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Insurance Case Manager Jobs in Monroeville, PA (NOW HIRING)

genex

Medical Nurse Case Manager

Pittsburgh, PA

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

Pittsburgh, PA

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

Pittsburgh, PA · 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 ...

Community LIFE

RN Case Manager

Pittsburgh, PA · On-site

Registered Nurse Case Manager (RNCM) Currently offering a $5000 sign on bonus for this position ... Medical, dental, vision, life & disability insurance * Retirement Support: Automatic contributions ...

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All JobsInsurance Case JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Monroeville, PA

Insurance Case Manager information

See Monroeville, PA salary details

$32.2K

$50.3K

$73.2K

How much do insurance case manager jobs pay per year?

As of Aug 23, 2026, the average yearly pay for insurance case manager in Monroeville, PA is $50,318.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,600.00 and $58,400.00 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.
More about Insurance Case Manager jobs

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The top searched job categories for Insurance Case Manager jobs in Monroeville, PA are:

What cities near Monroeville, PA are hiring for Insurance Case Manager jobs?

Cities near Monroeville, PA with the most Insurance Case Manager job openings:

Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Monroeville, PA 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 $50,318 per year, or $24.2 per hour.

EMPLOYMENT CASE MANAGER

ACCULTRATION FOR JUSTICE ACCESS & P

Pittsburgh, PA • On-site

$21.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 25 days ago

Job description

Benefits:
  • 401(k)
  • Competitive salary
  • Dental insurance
  • Health insurance
  • Paid time off

Employment Case Manager,  Pittsburgh, PA

Employment Services /Full-time

Acculturation for Justice, Access and Peace Outreach (AJAPO) is a Refugee Resettlement serving refugees and immigrants from all over the globe in Pittsburgh and Allegheny County. 
Established in 2002, AJAPO serves to improve the lives of refugees and immigrants through its programming and supports them to thrive and become independent and self sufficient in many aspects of their lives.  
AJAPO is seeking to employ an Employment Case Manager to assist our consumers with employment services as they work towards their economic and social self sufficiency in the United States.  The candidate will support diversity and be ready  to collaborate with other staff at AJAPO as a team to serve consumers.
Case Manager will work with individuals and families to achieve economic self-sufficiency through employment.  The duties of the Case Manager will include intake, developing service plans, employment conversations with consumers, training on public transportation ride, escort to job interviews and building relationships with employers.
The successful candidate should have  current authorization to work in the United States.

COVID-19 vaccination and boosters are required  for our employees.

The Employment Case Manager will report to the Employment Coordinator.
The Employment Case Manager will provide services to refugees, asylees, SIVs and other eligible consumers as follows:
Main Responsibilities :

  • Provides intake to employable adult consumers 18 years and older ( Some young adults may be in school up to age 20)
  • Provides service plans for individuals and families to map out  their visions and  goals for self- sufficiency, community integration and family cohesion.
  • Together with consumers, converse to develop short resumes
  • Assist consumers with job   search and completion of job applications
  • Provides job- re4adiness counselling
  • Provides budgeting training
  • Provides public transportation orientation to consumers.
  • Assists both consumers and employers with on-boarding services
  • Tracks employment performance using in-house tracker
  • Documents all consumers activities via specified case notes
  • Assists with monthly, quarterly and annual reports on employment services.
  • Attends internal and external meetings.

 Qualifications

  • Bachelor's degree in humanities,  Social Work or  related field preferred
  • Previous relevant work experience and a demonstrated ability to effectively work with refugee, immigrant  or diverse communities
  • Solid understanding of issues pertinent to refugees and immigrants
  • Ability to cultivate excellent relationships with consumers, staff, and partners
  • Ability for tasks management: meeting deadlines  and time scheduling for various  assignments.
  •   Digital literacy is a must ( at minimum, knowledge of word, excel,  power point, publisher and PDF) and  ability to learn new software
  • Flexibility  to work after  hours and few weekends when needed.
  • While language ability is not needed for the position,  it will be a plus, if candidate speaks any of the preferred languages such as Amharic,  Arabic, Dari,  French, Haitian Kreyol, Pashto, Somali, Spanish, Tigrinya, Swahili,
Skills:

  • Caring, patient, energetic, motivated and hardworking person.
  • Ability to take direction as well as initiative to work independently
  • Ability for collaborative as well as being a team player.
  • Ability to take initiative and manage multiple tasks and projects at one time
  • Passion for community building, refugee and immigrant rights
  • Ability to work effectively  and be culturally sensitive to people from diverse backgrounds
  • Good  English reading, writing and  communication skills  
  • COVID-19 vaccination and boosters are required for AJAPO employees.

Requirements:

  • Hours of work are in-person from 9am -  5p.m. Monday to Friday.  Occasionally depending on clients’ needs, staff work  after hours and at weekends.
  • Act 33/34 Child Abuse History,  Pennsylvania State Police Criminal History, Federal Bureau of Investigations (FBI) Criminal History Clearance are required.
  • Initial Training on the job as well as some external training such as Mandatory Reporter are also required.
  • We require COVID-19 vaccination and the boosters  for employees
  • Personal vehicle with  valid driver’s license, and proof of insurance
  • Successful candidate should have  current authorization  to work in the United States.
Selected candidates will be invited for interview.
Compensation:

  1. The pay rate for this position is $21.50/hour (37.5 hours a week)
  2. Benefit package include 100% staff health, vision and dental insurance with a cap of $300/month reimbursable.
  3. IRA of 3% of pay- staff needs to enroll to benefit.
  4. 13 days paid federal public holidays in a year
  5. Paid vacation days – 12 days in a year
  6. $30K Life insurance
  7. Long and short term liability insurance

Equal Opportunity Employer

 

AJAPO is an equal opportunity employer and committed to  equal employment opportunities regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.
All candidates should respond with copies of their resume to Career at ajapo@pittsburgh.org
Thank you