ZipRecruiter

Log In

2

Insurance Case Manager Remote Jobs in Washington

HMG Careers

Remote Life Insurance Agent

Washington, DC · Remote

$69K/yr

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

HMG Careers

Remote Life Insurance Agent

Alexandria, VA · Remote

$69K/yr

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Volunteers of America, Inc.

Asset Manager

Alexandria, VA · Remote

$84K - $92K/yr

Asset Manager - Remote Candidate can be located anywhere in the United States. Schedule: M-F 8:00 ... Medical, Dental and Vision Insurance * Paid Time Off (Vacation, Holiday & Sick Days) * NetSpend ...

next page

Showing results 1-20

All JobsInsurance Case JobsInsurance Case Manager Remote JobsInsurance Case Manager Remote Jobs in Washington

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 Washington? For Insurance Case Manager Remote jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Insurance Case Manager Remote jobs in Washington look for? The top searched job categories for Insurance Case Manager Remote jobs in Washington are:
What cities in Washington are hiring for Insurance Case Manager Remote jobs? Cities in Washington 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 Washington as of July 2026, with employment types broken down into 2% As Needed, 76% Full Time, 20% Part Time, and 2% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution.
Child Care Scholarship Program SME (Remote)

Child Care Scholarship Program SME (Remote)

Serigor, Inc.

Columbia, MD • On-site, Remote

Part-time

Posted 14 days ago

Job description

Job Title: Child Care Scholarship Program SME
Duration: Part-time
Location: Columbia, MD (Remote)
Description:
We are seeking an experienced Child Care Scholarship (CCS) / Child Care Subsidy Subject Matter Expert (SME) to support the design, implementation, and operations of large-scale public assistance programs.
This role will play a critical part in supporting statewide child care subsidy initiatives aligned with federal requirements under the Child Care and Development Fund (CCDF), including eligibility determination, case management, provider payments, customer service operations, and compliance.
Key Responsibilities
  • Program Operations & Eligibility
    • Provide expertise in eligibility determination, redetermination, and case lifecycle management.
    • Interpret and apply federal and state policy requirements (e.g., 45 CFR 98).
    • Support high-volume program environments serving thousands of families.
  • Payment Processing & Provider Management
    • Advise provider payment workflows, invoice validation, and attendance tracking.
    • Support underpayment/overpayment resolution and audit readiness.
    • Ensure accuracy and compliance in payment authorization processes.
  • Customer Service & Operations
    • Guide best practices for call center and customer support operations.
    • Support SLA-driven service delivery across phone, portal, and digital channels.
    • Enable multilingual and accessibility-focused service models.
  • Systems & Technology
    • Provide SME input on:
      • Case management systems
      • CRM platforms such as Salesforce Service Cloud
      • Document management and paperless processing workflows
      • Support system integration, transition, and modernization initiatives
  • Compliance, QA & Fraud Prevention
    • Ensure alignment with CCDF, audit, and data security requirements.
    • Support quality assurance, compliance reviews, and fraud detection processes.
    • Assist in audit preparation and response activities.
  • Program Improvement & Innovation
    • Recommend automation, AI, and process improvements.
    • Develop SOPs, training materials, and performance metrics.
    • Drive efficiency and customer experience enhancements.

Required Experience:
8-12+ years of experience in:
  • Child care subsidy / public assistance programs
    OR
  • Closely related human services programs (Medicaid, SNAP, TANF, etc.)

Proven experience in:
  • Eligibility determination
  • Case management operations
  • Provider payment processing
  • Customer service environments

Preferred Experience:
  • Experience supporting CCDF-funded programs.
  • Experience with large-scale programs (20,000+ beneficiaries).
  • Background working with state or local government agencies.

Technical & Functional Skills
Familiarity with:
  • Case management systems (state-built or COTS)
  • CRM platforms (Salesforce preferred)
  • Document management systems
  • Data reporting and analytics tools
  • Understanding of compliance frameworks (audit, PII, security)

Nice to Have
Certifications such as:
  • PMP
  • CBAP
  • Agile (CSM/SAFe)
  • Similar certifications

Apply