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Insurance Case Manager Jobs in Georgia (NOW HIRING)

Nick Schnyder Law Firm LLC

Case Manager

Marietta, GA · On-site

$19 - $24.50/hr

The Case Manager plays an important role in supporting clients throughout their personal injury ... Communicate with insurance carriers and medical providers via phone and email regarding caserelated ...

Morgan & Morgan, P.A.

Case Manager

Atlanta, GA

$19.25 - $24.75/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

The GEO Group

CASE MANAGER

Folkston, GA · On-site

$25.30/hr

... Insurance • Vision Insurance • Life Insurance • Health Savings Account • Tuition ... The Case Manager provides counseling services, assists the detainees in adjusting to detention life ...

Morgan & Morgan, P.A.

Case Manager

Atlanta, GA · On-site

$19.25 - $24.75/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

The Forge Companies

Case Manager

Alpharetta, GA · On-site +1

$18.75 - $24.25/hr

... insurance information, and demand letters. * Coordinate document execution for funding agreements ... Case & Relationship Management * Maintain accurate and up-to-date records in case management and CR ...

The Forge Companies

Case Manager

Alpharetta, GA · On-site +1

$19.50 - $25.25/hr

... insurance information, and demand letters. * Coordinate document execution for funding agreements ... Case & Relationship Management * Maintain accurate and up-to-date records in case management and CR ...

Alexander Shunnarah Trial Attorneys

Case Manager

Atlanta, GA · On-site

$19.25 - $24.75/hr

... oriented Case Manager to join our team and support our attorneys through all phases of pre ... Maintain effective communication with clients, providers, and insurance companies, handling ...

Mercer University

Case Manager

Swainsboro, GA · On-site

$15.75 - $20.25/hr

Case Manager Department: Community Medicine College/Division: School Of Medicine Primary Job ... insurance (for self and dependents), generous retirement contributions , tuition waivers , paid ...

Mercer University

Case Manager

Swainsboro, GA

$15.75 - $20.25/hr

Case Manager Department: Community Medicine College/Division: School Of Medicine Primary Job ... insurance (for self and dependents), generous retirement contributions , tuition waivers , paid ...

CarePerks LLC

Case Manager

Tucker, GA · On-site

$18.75 - $24.25/hr

As a Medical Case Manager, you will play a crucial role in coordinating and overseeing the medical ... You will work closely with healthcare providers, insurance companies, and other stakeholders to ...

dekalbcsb

Case Manager

Decatur, GA

$19.50 - $25.25/hr

Case Manager Claratel Behavioral Health is an innovative, community-based behavioral health and ... Collect demographic, psychosocial, and insurance information at intake. * Obtain and record vital ...

dekalbcsb

Case Manager

Decatur, GA · On-site

$19.50 - $25.25/hr

Case Manager Claratel Behavioral Health is an innovative, community-based behavioral health and ... Collect demographic, psychosocial, and insurance information at intake. * Obtain and record vital ...

DeKalb Community Service Board

Case Manager

Decatur, GA · On-site

$19.50 - $25.25/hr

Case Manager Claratel Behavioral Health is an innovative, community-based behavioral health and ... Collect demographic, psychosocial, and insurance information at intake. * Obtain and record vital ...

East Cobb Family Dentistry

Case Manager

Marietta, GA

$19 - $24.50/hr

Description Case Manager - East Cobb Family Dentistry Location: Marietta, GA East Cobb Family ... Life and disability insurance * Two weeks paid time off plus seven paid holidays * Bonus ...

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All JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Georgia

Insurance Case Manager information

See Georgia salary details

$27.4K

$42.9K

$62.5K

How much do insurance case manager jobs pay per year?

As of Jun 12, 2026, the average yearly pay for insurance case manager in Georgia is $42,930.00, according to ZipRecruiter salary data. Most workers in this role earn between $32,900.00 and $49,800.00 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
What are popular job titles related to Insurance Case Manager jobs in Georgia? For Insurance Case Manager jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Insurance Case Manager jobs in Georgia look for? The top searched job categories for Insurance Case Manager jobs in Georgia are:
What cities in Georgia are hiring for Insurance Case Manager jobs? Cities in Georgia with the most Insurance Case Manager job openings:
Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Georgia as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $42,930 per year, or $20.6 per hour.
Registered Nurse - (RN) - ED Admission Case Manager

Registered Nurse - (RN) - ED Admission Case Manager

Northeast Georgia Health System

Gainesville, GA • On-site

Full-time

Posted yesterday

Northeast Georgia Health System rating

7.5

Company rating: 7.5 out of 10

Based on 148 frontline employees who took The Breakroom Quiz

225th of 871 rated healthcare providers

Job description

Job Category:
Nursing - Registered Nurse
Work Shift/Schedule:
8 Hr Afternoon - Evening
Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.
About the Role:
Job Summary
The ED Admissions Case Manager is responsible for evaluating and screening all ED admissions using screening guidelines to ensure patients are in the appropriate status and level of care based on the physician's documentation. The ED Admissions Case Manager collaborates with Physicians, patient and families, and other members of the healthcare team to ensure an appropriate plan of care and the appropriateness of services provided. The ED Admissions Case Manager provides comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs. Additionally, the ED Admissions Case Manager coordinates a team approach designed to facilitate the achievement of expected patient outcomes with appropriate transitions to the next level of care and also provides cross coverage for other ED RN Case Managers as required.
Minimum Job Qualifications
  • Licensure or other certifications: Professional RN licensure, Active GA licensure,
  • Educational Requirements: Associate degree. Graduate of an accredited school of nursing.
  • Minimum Experience: One (1) to two (2) years of experience in Utilization Management applying screening guidelines (InterQual or MCG Guidelines) or other related Case Management experience (i.e. Acute Care, Insurance Case Management, Workers Compensation). Three (3) to five (5) years of experience in direct patient care and/or case management.
  • Other:

Preferred Job Qualifications
  • Preferred Licensure or other certifications: Case Mgmt. Certification (CCM or ACM) preferred.
  • Preferred Educational Requirements: Bachelors Degree
  • Preferred Experience: Acute Care UR/CM experience preferred.
  • Other:

Job Specific and Unique Knowledge, Skills and Abilities
  • Demonstrated aptitude, clinical knowledge, and critical thinking skills in a fast-paced ED environment.
  • Working knowledge of State and Federal regulations third party/governmental payer regulatory requirements, and in and out of network coverage benefits.
  • Must demonstrate excellent observation skills, analytical thinking, problem solving abilities, and excellent written and verbal communication.
  • Proficiency with computers and software.
  • Knowledgeable of financial/reimbursement criteria as it relates to all payors.
  • Demonstrated interpersonal skills, including professionalism, being a team player, and a positive approach to situations. The position requires the ability to be self-directed.

Essential Tasks and Responsibilities
  • Determines if patients meet nationally recognized medical necessity criteria for admission/transfer into the system by performing admission by utilizing screening guidelines (InterQual/MCG) based on Physician documentation to ensure the patient is in the right Patient Class, and Level of Care
  • Coordinates appropriate patient entry into NGMC's acute beds, utilizing clinical criteria to assess medical appropriateness and patient status. Communicates directly with physicians and referring facilities to ensure collaborative practice.
  • Refers appropriate cases to physician advisors for review and status determination. Communicates with physician to obtain appropriate status order based on determination.
  • Work collaboratively with the Physician, nursing staff, and care team to ensure patients are meeting the expected length of stay and to assure a timely discharge and appropriate transition to the next level of care.
  • Communicate and coordinate with care team consistently to ensure patients are in the right status and level of care. Actively supports a customer service oriented environment to continually enhance customer satisfaction.
  • Adheres to all regulatory and DNV requirements; Knowledgeable of third party payers (PPO/HMO's) to facilitate appropriate outcomes and ensure coverage of services rendered.
  • Physician education and feedback to include guidance for status determinations and supporting documentation for medical necessity
  • Maintains confidentiality and respects patients privacy. Performs in a manner that respects HIPPA laws.
  • Contributes to the productive and effective operation of the Care Coordination area. Identifies and escalates opportunities for process improvement up the chain of command.

Area/Unit Specific Essential Tasks and Responsibilities: Emergency Department and Observation Unit (COU,EOU, MOU)
  • Provides coordination and facilitation oversight of patient care to assure required interventions occur in proper sequence and processes occur in a timely manner without delays. Identifies and acts upon potential delays in services; escalates unresolved delays to management for appropriate intervention.
  • Assess, coordinate and facilitate patient's discharge plan to assure post-acute needs are arranged and secured prior to discharge when applicable; Communicate discharge plan with Physician, patient/family, and other members of the healthcare team as appropriate; Reassess discharge plan routinely throughout patient's stay to ensure timely, safe discharge and appropriate transition to the next level of care. Provides patient/family with information regarding their plan of care, discharge and any financial responsibility of inpatient or post-hospitalization services.

Physical Demands
  • Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time
  • Weight Carried: Up to 20 lbs, Occasionally 0-30% of time
  • Vision: Moderate, Frequently 31-65% of time
  • Kneeling/Stooping/Bending: Occasionally 0-30%
  • Standing/Walking: Occasionally 0-30%
  • Pushing/Pulling: Occasionally 0-30%
  • Intensity of Work: Occasionally 0-30%
  • Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding

Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.
NGHS: Opportunities start here.
Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.

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About Northeast Georgia Health System

Sourced by ZipRecruiter

Northeast Georgia Health System (NGHS) is a not-for-profit community health system dedicated to improving the health and quality of life of the people of Northeast Georgia. Through the services of a medical staff of more than 800 physicians, the residents of Northeast Georgia enjoy access to the state’s finest and most comprehensive medical services. It is our mission to improve the health of our community in all we do.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Gainesville, GA, US

Year founded

1951

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