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Insurance Case Manager Jobs in California (NOW HIRING)

Astiva Health

Case Manager

Orange, CA

$75K - $90K/yr

This role will report to the Case Management (CM) Manager. The primary objective of the Ambulatory ... Health Insurance * Vision Insurance * Life Insurance * Paid Time Off * Free catered lunches ...

LHH US

Case Manager

Stockton, CA

$25 - $30/hr

Title: Case Manager Schedule: Monday-Friday, 8:30 AM-5:00 PM We are seeking compassionate and ... Benefit offerings include medical, dental, vision, life insurance, short-term disability ...

Amigos de Guadalupe

Case Manager

San Jose, CA · On-site

$27 - $30/hr

Job Title : Case Manager Reports To : Program Manager Classification : Full-Time/Non-Exempt ... Life Insurance * Generous Paid Time off * Paid Holidays and Sick Time * 401(k) Retirement Plan ...

Beverly Law Firm

Case Manager

Los Angeles, CA · On-site

$21.50 - $27.75/hr

Join Our Award-Winning Firm as a Senior Case Manager! Beverly Law, an expanding and award-winning ... Health insurance * Paid sick time * Paid time off and free Federal Holidays * Opportunities for ...

Amigos de Guadalupe

Case Manager

San Jose, CA · On-site

$27 - $30/hr

Job Title : Case Manager Reports To : Program Manager Classification : Full-Time/Non-Exempt ... Life Insurance * Generous Paid Time off * Paid Holidays and Sick Time * 401(k) Retirement Plan ...

Morgan & Morgan, P.A.

Case Manager

Irvine, CA · On-site

$73K - $85K/yr

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

Legal Industry Company

Case Manager

Los Angeles, CA · On-site

$30 - $35/hr

Description The Strategic Legal Practices (SLP) Case Manager owns a high-volume caseload of legal ... Health, Dental, and Vision Insurance - Comprehensive coverage to keep you and your family healthy.

LHH US

Case Manager

Stockton, CA

$25 - $30/hr

Title: Case Manager Schedule: Monday-Friday, 8:30 AM-5:00 PM We are seeking compassionate and ... Benefit offerings include medical, dental, vision, life insurance, short-term disability ...

Tenet Health

Case Manager

Joshua Tree, CA

$21.25 - $27.50/hr

This position integrates national standards for case management scope of services including ... Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match

New

Wolk & Levine, LLP

Case Manager

Glendale, CA · On-site

$25 - $35/hr

As a Case Manager, you will play a critical role in supporting attorneys by managing case workflows ... Health, vision, & dental insurance *Paid vacation *Part-time or full-time available

Wolk & Levine, LLP

Case Manager

Glendale, CA · On-site

$25 - $35/hr

As a Case Manager, you will play a critical role in supporting attorneys by managing case workflows ... Health, vision, & dental insurance *Paid vacation *Part-time or full-time available

Centre For Neuro Skills

Case Manager

Tarzana, CA · On-site

$80K - $95K/yr

As an Case Manager, you will play a critical role in transforming lives and helping individuals ... Insurance : Access to PPO medical, dental, life, and vision insurance starting the 1st of the month ...

U.S.VETS

Case Manager

Los Angeles, CA · On-site

$21.78 - $27.23/hr

Case Manager I Los Angeles, CA | Full-Time | Non-Exempt $ 21.78 - 27.23 Lead with heart, serve with ... Must meet company insurance requirements and complete a provided driver training course. United ...

APEX RECOVERY

Case Manager

San Diego, CA · On-site

$23 - $25/hr

Health insurance * Paid time off * Vision insurance Benefits/Perks * Flexible Scheduling * Competitive Compensation * Careers Advancement Job Summary The Case Manager provides harm-reduction, trauma ...

La Casa De Las Madres

Case Manager

San Francisco, CA · On-site

$30 - $36.44/hr

Under direct supervision of the Program Manager, or their designee, the Case Manager will provide ... Comprehensive health, vision, and dental insurance plans * Company-sponsored life and long-term ...

Drake Law Firm

Case Manager

Woodland Hills, CA · On-site

$21 - $27.25/hr

We are seeking an experienced legal case manager to join our team. The ideal candidate will have ... insurance companies under attorney guidance Candidate should have knowledge of basic medical ...

East Bay Innovations

Case Manager

Hayward, CA · On-site

$28.02/hr

East Bay Innovations Transitional Care and Case Management (TCCM) Case Manager I (Full-Time) About ... Voluntary Life, AD&D, Accident, Critical Illness, Hospital Indemnity, and Pet Insurance. * Employee ...

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All JobsInsurance Case 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 Aug 9, 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?

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.

Is an insurance case manager a stressful job?

Insurance case managers often handle complex cases involving claims, requiring strong organizational and communication skills. The job can be stressful due to tight deadlines, high workload, and the need to manage multiple stakeholders, but it also offers opportunities for problem-solving and professional growth. Stress levels vary depending on workload, employer support, and individual resilience.

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
What are popular job titles related to Insurance Case Manager jobs in California? For Insurance Case Manager jobs in California, the most frequently searched job titles are:
What job categories do people searching Insurance Case Manager jobs in California look for? The top searched job categories for Insurance Case Manager jobs in California are:
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
Infographic showing various Insurance Case Manager job openings in California as of August 2026, with employment types broken down into 97% Full Time, and 3% Part Time. Highlights an 92% In-person, and 8% Remote job distribution, with an average salary of $50,176 per year, or $24.1 per hour.

Case Manager

Astiva Health

Orange, CA

$75K - $90K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 15 days ago

Job description

Description

About Us:

Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.


SUMMARY: Astiva Health Inc is looking for a highly energetic and collaborative ambulatory case manager. This role will report to the Case Management (CM) Manager. The primary objective of the Ambulatory Case Manager (ACM) is to work within an interdisciplinary team to facilitate the patient plan of care throughout the continuum of care by ensuring appropriate utilization management, care coordination, resource utilization, and clinical documentation in accordance with the Model of Care and CMS regulations. The ACM will function within the Astiva Case Management department, which includes accountability for assessing, planning, implementing, evaluating, and communicating the patient care plan progression. The ACM utilizes the principles of mutual respect, member/family advocacy and coordinates within the team of internal partners and outside agencies to facilitate best practices, achieving quality clinical, financial, and member satisfaction outcomes.


ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

  • Monitor, evaluate and develop plan of care from members' Health Risk Assessment (HRA)
  • Assessing members' physical, mental and socioeconomic wellness, needs, preferences and abilities to develop a comprehensive, member-centric plan of care.
  • Coordinate with the members of Interdisciplinary Care Team (ICT), members, and any other applicable teams to develop, update and maintain members' Individualized Care Plan (ICP)
  • Proactively identify members who are at-risk for a potentially avoidable adverse medical event or at-risk for developing complex needs during an acute episode of illness.
  • Coordinate with treating providers to ensure member receives the medical care and support services needed and that communication and information-sharing is effective and timely between all involved providers.
  • Improve member and provider satisfaction through the collaboration, coordination, and management of health care resources.
  • Facilitates individuals' health system navigation and the receipt of needed medical services, improves individual's self-management and overall health Astiva Health, Inc. and functioning, coordinates care among multiple providers, and mitigates medical risk (reduces hospitalization, readmission and ED visit rates and lowers healthcare costs).
  • Aims to actively provide eligible members and their families (and if appropriate caregivers), the knowledge, skills, and resources needed to optimally partner with their providers and self-manage the chronic condition(s) or medically complex condition between provider visits.
  • Adhering to company policies and procedures regarding confidentiality and privacy
  • Regular and consistent attendance
  • Other duties may be assigned.

BENEFITS:

  • 401k
  • Dental Insurance
  • Health Insurance
  • Vision Insurance
  • Life Insurance
  • Paid Time Off
  • Free catered lunches

Requirements

EDUCATION and/or EXPERIENCE:

  • Registered Nurse with Active unrestricted CA RN license preferred.
  • Active LVN/RN license required.
  • 3 or more years of Case Management experience required.
  • Experience with Microsoft Excel, PowerPoint, Outlook, Teams preferred.


OTHER SKILLS and ABILITIES:

  • Effective communication skills to manage a team. Ability to work both independently and, in team-oriented, collaborative environments.

Apply