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Insurance Case Manager Jobs in Fort Mill, SC (NOW HIRING)

Your Health Inc

Regional Triage Nurse

Rock Hill, SC · On-site

The role of the Nurse Case Manager position is a critical part of the patient's care team. The ... Free Visit & Prescriptive Services with HDHP Insurance Plan * Employer Matched HSA * Generous PTO ...

Libra Solutions

Case Coordinator

Charlotte, NC · On-site

$18.75 - $25.50/hr

Comfortable managing active caseload of (100-150) cases * Grow relationship with attorney firms and ... insurance plans, 401k with company match and paid time off.

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All JobsInsurance Case JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Fort Mill, SC

Insurance Case Manager information

See Fort Mill, SC salary details

$28.6K

$44.7K

$65K

How much do insurance case manager jobs pay per year?

As of Aug 12, 2026, the average yearly pay for insurance case manager in Fort Mill, SC is $44,677.00, according to ZipRecruiter salary data. Most workers in this role earn between $34,300.00 and $51,800.00 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 are popular job titles related to Insurance Case Manager jobs in Fort Mill, SC? For Insurance Case Manager jobs in Fort Mill, SC, the most frequently searched job titles are:
What job categories do people searching Insurance Case Manager jobs in Fort Mill, SC look for? The top searched job categories for Insurance Case Manager jobs in Fort Mill, SC are:
What cities near Fort Mill, SC are hiring for Insurance Case Manager jobs? Cities near Fort Mill, SC with the most Insurance Case Manager job openings:
Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Fort Mill, SC as of August 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $44,677 per year, or $21.5 per hour.

Licensed Behavior Analyst (BCBA)

Covenant Case Management Services

Charlotte, NC • On-site

$62 - $65/hr

Full-time

Posted 13 days ago

Job description

Covenant Case Management Services is seeking a skilled and experienced Licensed Behavior Analyst (LBA) to provide specialized consultation services for members exhibiting challenging behaviors. You will play a crucial role in developing and implementing individualized behavior support plans to address these behaviors and improve outcomes.
Responsibilities
  • Behavior Support Plans: Develop, implement, and oversee behavior plans, following Clinical Coverage Policy 8P.
  • Behavior Analysis: Observe clients to identify challenging behaviors, record and analyze data, and monitor the implementation of support plans.
  • Progress Assessment and Plan Revision: Assess member progress, make revisions to PBSPs as needed, and decrease target behaviors.
  • Training and Coaching: Provide monthly training sessions to members, staff, and caregivers on positive behavior techniques.
  • Case Management: Independently manage a caseload, participate in treatment plan meetings, and collaborate with the care team.
  • Tele-Consultation: Utilize tele-consultation services when necessary.

Qualifications
  • Education and Credentials: Master's degree in Applied Behavior Analysis or Psychology, full licensure with the North Carolina Behavior Analyst Licensure Board, criminal background check clearance, not listed in the NC Health Care Abuse Registry, active NPI number, CAQH, and NCTracks profile, and professional liability insurance coverage of at least $1 million/$3 million.
  • Experience: Experience working with individuals with I/DD, autism, or TBI preferred but not required. Familiarity with the NC Innovations Waiver program is preferred.
Equal Employment Opportunity Statement
Covenant Case Management Services actively encourages applications from individuals of all backgrounds and lived experiences. We believe diversity strengthens our ability to serve individuals and families with dignity, respect, and compassion.
Covenant Case Management Services is an Equal Employment Opportunity employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, marital status, or any other protected characteristic under applicable federal, state, or local laws.
We are committed to providing a workplace free from discrimination and harassment and to fostering a diverse, inclusive, and respectful environment for all employees, contractors, and applicants. Employment decisions are based on qualifications, merit, and business needs.

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