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Insurance Case Manager Remote Jobs in Sutton, MA

VIVA USA INC

Nurse Case Manager

Woonsocket, RI · On-site +1

Fully remote (never coming onsite) Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual ...

VIVA USA INC

Nurse Case Manager

Woonsocket, RI · On-site +1

Fully remote (never coming onsite) Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual ...

York Risk Services

Field Case Manager

Boston, MA · On-site +1

... Insurance Field Case Manager In order to be considered for this Field Case Manager position, you ... remote work environment that allows face to face interaction with injured workers and medical ...

Sedgwick

Field Case Manager

Boston, MA · On-site +1

... Insurance Field Case Manager In order to be considered for this Field Case Manager position, you ... remote work environment that allows face to face interaction with injured workers and medical ...

HMG Careers

Sales Manager Remote

Boston, MA · Remote

$69K/yr

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

HMG Careers

Sales Manager Remote

Central Falls, RI · Remote

$69K/yr

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

HMG Careers

Sales Manager Remote

Woonsocket, RI · Remote

$69K/yr

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

HMG Careers

Sales Manager Remote

Leominster, MA · Remote

$69K/yr

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

York Risk Services

RN Field Case Manager

Boston, MA · Remote

$84K - $107K/yr

... Insurance RN Field Case Manager This Field Case Manager will cover our Boston, MA region and must ... remote work environment that allows face to face interaction with injured workers and medical ...

Sedgwick

RN Field Case Manager

Boston, MA · Remote

$84K - $107K/yr

... Insurance RN Field Case Manager This Field Case Manager will cover our Boston, MA region and must ... remote work environment that allows face to face interaction with injured workers and medical ...

Revvity

Sr. Tax Manager (REMOTE)

Waltham, MA · Remote

$134K - $167K/yr

Job Title Sr. Tax Manager (REMOTE) Location(s) Australia Remote, US Remote - CT, US Remote - DC, US ... Medical, Dental, and Vision Insurance Options * Life and Disability Insurance * Paid Time-Off

Revvity

Sr. Tax Manager (REMOTE)

Waltham, MA · On-site +1

$134K - $167K/yr

Job Title Sr. Tax Manager (REMOTE) Location(s) Australia Remote, US Remote - CT, US Remote - DC, US ... Medical, Dental, and Vision Insurance Options * Life and Disability Insurance * Paid Time-Off

Priority1

Territory Manager-Remote

Norwood, MA · On-site +1

The Territory Manager sales position offers potential candidates the opportunity to establish ... Insurance -HSA with Employer Contributions -Life Insurance -Short Term Disability -Long Term ...

Priority1

Territory Manager-Remote

Norwood, MA · On-site +1

The Territory Manager sales position offers potential candidates the opportunity to establish ... Insurance -HSA with Employer Contributions -Life Insurance -Short Term Disability -Long Term ...

Revvity

Sr. Tax Manager (REMOTE)

Boston, MA · On-site +1

$134K - $167K/yr

Manage global transfer pricing documentation and ensure operational compliance across multiple ... Medical, Dental, and Vision Insurance Options * Life and Disability Insurance * Paid Time-Off

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All JobsInsurance Case Manager Remote JobsInsurance Case Manager Remote Jobs in Sutton, MA

Insurance Case Manager Remote information

See Sutton, MA salary details

$34K

$53.1K

$77.3K

How much do insurance case manager remote jobs pay per year?

As of Jun 28, 2026, the average yearly pay for insurance case manager remote in Sutton, MA is $53,141.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,800.00 and $61,700.00 per year, depending on experience, location, and employer.

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 Sutton, MA? For Insurance Case Manager Remote jobs in Sutton, MA, the most frequently searched job titles are:
What cities near Sutton, MA are hiring for Insurance Case Manager Remote jobs? Cities near Sutton, MA 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 Sutton, MA as of June 2026, with employment types broken down into 81% Full Time, 8% Part Time, and 11% Contract. Highlights an 49% Physical, 3% Hybrid, and 48% Remote job distribution, with an average salary of $53,141 per year, or $25.5 per hour.
Nurse Case Manager

Nurse Case Manager

VIVA USA INC

Woonsocket, RI • On-site, Remote

Contractor

Posted 16 days ago

Key responsibilities

  • Conduct comprehensive assessments of referred members' needs and eligibility using clinical tools and data review.

  • Apply and interpret applicable criteria, guidelines, and case management plans to assess benefits and administer appropriate services.

  • Utilize case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies.

Job description

Fully remote (never coming onsite)
Description:
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits. Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Duties
Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
Effective communication skills, both verbal and written.
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer.
Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
Typical office working environment with productivity and quality expectations.
Experience
2-3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
2 years Healthcare and/or managed care industry experience.
Case Management experience required.
Requires an RN with unrestricted COMPACT active license
Education
RN with current unrestricted compact state licensure.
Case Management Certification CCM preferred
Requires an RN with unrestricted active license in Georgia.
REQUIRED:
Must have experience working a remote position previously.
Must have case management experience.
Notes:
Monday- Friday 8am - 5pm EST
Remote
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status

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