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Insurance Case Manager Jobs in Columbia, SC (NOW HIRING)

RN Case Manager BONUS

Columbia, SC · On-site

$70K - $80K/yr

Comprehensive Health, Dental, & Vision Insurance * Career Path Program that supports internal ... As an RN Case Manager, you're not just coordinating care - you're a source of comfort and support ...

RN Case Manager BONUS

Columbia, SC · On-site

$70K - $80K/yr

Comprehensive Health, Dental, & Vision Insurance * Career Path Program that supports internal ... As an RN Case Manager, you're not just coordinating care - you're a source of comfort and support ...

RN Case Manager BONUS

Columbia, SC · On-site

$70K - $80K/yr

Comprehensive Health, Dental, & Vision Insurance * Career Path Program that supports internal ... As an RN Case Manager, you're not just coordinating care - you're a source of comfort and support ...

RN Case Manager BONUS

Columbia, SC · On-site

$70K - $80K/yr

Comprehensive Health, Dental, & Vision Insurance * Career Path Program that supports internal ... As an RN Case Manager, you're not just coordinating care - you're a source of comfort and support ...

Showing results 21-40

Insurance Case Manager information

See Columbia, SC salary details

$30.1K

$47K

$68.5K

How much do insurance case manager jobs pay per year?

As of Aug 12, 2026, the average yearly pay for insurance case manager in Columbia, SC is $47,035.00, according to ZipRecruiter salary data. Most workers in this role earn between $36,100.00 and $54,600.00 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.
What are popular job titles related to Insurance Case Manager jobs in Columbia, SC? For Insurance Case Manager jobs in Columbia, SC, the most frequently searched job titles are:
What job categories do people searching Insurance Case Manager jobs in Columbia, SC look for? The top searched job categories for Insurance Case Manager jobs in Columbia, SC are:
What cities near Columbia, SC are hiring for Insurance Case Manager jobs? Cities near Columbia, SC with the most Insurance Case Manager job openings:
Infographic showing various Insurance Case Manager job openings in Columbia, SC as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 23% Part Time, and 4% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $47,035 per year, or $22.6 per hour.

Prior Authorization Specialist Insurance Verification Coordinator

Prosperity Placement Solutions

Columbia, SC • On-site

$23 - $26/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 9 days ago


Job description

Prior Authorization Specialist / Insurance Verification Coordinator

Job Details

  • Pay: $23.00 - $26.00 an hour
  • Job Type: Full-time
  • Schedule: Monday to Friday, 8:00 AM – 5:00 PM (No weekends)
  • Benefits: Medical, Dental, Vision, 401(k), PTO, Tuition Assistance (Full Benefits Package)

About Us

We provide comprehensive ambulatory and home-based infusion services to both acute and chronically ill patients. Our centers care for people by providing patients and their families with a convenient, affordable, and safe place to receive infusion treatments.

We believe in creating a healthcare experience that goes beyond just a job. We are a connected group of caretakers who work together to restore health and hope to our patients. For our employees, this means a culture of belonging, mutual respect, empathy, and continuous collaboration.

Role Overview (As a Patient Access Navigator)

We are seeking an Insurance Case Manager / Prior Authorization Specialist to function as a vital bridge between our clinical team, intake coordinators, and insurance payers. In this role, you aren't just processing paperwork—you are a Patient Access Navigator, ensuring patients get timely access to life-changing infusion therapies by accurately verifying health benefits and securing critical authorizations.

What You'll Do (Essential Functions)

  • Verify Benefits: Utilize web portals and phone outreach to verify comprehensive insurance benefits.
  • Secure Authorizations: Review payer medical policies to determine medical necessity based on guidelines and FDA indications; manage the prior authorization and reauthorization process.
  • Ensure Data Integrity: Obtain and review patient data, signed written orders (SWO), and letters of medical necessity (LMN) from referring physician offices.
  • Collaborate: Partner closely with Intake Coordinators, Nurse Managers, and the Reimbursement team to ensure smooth patient onboarding and high operational standards.
  • Communicate & Document: Complete insurance verification forms, scan documents into electronic medical records, and provide clear coverage summaries to the team.
  • Financial Coordination: Coordinate first payments and payment plans for patients when necessary.
  • Support: Participate in an on-call rotation for after-hours and holidays as needed.

Qualifications & Skills

  • Education: High School Diploma or Equivalent (Required).
  • Experience: 1+ years of experience managing health insurance benefit verifications and prior authorizations (Required). Specialty medication or infusion experience is a plus.
  • Software: Proficiency in MS Office (Outlook, Word, Excel) and electronic medical records.
  • Attributes: Ability to stay calm, organized, and focused in an ambiguous, fast-paced environment. Strong teamwork and relationship-building skills.

Full Benefits Package

  • Comprehensive Medical, Dental, and Vision Insurance
  • Company-Paid Life Insurance + Voluntary Life & Disability
  • Flexible Spending Accounts (FSA) & Health Savings Account (HSA)
  • 401(k) Retirement Plan
  • Paid Time Off (PTO) + 8 Paid Company Holidays
  • Tuition Assistance & Employee Referral Program
  • Employee Assistance Program (EAP) & Employee Discounts
  • Ramsey SmartDollar Financial Wellness Program

Physical Demands

  • Prolonged periods of sitting, reading, and keyboarding/computer vision.
  • Frequent standing, walking, bending, twisting, talking, and hearing.
  • Occasionally lifting and/or moving up to 25 pounds.

Our Commitment to Patient Advocacy

At our core, we believe that patient advocacy is at the heart of everything we do, regardless of our roles within the organization. Each member of our team is dedicated to putting the needs and well-being of our patients first. Whether we're working directly with patients or supporting them behind the scenes, our commitment to being a compassionate advocate is paramount.

We understand that every interaction, every decision, and every effort contributes to the quality of care our patients receive. Together, we strive to ensure that every individual feels heard, supported, and empowered throughout their healthcare journey. This dedication to patient-centered care is what creates our standard of excellence that defines us and enriches the lives of those we serve.

Apply Today

Take the next step in your healthcare career and join a team dedicated to delivering exceptional infusion care!

To apply or for immediate consideration, please contact Brian Harris Email: Brian@prosperityplacement.com Phone: 941-999-4291