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Insurance Case Manager Jobs in Dallas, TX (NOW HIRING)

AMERICAN GI FORUM NATIONA

Case Manager-HVRP

Dallas, TX · On-site

$43K - $46K/yr

SUMMARY The Case Manager for the Homeless Veterans Reintegration Program (HVRP) is responsible for ... Must also provide proof of current vehicle liability insurance. * Must pass a drug test and ...

Legent Health

CASE MANAGER (FT)

Carrollton, TX · On-site

$52 - $76/hr

CASE MANAGER (FT) Full Time Carrollton, TX, US About Legent Health At Legent Health , our mission ... Identifying clients' insurance coverage or other sources of payment for services. * Identifying and ...

Paradigm

Telephonic Case Manager

Dallas, TX · On-site

$65 - $90/hr

As a Telephonic Case Manager (TCM), you will provide remote medical case management services to ... health insurance options with Cigna and Kaiser (CA employees only). * Financial incentives ...

ClearSky Health

Case Manager

Flower Mound, TX · On-site

$18.25 - $23.50/hr

The Case Manager works with physicians and multidisciplinary team members to develop a plan of care ... members, insurance companies, physicians, referral sources, community service organizations and ...

ClearSky Health

Case Manager

Flower Mound, TX · On-site

$18.25 - $23.50/hr

The Case Manager works with physicians and multidisciplinary team members to develop a plan of care ... members, insurance companies, physicians, referral sources, community service organizations and ...

Upbring

URM Case Manager

Richardson, TX · On-site

$39K - $52K/yr

Provide case management services and support to foster care parents and families and URM in ... Health, dental, vision insurance & more * 403(b) Plan * Employee Assistance Program * Discounted ...

ClearSky Health

Case Manager

Flower Mound, TX · On-site

$60 - $85/hr

The Case Manager works with physicians and multidisciplinary team members to develop a plan of care ... members, insurance companies, physicians, referral sources, community service organizations and ...

Valor Healthcare, Inc.

RN Case Manager

Dallas, TX · On-site

Maintain compliance with Health Insurance Portability and Accountability Act standards during all case management activities. * Document medical and administrative information across required systems ...

Community-Healthcare-of-Texas

RN Case Manager

Dallas, TX · On-site

$65 - $85/hr

RN Case Manager Full Time Dallas, TX, US 14 days ago Requisition ID: 2187 Community Healthcare of ... Company-provided Life Insurance, Short- and Long-Term Disability * Medical, Dental, Vision

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All JobsInsurance Case JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Dallas, TX

Insurance Case Manager information

See Dallas, TX salary details

$29.8K

$46.6K

$67.8K

How much do insurance case manager jobs pay per year?

As of Sep 6, 2026, the average yearly pay for insurance case manager in Dallas, TX is $46,600.00, according to ZipRecruiter salary data. Most workers in this role earn between $35,700.00 and $54,100.00 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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The top searched job categories for Insurance Case Manager jobs in Dallas, TX are:

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Cities near Dallas, TX with the most Insurance Case Manager job openings:

Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Dallas, TX as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $46,600 per year, or $22.4 per hour.

Medical Case Manager

AmTrust Financial Services, Inc.

Dallas, TX • On-site

Full-time

Medical, Dental, Life, Retirement, PTO

Re-posted 9 days ago

Key responsibilities

  • Use clinical/nursing skills to determine whether all aspects of a patient's care are medically necessary and appropriately delivered.

  • Perform utilization review activities in accordance with jurisdictional guidelines and document case management activities accurately.

  • Coordinate treatment programs, communicate with claims adjusters, employers, and providers, and develop medical resolution strategies to facilitate return to work and appropriate medical care.

Job description

Overview
AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN.
PRIMARY PURPOSE: To provide comprehensive quality telephonic case management to proactively drive a medically appropriate return to work through engagement with the injured employee, provider and employer. Our nurses will be empathetic informative medical resources for our injured employees and they will partner with our adjusters to develop a personalized holistic approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care coordination.
This position is remote in Texas.
Responsibilities
  • Uses clinical/nursing skills to determine whether all aspects of a patient's care, at every level, are medically necessary and appropriately delivered.
  • Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate jurisdictional guidelines.
  • Sends letters as needed to prescribing physician(s) and refers to physician advisor as necessary
  • Responsible for accurate comprehensive documentation of case management activities in case management system.
  • Uses clinical/nursing skills to help coordinate the individual's treatment program while maximizing quality and cost-effectiveness of care including direction of care to preferred provider networks where applicable.
  • Addresses need for job description and appropriately discusses with employer, injured employee and/or provider. Works with employers on modifications to job duties based on medical limitations and the employee's functional assessment.
  • Responsible for helping to ensure injured employees receive appropriate level and intensity of care through use of medical and disability duration guidelines, directly related to the compensable injury and/or assist adjusters in managing medical treatment to drive resolution.
  • Communicates effectively with claims adjuster, client, vendor, supervisor and other parties as needed to coordinate appropriate medical care and return to work.
  • Performs clinical assessment via information in medical/pharmacy reports and case files; assesses client's situation to include psychosocial needs, cultural implications and support systems in place
  • Objectively and critically assesses all information related to the current treatment plan to identify barriers, clarify or determine realistic goals and objectives, and seek potential alternatives.
  • Partners with the adjuster to develop medical resolution strategies to achieve maximal medical improvement or the appropriate outcome
  • Evaluate and update treatment and return to work plans within established protocols throughout the life of the claim.
  • Engage specialty resources as needed to achieve optimal resolution (behavioral health program, physician advisor, peer reviews, medical director).
  • Partner with adjuster to provide input on medical treatment and recovery time to assist in evaluating appropriate claim reserves
  • Maintains client's privacy and confidentiality; promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards.
  • Other duties as may be assigned.
  • Supports the organization's quality program(s).

Qualifications
Education & Licensing
  • Active unrestricted compact RN license in a state or territory of the United States required.
  • Bachelor's degree in nursing (BSN) from accredited college or university or equivalent work experience preferred.
  • Certification in case management, pharmacy, rehabilitation nursing or a related specialty is highly preferred.
  • Ability to acquire, and maintain, appropriate Professional Certifications and Licenses to comply with respective state laws may be required
  • Preferred for license(s) to be obtained within three - six months of starting the job.
  • Written and verbal fluency in Spanish and English preferred

Experience
3+ years of related experience or equivalent combination of education and experience required to include 2+ years of direct clinical care OR 2+ years of case management/utilization management required.
Skills & Knowledge:
  • Knowledge of workers' compensation laws and regulations
  • Knowledge of case management practice
  • Knowledge of the nature and extent of injuries, periods of disability, and treatment needed
  • Knowledge of URAC standards, ODG, Utilization review, state workers compensation guidelines
  • Knowledge of pharmaceuticals to treat pain, pain management process, drug rehabilitation
  • Knowledge of behavioral health
  • Excellent oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Leadership/management/motivational skills
  • Analytic and interpretive skills
  • Strong organizational skills
  • Excellent interpersonal and negotiation skills
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding
Auditory/Visual: Hearing, vision and talking
The expected salary range for this role is $80,000.00-$88,000.00.
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.

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