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Insurance Case Manager Jobs in Pewaukee, WI (NOW HIRING)

Case Management Manager

Milwaukee, WI · On-site

$19.75 - $25.25/hr

Case Manager credentialed from the Commission for Case Manager Certification (CCMC) preferred ... Benefits Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits ...

Case Manager, TCM/CCM

Milwaukee, WI · On-site

$19.75 - $25.25/hr

The Case Manager is responsible for providing ongoing support and case management to individuals in ... Valid Wisconsin driver's license and personal liability insurance. * Ability to use personal and ...

The RN Case Manager utilizes standards, guidelines, and protocols for care delivery and ... General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations ...

The RN Case Manager utilizes standards, guidelines, and protocols for care delivery and ... General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations ...

The RN Case Manager works collaboratively with interdisciplinary teams and team members both ... General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations ...

The RN Case Manager utilizes standards, guidelines, and protocols for care delivery and ... General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations ...

The RN Case Manager works collaboratively with interdisciplinary teams and team members both ... General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations ...

The RN Case Manager works collaboratively with interdisciplinary teams and team members both ... General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations ...

RN Case Manager

Waukesha, WI · On-site

$40 - $45/hr

Initiates and insures completion of all necessary paperwork. * Facilitates completion of orders as ... Case Management certification is a plus Pride-Health offers eligible employee's comprehensive ...

Case Manager: Internal

Milwaukee, WI · On-site

$19.75 - $25.25/hr

FREE life insurance * Health, Dental & Vision Insurance * We are an eligible employer for public student loan forgiveness * Growth & Development opportunities! Internal Case Manager: The Internal ...

Showing results 21-40

Insurance Case Manager information

See Pewaukee, WI salary details

$31.8K

$49.8K

$72.4K

How much do insurance case manager jobs pay per year?

As of Aug 6, 2026, the average yearly pay for insurance case manager in Pewaukee, WI is $49,751.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,200.00 and $57,700.00 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.
What cities near Pewaukee, WI are hiring for Insurance Case Manager jobs? Cities near Pewaukee, WI with the most Insurance Case Manager job openings:
Infographic showing various Insurance Case Manager job openings in Pewaukee, WI as of August 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $49,751 per year, or $23.9 per hour.

Case Manager: Internal and Veterans Affairs

Guest House of Milwaukee

Milwaukee, WI • On-site

Full-time

Medical, Dental, Vision, Life, PTO

Re-posted 8 days ago


Job description

Salary: $44k

Job title: Case Manager: Internal Case Manager and VA Case Manager

Reports to: Director of Internal Case Management

FLSA Status: Full-time/Exempt

The Internal Case Manager and VA Case Manager is responsible for direct case management services of the VA Per Diem dorm and GATES dorm. These services include the coordination of community resources that support and promote long-term housing needs and should place and emphasis on the homeless community and Veteran community. These programs develop sustainable, quality driven programming which focuses on the individuals housing goals and allows the Internal Case Manager and VA case manager to provide a direct linkage to Veteran, mainstream, and community resources for participants. The desired candidate will have knowledge of the challenges faced by the Veteran community and recovery supportive services within the Milwaukee area. The Internal Case Manager and VA case manager will also provide collaboration with internal and external partners including Guest House Fund Development staff and VA Liaison. The Internal Case Manager and VA case manager will also participate in Comprehensive Service Team (CST) meetings, community networking and collaboration events, and represent the agency at Veteran Initiative meetings.


About Guest House of Milwaukee, the largest housing program provider in Wisconsin:

Guest House of Milwaukee, the largest housing program provider in Wisconsin, has been dedicated to addressing homelessness since 1982. Originally a short-term emergency shelter, we now offer a comprehensive range of onsite and community-based programs tailored to the evolving needs of individuals facing housing insecurity. As we enter an exciting growth phase, our commitment to client-centered solutions remains steadfast. With over 40 years of experience, our dedicated staff and partners work to create lasting change for our most vulnerable community members. We envision a Greater Milwaukee that prioritizes care and tackles the root causes of homelessness.


We care about the well-being of our staff by providing:

  • 11 paid holidays + your birthday paid!
  • 3 weeks of vacation with 4 weeks of vacation after 1 year
  • Paid mental health days
  • Paid sick time
  • FREE disability insurance
  • FREE life insurance
  • Health, Dental & Vision Insurance
  • We are an eligible employer for public student loan forgiveness
  • Growth & Development opportunities!

Essential Duties and Responsibilities

  • Manage a case load of up to 20 clients.
  • Provide full case management services for GATES Program and VA Per Diem program, including implementation of Individualized Service Plans (ISP), administrating assessments to determine client needs, and file maintenance.
  • Work directly with participants to progress towards income, health, and housing sustainability by directly assisting or providing referrals to community providers/services. Complete necessary follow-up or actions to assist clients in achieving their goals and meeting their needs.
  • Utilize community and veteran resources that provides services to Grant Per Diem clients such as job-readiness, literacy and GED/diploma programs, AODA and Mental Health treatment, counseling, benefits, drivers license recovery and housing.
  • Provide resources and referrals for a wide range of community-based programming and services to aid in the self-sufficiency, self-advocacy and overall improved quality of life.
  • Track participation, referrals, progress towards housing and other key elements within the program design.
  • Create and distribute workshop/activity schedules and ensure appropriate record keeping and reporting.
  • Accurately enter data in the agency database and Clarity in a timely manner.
  • Participate in the facilitation of VA/emergency shelter dorm meetings and weekly meetings with the VA liaison.
  • Participate in discharge planning and care coordination to assure that appropriate high-quality care is available to the resident upon exit from the program.
  • Some after-hour availability is required to respond to after-hour emergencies.
  • Other duties as assigned by the Director of Internal Case Management.


Qualifications/Training/Experience

  • Knowledge and experience utilizing community services, working with Veterans, housing resources and HUD funded housing.
  • Bachelors degree in human services or related field plus two (2) years of case management experience working with diverse populations preferred.
    • In lieu of a bachelors degree, must possess:
      • An associate degree in human services or related field; and
      • And a minimum of four (4) years of case management experience including experience in housing navigation or working with homeless populations.
  • Familiar with issues related to homelessness, mental illness, and substance abuse.
  • Understanding of motivational interviewing and stages of change principals preferred.
  • Maintain a valid Wisconsin drivers license, vehicle insurance, and reliable transportation in compliance with agency requirements.
  • Knowledge of federal poverty guidelines, HUD guidelines, and HUD rent calculations.
  • Knowledge of Clarity or other HMIS systems.
  • Crisis prevention and intervention training is provided but previous experience preferred.

Competencies:

  • Managing change.
  • Written and verbal communication.
  • Influencing others.
  • Forward-thinking/Strategic.
  • Initiative.
  • Results-oriented.
  • Flexibility.
  • Ability to work well with marginalized populations.
  • Ability to work well with adults of all ages.
  • Ability to handle crises appropriately and communicate effectively with others.
  • Ability to be flexible in work setting and work as a team with other advocates.

This position description indicates the general nature and level of work expected of the employee. It is not designed to cover or contain a comprehensive listing of duties or responsibilities required of the employee. The employee may occasionally lift, push or pull up to 25 pounds. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.