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Insurance Case Manager Jobs in Lexington, KY (NOW HIRING)

The Commitment House LLC

Case Manager

Lexington, KY · On-site

$3/hr

Compensation Case Manager will receive 50% of what is collected from the case management services ... insurance * (General liability limits of $1mm per occurrence, $3mm aggregate, work comp limits of ...

The Commitment House LLC

Case Manager

Lexington, KY · On-site

$18 - $20/hr

Case Manager Position Status: Full-Time Supervisor: Case Manager Supervisor Work location ... Must have a valid driver's license, reliable transportation, and current automobile insurance.

Valeris

Executive Case Manager (Remote)

Lexington, KY · Remote

The Executive Case Manager provides expertise on insurance coverage and common access and reimbursement challenges affecting patients, healthcare providers and clients. The Executive Case Manager ...

Behavioral Health Group

*Targeted Case Manager

Frankfort, KY

$17.25 - $22.25/hr

As a Targeted Case Manager at Behavioral Health Group, you will assist patients in achieving their ... Choose from three benefits programs, including health, life, vision, and dental insurance. Enjoy ...

Behavioral Health Group

*Targeted Case Manager

Frankfort, KY · On-site

$17.25 - $22.25/hr

As a Targeted Case Manager at Behavioral Health Group, you will assist patients in achieving their ... Choose from three benefits programs, including health, life, vision, and dental insurance. Enjoy ...

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All JobsInsurance Case JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Lexington, KY

Insurance Case Manager information

See Lexington, KY salary details

$28.4K

$44.4K

$64.7K

How much do insurance case manager jobs pay per year?

As of Aug 31, 2026, the average yearly pay for insurance case manager in Lexington, KY is $44,420.00, according to ZipRecruiter salary data. Most workers in this role earn between $34,100.00 and $51,500.00 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 Lexington, KY are:

What cities near Lexington, KY are hiring for Insurance Case Manager jobs?

Cities near Lexington, KY with the most Insurance Case Manager job openings:

Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Lexington, KY as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $44,680 per year, or $21.5 per hour.

Case Manager

Lexington, KY • On-site

The Commitment House LLC
Health Care and Social Assistance • 51 - 200 employees
Learn more about The Commitment House LLCexternal

$3/hr

Contractor

Re-posted 16 days ago

Job description

Compensation 

Case Manager will receive 50% of what is collected from the case management services they provide The Commitment House clients. The monthly payment will be paid on the first Friday of the month. 

Responsibilities of Case Manager 

Case Managers will complete all required documentation: Prior Authorization, Assurance Form, Needs Assessment, Treatment Plan, 4 monthly contacts (2 direct, 2 indirect), and Monthly Summary. 

  • Maintaining accurate, timely, and professional records for all assigned clients.
    • Documentation will be on a 30-day cycle, ending on the 30th of the month and must be submitted by the 5th of the following month.
  • Managing no more than 30 active clients without prior approval.
  • Complying with all applicable laws, ethical standards, and The Commitment House policies.
  • Obtain and Maintain Trainings (i.e. TCM, SUD, SMI/Co-Occurring)
  • Obtain and Maintain required professional certifications, Supervision, CEU’s and liability insurance
    • (General liability limits of $1mm per occurrence, $3mm aggregate, work comp limits of $1mm).

Schedule & Caseload 

Case Managers will set their own schedule, provided all requirements are met.  

  • Case Managers will check in once a day via email, phone and/or physical presence.
  • Schedules shall be set in weekly form and submitted no later than the 1st of the month in collaboration with the program Manager.
  • Services are billable after 12:00pm Monday-Friday, and any time at the weekend. 

Case Managers are not permitted to provide services at any other agency while contracted with the Commitment House.  

Independent Contractor (1099) 

The Case Manager is a 1099 independent contractor, not an employee of The Commitment House. The Case Manager is responsible for their own: Federal, state, and local taxes, including self-employment taxes, Health, liability, and professional insurance, certifications and CEU’s. Case Managers are not eligible for employee benefits. 

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