
  • Monthly $100 work from home expense stipend for your WFH days
  • Gas reimbursements for your on-site engagement days
  • Flexible vacation policy -- take the time you need to recharge!
  • We provide all of the equipment needed for the role
  • Opportunity for rapid career progression with plenty of room for personal growth!

Pair Team is an Equal Opportunity Employer. At Pair Team, we value diversity and strive to provide an inclusive environment for all applicants and employees. All applicants will be considered without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, marital status, age, disability, political affiliation, military service, genetic information, or any other characteristic covered by federal, state, or local law.
Pair Team participates in E-Verify to verify employment eligibility for new hires.
Any offer of employment at Pair Team is conditioned upon passing a pre-employment background check. Following a conditional job offer, candidates will undergo comprehensive employment background checks, including; criminal history, reference checks, and driving records if a role requires vehicle use.
We do not conduct any TA business outside of our @pairteam.com emails. If you're ever concerned about spam or fraudulent activity, please reach out to recruiting@pairteam.com.
Note: Please be aware that while we sincerely appreciate your interest, due to the high volume of requests, we're unable to respond to general position inquiries via email. To apply for a position with us, please submit your application for the role you are interested in. Our team regularly reviews applications and will reach out to candidates whose qualifications align with our current openings listed below. Thank you!

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