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Insurance Case Manager Jobs in Decatur, GA (NOW HIRING)

Case Manager

Atlanta, GA · On-site

$19.25 - $24.75/hr

CORE JOB SUMMARY The Case Manager (CM) will perform multi-skilled tasks to assist the medical ... Ensures compliance with all State and Federal regulatory guidelines to include Health Insurance ...

The Case Manager works with insurance carriers, medical care providers, attorneys, employers, and employees, and closely monitors the progress of the injured worker and reports results back to the ...

... and Case Management in a cooperative effort with other parties which helps address the issues of ... Contact Employee, Contact Provider, Contact Employer/Adjuster/Insurer: • Objectively and ...

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Insurance Case Manager information

See Decatur, GA salary details

$31.7K

$49.6K

$72.2K

How much do insurance case manager jobs pay per year?

As of Jul 17, 2026, the average yearly pay for insurance case manager in Decatur, GA is $49,638.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,100.00 and $57,600.00 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, 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.
What job categories do people searching Insurance Case Manager jobs in Decatur, GA look for? The top searched job categories for Insurance Case Manager jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Insurance Case Manager jobs? Cities near Decatur, GA with the most Insurance Case Manager job openings:
Infographic showing various Insurance Case Manager job openings in Decatur, GA as of July 2026, with employment types broken down into 2% As Needed, 75% Full Time, 18% Part Time, 1% Temporary, and 4% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $49,638 per year, or $23.9 per hour.

Case Manager

Healthy MD

Atlanta, GA • On-site

$19.25 - $24.75/hr

Other

Posted 11 days ago


Job description

CORE JOB SUMMARY                                                                                                                        

The Case Manager (CM) will perform multi-skilled tasks to assist the medical providers. The CM shall assist patients’ healthcare management and clinical procedures in a culturally competent manner utilizing evidence-based standards of quality, safety, and service. The CM provides hands-on care to patients while adhering to regulatory requirements, standards of care, and organizational policies and procedures, under the direct supervision and responsibility of the Site Manager. The CM will receive guidance from a licensed Nurse Practitioner.

The CM shall adhere to ethical and legal standards of professional practice, recognize, respond to emergencies, and demonstrate professionalism. As a professional, monitors the quality of care provided and nurtures a compassionate and healing environment.

CORE JOB FUNCTIONS                                                                                                          

  1. Prioritizes and integrates multiple requests and work expectations by performing tasks appropriately, in a timely manner safely and professionally. Communicates clearly and in a timely manner to patient and family, as well as the appropriate team members. Seeks assistance when needed.
  2. Contributes to team building by participating in clinic programs and meetings. Commits to positive morale, using constructive and effective conflict resolution skills. Learns and utilizes available technology resources for communication, documentation, and locating pertinent information regarding clinical situations, diagnosis, and treatments.
  3. Attains educational knowledge and competencies that reflects current clinical practice skills. Demonstrates commitment to lifelong learning and is responsible for his/her own professional development and maintenance of knowledge regarding the patient population and assignments.
  4. Ensures compliance with all State and Federal regulatory guidelines to include Health Insurance Portability and Accountability Act (HIPAA).
  5. Meets diverse communication needs of patients with Limited English Proficiency (LEP).
  6. Abides by the standards for ethical behavior, therapeutic communication and protecting the privacy of patient information.
  7. Demonstrate knowledge of basic medical terminology.
  8. Assists providers with physical examinations by preparing treatment/exam room with proper supplies, instruments, and materials, as directed.
  9. Understands the importance of medical and surgical asepsis. Prepares patients for physician’s care with basic instruction and information regarding examination procedures.
  10. Performs routine laboratory tests.
  11. Perform vital signs, EKG, phlebotomy, and document in patient’s medical record.
  12. Observes and reports patient’s signs or symptoms changes.
  13. Escorts and transports patients to various clinic locations.
  14. Cleans and/or sterilizes medical instruments while observing principles of sterile technique.
  15. Schedules patients for tests and completes required forms for laboratory work.
  16. Provides patient with provider’s care instructions and information.
  17. Maintains accurate and complete patient records and documentation. Orders, stocks, and inventories supplies, and assists in performing clerical duties.
  18. Adheres to HealthyMD and Clinic-level Policies & Procedures and safeguards HealthyMD’s assets.
  19. Travel to different site location to conduct STD/HIV Screenings to help identify individuals at risk. These events can occur before, during or after normal working hours including weekends or holidays.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Education:

  • High school diploma or equivalent

Certification and Licensing:

  • Approved MA Certifications Preferred
  • CMA- Certified Medical Assistant - American Association of Medical Assistants (AAMA)®
  • RMA- Registered Medical Assistant - American Medical Technologists (AMT)
  • CCMA- Certified Clinical Medical Assistant- National Healthcare Association (NHA)
  • NCMA - National Certified Medical Assistant (NHA - NCCT)
  • NRCMA - Nationally Registered Certified Medical Assistant (NAHP)
  • American Heart Association (AHA) Basic Life Support (BLS) for healthcare providers
  • HIV & AIDS Certification: Florida HIV/AIDS Healthcare Professional Continue Education (CE) Certification Florida

Driver's License / Experience:

  • Must have clean and active state drives license
  • Must have Phlebotomy experience.