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Insurance Case Manager Jobs in Durham, NC (NOW HIRING)

DAN

TravelAssist Case Manager

Durham, NC · On-site

$80K/yr

JOB SUMMARY The TravelAssist Case Manager helps DAN members access their membership and insurance benefits when involved in a medical emergency while away from home. Members who need assistance call ...

DAN

TravelAssist Case Manager

Durham, NC · On-site +1

$19 - $24.50/hr

JOB SUMMARY The TravelAssist Case Manager helps DAN members access their membership and insurance benefits when involved in a medical emergency while away from home. Members who need assistance call ...

Team Select Home Care

Case Manager

Raleigh, NC · On-site

$19.50 - $25/hr

The Case Manager is a qualified registered nurse with the ability to provide and oversee the care ... insurance payers within required timeframes * Makes the initial evaluation visit and regularly ...

Team Select Home Care

Case Manager

Raleigh, NC · On-site

$19.50 - $25/hr

The Case Manager is a qualified registered nurse with the ability to provide and oversee the care ... insurance payers within required timeframes * Makes the initial evaluation visit and regularly ...

Lutheran Services Carolinas

Case Manager

Raleigh, NC · On-site +1

$48K - $50K/yr

The Foster Care Case Manager has primary responsibility for behavioral intervention management and ... Free medical insurance option ($0 premium) * Career Advancement Opportunities * Tuition Assistance ...

McKesson

Reimbursement Case Manager

Cary, NC · Hybrid

$25 - $26/hr

The Reimbursement Case Manager conducts benefit investigations, prior authorization support ... Key Responsibilities Reimbursement and Insurance Support * Contact commercial, Medicare, Medicaid ...

McKesson Corporation

Reimbursement Case Manager

Cary, NC · On-site

$25 - $26/hr

The Reimbursement Case Manager conducts benefit investigations, prior authorization support ... Key Responsibilities Reimbursement and Insurance Support * Contact commercial, Medicare, Medicaid ...

McKesson

Reimbursement Case Manager

Cary, NC · Hybrid

$25 - $26/hr

The Reimbursement Case Manager conducts benefit investigations, prior authorization support ... Key Responsibilities Reimbursement and Insurance Support * Contact commercial, Medicare, Medicaid ...

genex

Medical Nurse Case Manager

Raleigh, NC · On-site

Compiles a case inventory monthly for submission to the branch manager to allow for proper billing ... Completes insurance carrier reports on a monthly (or as required) basis, as well as other necessary ...

genex

Medical Nurse Case Manager

Durham, NC

Compiles a case inventory monthly for submission to the branch manager to allow for proper billing ... Completes insurance carrier reports on a monthly (or as required) basis, as well as other necessary ...

Genex

Medical Nurse Case Manager

Chapel Hill, NC · On-site

... case management process. Works as an intermediary between carriers, attorneys, medical care ... paperwork for the insurance company, state, or other regulatory bodies. • Maintains ...

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All JobsInsurance Case JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Durham, NC

Insurance Case Manager information

See Durham, NC salary details

$31.4K

$49.1K

$71.4K

How much do insurance case manager jobs pay per year?

As of Aug 11, 2026, the average yearly pay for insurance case manager in Durham, NC is $49,086.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,700.00 and $57,000.00 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.
More about Insurance Case Manager jobs
What job categories do people searching Insurance Case Manager jobs in Durham, NC look for? The top searched job categories for Insurance Case Manager jobs in Durham, NC are:
What cities near Durham, NC are hiring for Insurance Case Manager jobs? Cities near Durham, NC with the most Insurance Case Manager job openings:
Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Durham, NC as of August 2026, with employment types broken down into 86% Full Time, and 14% Part Time. Highlights an 84% In-person, 8% Hybrid, and 8% Remote job distribution, with an average salary of $49,086 per year, or $23.6 per hour.

TravelAssist Case Manager

DAN

Durham, NC • On-site

$80K/yr

Full-time

Re-posted 14 days ago

Job description

TravelAssist Case Manager
POSITION OVERVIEW
FLSA: Exempt, Full Time
Department: Assistance Services
Primary Worksite: 6 West Colony Place, Durham, NC
Reports to: Vice President, Claims and Assistance Services
Salary: Commensurate with experience
This position is responsible for coordinating travel assistance, medical transportation, and related case management services. This is not a Social Worker position and does not provide traditional social work services.
JOB SUMMARY
The TravelAssist Case Manager helps DAN members access their membership and insurance benefits when involved in a medical emergency while away from home. Members who need assistance call DAN's emergency hotline where queries are triaged by medical consultants who work with the treating physician to determine the medical needs and possible medical transportation needs of the member. Once a plan is finalized, the case is transferred to the TravelAssist Case Manager who is responsible for the operational execution of the mission.
Missions often begin with an emergency medical transportation to the closest medical facility. Other services include monitoring the member's condition and the mission as it progresses, keeping family members informed of the members situation, arranging follow up medical transfers, hyperbaric chamber treatments, physician visits, and more. Once the medical emergency passes, the TravelAssist Case Manager will help arrange transportation home, or to another medical facility for further care or treatment.
The TravelAssist Case Manager must exercise independent thinking and critically evaluate information to make appropriate decisions regarding mission parameters to ensure the best outcome for members.
RESPONSIBILITIES
  • Coordinate and provide safe, timely, effective, efficient, and member-centered care.
  • Promote quality and cost-effective interventions to improve outcomes.
  • Handle case assignments, draft service plans, review case progress, and determine case closure.
  • Facilitate multiple care aspects (case coordination, information sharing, etc.); interact with members to monitor their progress and ensure satisfaction.
  • Work with other DAN departments to develop and maintain an international database of local providers (air ambulance, hospitals, etc.) to supplement the existing Hyperbaric Chamber and Referral Physician databases.
  • Work with the DAN Medical Services department to develop clear lines of responsibility for case management and efficient SOPs for the management and transfer of cases.
  • Inform members of available DAN membership and insurance benefits so the member can make informed decisions.
  • Record case information, accurately complete all necessary forms, and produce reports as needed.
  • Adhere to professional standards outlined by DAN's protocols, rules, and regulations.

MINIMUM REQUIREMENTS
  • Proven working experience in travel assistance and/or medical case management, including expertise and knowledge in emergency/critical and acute care; medevac transport services, and understanding of flight physiology is a plus.
  • Excellent knowledge of case management principles, healthcare management, and reimbursement.
  • Critical, independent thinking where outcomes are often time-sensitive; must be self-motivated and able to work in high-pressure situations.
  • Effective communication skills, verbal and written, to build and maintain internal and external relationships.
  • Excellent organizational and time management skills, with the ability to multi-task, problem solve, prioritize, delegate, and meet critical deadlines.
  • Compassionate, with teamwork skills.
  • Typing and computer skills with proficiency in Microsoft Office software.
  • Bachelor's degree in the healthcare field or equivalent experience.

WORKSITE
The primary worksite is the DAN office in Durham, North Carolina. Following an introductory period (3 - 6 months), this position will be eligible for telecommuting or a remote work arrangement. Details will be discussed during the interview process

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