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Insurance Case Manager Jobs in Gaithersburg, MD (NOW HIRING)

Paradigm

Nurse Case Manager - Northern Virginia

Reston, VA · On-site

$92K - $102K/yr

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 ...

The Children s Choice

Family Case Manager

Lanham, MD · On-site

$42K - $57K/yr

Family Case Manager (Full Time) LOCATION : New Castle, DE QUALIFICATIONS: * Bachelor's in Social ... Valid driver's license with properly registered and insured vehicle * Proficient in Microsoft ...

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All JobsInsurance Case JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Gaithersburg, MD

Insurance Case Manager information

See Gaithersburg, MD salary details

$35.1K

$54.9K

$80K

How much do insurance case manager jobs pay per year?

As of Sep 6, 2026, the average yearly pay for insurance case manager in Gaithersburg, MD is $54,932.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,100.00 and $63,700.00 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 Gaithersburg, MD are:

What cities near Gaithersburg, MD are hiring for Insurance Case Manager jobs?

Cities near Gaithersburg, MD with the most Insurance Case Manager job openings:

Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Gaithersburg, MD as of August 2026, with employment types broken down into 88% Full Time, and 12% Part Time. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $54,932 per year, or $26.4 per hour.

Nurse Case Manager - Northern Virginia

Paradigm

Reston, VA • On-site

Other

Medical, Life, Retirement, PTO

Posted 12 days ago

Job description

Field Nurse Case Manager

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm's business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.

We're proud to be recognized—again! For the fourth year in a row, we've been certified by Great Place to Work®, and for the third consecutive year, we've earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.

The Surprising Truth About Case Management - Paradigm

Watch this short video for a brief introduction to role of a nurse case manager at Paradigm.

We are seeking a Field Nurse Case Manager to cover Northern Virginia to include but not limited to Arlington, Alexandria, Reston, Leesburg, and Manassas. It may also include coverage for Maryland and D.C.

A Field Nurse Case Manager is a hybrid position. The candidate must be located in the Northern Virginia area due to regular local travel (80% of the time) for in-person patient appointments. Candidate must be willing to travel and be licensed in VA.

This individual is responsible for the medical case management of work-related injuries, which includes assessment, planning, coordination, implementation, and evaluation of injured/disabled individuals. 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 employer and insurance carriers. Candidate must be willing to learn and take catastrophic cases.

At Paradigm, People Come First

It's more than a job. It's a passion. Work at Paradigm, and you'll find deep satisfaction knowing you're making a profound difference in people's lives.

Meaningful work: better outcomes for all isn't just our tagline. It's what guides us to do our best—every day. At Paradigm, you'll find an authentic connection between the work you do and your passion for making a difference in the world.

Exceptional people: You'll work alongside smart people who share a commitment to excellence and a dedication to service. We're not here just for a "job." We're here to transform lives.

Collaborative culture: At Paradigm, a spirit of collaboration and care is evident in everything we do. We promote a culture of inclusivity and value diversity of all kinds including thought, knowledge, and experience. No matter the team, everyone works together toward a common goal to deliver exceptional outcomes.

Qualifications:
  • Current, unencumbered compact Registered Nurse (RN) license in VA
  • Current, unencumbered Registered Nurse (RN) license in DC (required within 30 days of start date)
  • WCCM and MCRSP certifications (required within 30 days of hire).
  • Travel required throughout Northern Virginia, DC, and Maryland.
  • Must be willing to learn and take catastrophic cases
  • Recommended certifications (CCM, CRRN, CDMS, CRC) preferred. REQUIRED within two years of the date of hire
  • Skills required for success: organization and timeline adherence skills, PC and technology skills, communication skills (written, verbal, and interpersonal)
  • Ability to operate autonomously with minimal oversight
  • Skilled at patient education
  • Valid Driver's License, and good driving history
Paradigm Benefits:
  • Health and wellness – We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
  • Financial incentives - Paradigm's financial benefits help prepare you for the future: competitive salaries, 5% premium bonus paid over productivity requirements, premium pay for catastrophic files, cell phone and internet reimbursement, mileage reimbursement (federal rate), 401(k) matching contributions, employer-paid life and disability insurance, flexible spending, and employer-matched HSA contributions.
  • Vacation - We believe strongly that work-life balance is good for you and for our company. We offer paid time off, paid holidays, and a personal holiday.
  • Volunteer Time - We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.
  • Learning and development - One of Paradigm's core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways from our Dedicated Training Department that offers an 8-12 week new hire onboarding program.

Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We're striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.

Paradigm complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Leave Management at leave.management@paradigmcorp.com.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

As a contractor with the State of Wisconsin, Paradigm complies with Wisconsin Contract Compliance Law (§16.765). Poster link: Contract Compliance Law Poster

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