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

genex

Telephonic Case Manager (RN)

Asheville, NC

Contact Employee, Contact Provider, Contact Employer/Adjuster/Insurer: Objectively and critically ... Monitors functions assigned to non-case managers and provides input on the performance of support ...

Your Health

Hospice RN Nurse Case Manager

Columbia, SC · On-site

Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.

Your Health

Hospice RN Nurse Case Manager

Leesville, SC · On-site

Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ... A successful Nurse Case Manager will be able to perform these essential duties and responsibilities.

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Showing results 21-40

All JobsInsurance Case JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Columbia, SC

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 Sep 2, 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 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.

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.

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 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.

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.
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Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Columbia, SC as of August 2026, with employment types broken down into 1% As Needed, 67% Full Time, 28% Part Time, and 4% Contract. Highlights an 81% Physical, 1% Hybrid, and 18% Remote job distribution, with an average salary of $47,035 per year, or $22.6 per hour.

Medical Case Manager I

CAN Community Health Inc.

Columbia, SC • On-site

$23.27 - $26.76/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 27 days ago

CAN Community Health rating

7.8

Company rating: 7.8 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

Description

CAN Community Health is now hiring a Medical Case Manager I

Schedule: Full-Time | Day Shift | Monday-Thursday 8:00 am - 5:30 pm Friday 8:00 am - 12:00 pm

Pay Rate: $23.27 - $26.76 hourly based on experience


Are you passionate about patient care and ready to make a difference every day? We are looking for someone who is passionate about serving the needs of individuals impacted by HIV, Hepatitis C, STI's, and other infectious diseases. You will become part of our professional team that drives home our Company's Mission and Values.


We have received recognition for more than six (6) years NPT's Best Non-Profit to Work for Award.


Why You'll Love It Here

  • Competitive pay 
  • Generous paid PTO and Sick time 
  • 11 Paid Company Holidays 
  • Paid training and certification support
  • Health, dental, vision, with generous company contribution, paid life and disability plans & retirement plan with generous match of up to 8% of your contribution additional match of 1%. 
  • Tuition Reimbursement Plan 
  • Other voluntary plans are available to support you and your family
  • Career growth opportunities in a supportive environment

What You'll Do

The Medial Case Manager is responsible for coordinating and delivering comprehensive case management services to clients, ensuring access to care and support in compliance with local, state, and federal guidelines. This role involves eligibility screening, care planning, resource linkage, and collaboration with healthcare teams to promote optimal health outcomes. 

  • Screen clients for program eligibility and conduct biannual reassessments for continued enrollment. 
  • Verify insurance coverage and coordinate required pre-authorizations. 
  • Develop, implement, and update individualized care plans based on patient needs and establish goals in collaboration with the patient aimed at increasing level of functioning and self-sufficiency in all areas of life.
  • Acts as liaison between patients and the care team to address identified needs
  • Utilize advanced skills to assist in collaborating, developing, implementing, monitoring, and evaluating the case management process
  • Performs comprehensive assessments to identify individualized needs in the areas of health, mental health, social support, addiction, financial resources, benefits, legal, language/culture, and employment. 
  • Evaluate client medical acuity to establish individualized care priorities and implement evidence-based standards of service delivery
  • Coordinates client access to primary medical care and treatment. Attends client medical appointments as needed. 
  • Submits timely and accurate monthly billing documentation in accordance with grant standards.
  • Accurately document all client encounters within software applications within 48-72 hours.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of an employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.  

Requirements

Education/Professional:

  1. Bachelor's degree in social work, Nursing, Public Health, or related field.
  2. One year of HIV prevention/intervention experience
  3. Please refer to state requirements per jurisdiction
  4. Must be able to operate a motor vehicle and have valid insurance and driver's license.

Must be able to pass a Level I and Level II Background check as required. https://info.flclearinghouse.com/

CAN Community Health, Inc. is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

What CAN Community Health employees say

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