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Insurance Case Manager Jobs in California (NOW HIRING)

Coalinga Regional Medical Center

Case Manager

Coalinga, CA

$22.25 - $28.75/hr

Working knowledge of the insurance industryis required. RESPONSIBILITIES 1.Have an understanding of ... The Lead Case manager, Director of Case Management or a department representative will participate ...

Youth Advocate Programs

Case Manager

Los Angeles, CA · On-site

$45K/yr

As a Case Manager, you will be responsible for providing comprehensive case management services to ... Pet Insurance * Paid time off * Holiday Pay * 403(b) Retirement Savings Plan. * Weekly Competitive ...

Morgan & Morgan, P.A.

Case Manager

Irvine, CA

$21.50 - $27.75/hr

Interact with insurance carriers and healthcare providers to secure records and account balances * Work directly with multiple coworkers involved in the management and support of case files

Morgan & Morgan, P.A.

Case Manager

Sacramento, CA

$21.25 - $27.50/hr

Interact with insurance carriers and healthcare providers to secure records and account balances * Work directly with multiple coworkers involved in the management and support of case files

Elite Sourcing

Case Manager

Los Angeles, CA

$25 - $35/hr

Personal Injury Case Manager - Burbank CA Elite Sourcing is seeking Case Managers for a Top-rated ... Pay/Benefits: • $25hr-$35hr + • 401(k) matching • Free parking • Health insurance • ...

Elite Sourcing

Case Manager

Newport Beach, CA

$65K - $100K/yr

... Manager looking for long-term stability and career growth. What to Expect: * Review case files ... Communicate with insurance companies, medical providers, and clients regarding claims and case ...

Tenderloin Housing Clinic

Case Manager

San Francisco, CA · On-site

$28/hr

We're looking for compassionate Case Managers who are ready to make a difference in the lives of ... THC offers a comprehensive benefits program including medical, dental, and vision insurance for ...

Acadia Healthcare

Case Manager

San Diego, CA · On-site

$29.14 - $38/hr

Case Manager Requirements: * AOD Registration is required. * AOD Certification is preferred ... Medical, Dental, and Vision insurance * Competitive 401(k) plan * Paid vacation and sick time

Acadia Healthcare

Case Manager

San Diego, CA · On-site

$29.14 - $38/hr

Case Manager Requirements: * AOD Registration is required. * AOD Certification is preferred ... Medical, Dental, and Vision insurance * Competitive 401(k) plan * Paid vacation and sick time

THE CAPITAL LAW FIRM PC

Case Manager

Los Angeles, CA · On-site

$40 - $55/hr

The Case Manager will play a critical role in managing case files and maintaining accurate ... Dental insurance * Health insurance * Vision insurance * Life insurance * Pet insurance

Trustpoint.One

Case Manager

Los Angeles, CA · On-site

$62K/yr

Position Overview: The Case Manager will oversee a high-volume caseload from intake through ... Disability and life insurance * Generous PTO * Employee assistance and discount programs * Paid ...

THE CAPITAL LAW FIRM PC

Case Manager

Los Angeles, CA · On-site

$40 - $55/hr

The Case Manager will play a critical role in managing case files and maintaining accurate ... Dental insurance * Health insurance * Vision insurance * Life insurance * Pet insurance

Acadia Healthcare

Case Manager

San Diego, CA · On-site

$29.14 - $38/hr

Case Manager Requirements: * AOD Registration is required. * AOD Certification is preferred ... Medical, Dental, and Vision insurance * Competitive 401(k) plan * Paid vacation and sick time

System One

Case Manager

Los Angeles, CA · On-site

$23/hr

Job Title: Case Manager Location: Los Angeles, CA Type: Contract Compensation: $23 hourly ... insurance, voluntary plans, as well as participation in a 401(k) plan. System One is an Equal ...

System One Holdings, LLC

Case Manager

Los Angeles, CA · On-site

$23/hr

Job Title: Case Manager Location: Los Angeles, CA Type: Contract Compensation: $23 hourly ... insurance, voluntary plans, as well as participation in a 401(k) plan. System One is an Equal ...

System One

Case Manager

Los Angeles, CA · On-site

$23/hr

Job Title: Case Manager Location: Los Angeles, CA Type: Contract Compensation: $23 hourly ... insurance, voluntary plans, as well as participation in a 401(k) plan. System One is an Equal ...

Omega Law Group PC

Case Manager

West Hollywood, CA · On-site

$25 - $45/hr

Initiate insurance claims and manage insurance Liens * Prepare legal documents and paperwork related to each case * Interact with a wide array of entities and individuals, including but not limited ...

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All JobsInsurance Case Manager JobsInsurance Case Manager Jobs in California

Insurance Case Manager information

See California salary details

$32.1K

$50.2K

$73K

How much do insurance case manager jobs pay per year?

As of Jun 28, 2026, the average yearly pay for insurance case manager in California is $50,176.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,500.00 and $58,200.00 per year, depending on experience, location, and employer.

What does an Insurance Case Manager do?

An Insurance Case Manager coordinates and manages insurance claims on behalf of clients, ensuring that cases are processed efficiently and accurately. They review claims, gather necessary documentation, communicate with policyholders, healthcare providers, and insurance companies, and advocate for the best possible outcomes. Their role often involves assessing coverage, resolving issues, and helping clients understand their insurance benefits and options. By serving as a liaison, they streamline the claims process and support clients throughout their case.

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

To thrive as an Insurance Case Manager, you need a solid understanding of insurance policies, case management practices, and regulatory compliance, often supported by a bachelor’s degree in a related field and relevant certifications such as Certified Case Manager (CCM). Familiarity with claims management software, customer relationship management (CRM) systems, and medical terminology is typically required. Strong communication, organizational, and problem-solving skills help you effectively coordinate between clients, providers, and insurers. These competencies are crucial for ensuring accurate case evaluations, timely claims processing, and high-quality client service.

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

AspectInsurance Case ManagerClaims Adjuster
CredentialsCertifications like CPCU or ARM often preferredAdjuster licenses required by state
Work EnvironmentOffice-based, client interaction, case managementField or office-based, claims investigation
Employer & IndustryInsurance companies, healthcare providersInsurance companies, third-party administrators
Search & Comparison IntentManaging claims, coordinating benefitsEvaluating and settling claims

While both roles work within the insurance industry, Insurance Case Managers focus on coordinating benefits and managing ongoing cases, often requiring certifications like CPCU. Claims Adjusters primarily investigate and settle claims, often working in the field. Understanding these differences helps job seekers identify the right career path based on their skills and interests.

What Is an Insurance Case Manager?

An insurance case manager’s duties are to ensure the delivery of health care benefits or other forms of insurance and related services to their clients and to oversee their clients’ cases. As an insurance case manager, you can work in a variety of settings but usually for insurance carriers and HMOs. Your responsibilities differ depending on who your employer is and the type of insurance you work with. For example, if you work for a life insurance company, your duties involve assessing risk, processing new application paperwork, and other tasks similar to that of an underwriter.

How does an Insurance Case Manager typically collaborate with other departments to ensure smooth claim processing?

Insurance Case Managers frequently work with underwriters, claims adjusters, customer service representatives, and sometimes medical professionals to gather necessary information and resolve complex cases. They act as a central point of communication, ensuring all parties are aligned and that documentation is complete and accurate. This collaboration helps streamline claim evaluations, address any discrepancies swiftly, and deliver timely resolutions for clients. Strong teamwork and clear communication are essential for success in this role.
More about Insurance Case Manager jobs
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What cities in California are hiring for Insurance Case Manager jobs? Cities in California with the most Insurance Case Manager job openings:
Insurance Case Manager jobs near you
Case Manager

Case Manager

Coalinga Regional Medical Center

Coalinga, CA

$22.25 - $28.75/hr

Other

Posted 28 days ago

Job description


POSITION SUMMARY

Using discretion and independent judgment, the Case Manager isresponsible for all case management activities assigned. This includes case management and utilizationmanagement. The Case Manager providesconcise management of patients' hospitalization from pre-admission throughdischarge in the areas of patient care, fiscal management, and Payor/referralsatisfaction. The Case Manager is responsible for conducting Discharge PlanningEvaluations, performing discharge planning to ensure patients and theirfamilies receive maximum benefits, and awareness of community and governmentagencies. This position requires the use of communication skills, the abilityto perform management operations directly related to administrative goals andpolicies, to provide regular and direct assistance to executives, to performwork and special assignments under only very general supervision, and tocontinuously develop department operations toward efficiency and effectiveness.

POSITION QUALIFICATIONS

Thisposition requires a MSW or LCSW with at least three (3) years of workexperience in a medical case management setting. Exceptions are made with CEO approval. Good organizational and liaison capabilitieswith well-developed written and verbal communication abilities arerequired. Well demonstrated public relationsskills with a cooperative and assertive attitude. Working knowledge of the insurance industryis required.

RESPONSIBILITIES

1.Have an understanding of the commercial insurance appeal process.

2.Have a working knowledge of billing ad reimbursement and letter of agreement.

3.Be knowledgeable regarding pre-certification and concurrent review process.

4.Must have clear and concise professional language in the preparation of up to date clinical reports representing the patient's total condition and treatment plan. 

5.The Lead Case manager, Director of Case Management or a department representative will participate in a brief portion of the hospital liaison/ marketing meeting to share positive and challenging case-specific, case type, or data-based outcomes. Routine participation allows for a positive exchange of information between the departments to identify high risk factors that could potentially affect the outcome of future admissions. 

6.Have working knowledge of Federal and State Regulatory Compliance.

7.Be responsible to document case-based activities with treatment plan/ discharge plan interventions. 

8.As the designated team leader have a good working knowledge and ability to facilitate interdisciplinary team conference identifying clinical challenges and outstanding issues. 

9.Ability to discharge patients successfully without adverse health consequences with all needs identified. 



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