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

Adecco

Case Manager RN

Waukesha, WI · On-site

$44.20 - $47.20/hr

Adecco Healthcare & Life Sciences is hiring Case Manager RNs in Waukesha, Wisconsin! This role is ... life insurance, short-term disability, additional voluntary benefits, EAP program, commuter ...

Skybridge Resources

RN Case Manager

Mequon, WI · On-site

$47.85 - $56.55/hr

Case Manager Mequon , WI SkyBridge Healthcare is currently seeking Registered Nurse with Case ... Medical, Dental, and Vision insurance * 24/7 support with a dedicated recruiter * This role may ...

Lifepoint Health

Case Manager (CM)

Oak Creek, WI · On-site

How you'll contribute A Case Manager who excels in this role: * Completes departmental orientation ... Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability ...

The Salvation Army

Family Case Manager

Milwaukee, WI · On-site

$42K - $56K/yr

The Family Case Manager providescase management services to families referred by Coordinated Entry ... Valid Wisconsin Driver's license with clearance to drive from The Salvation Army's insurance ...

Hire Talent

RN HH Case Manager

Burlington, WI · On-site

Registered Nurse (RN) - Hospice Home Health Case Manager We are seeking a compassionate and ... Auto Insurance * Reliable transportation for community visits Skills & Competencies: * Hospice or ...

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All JobsInsurance Case JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Pewaukee, WI

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.
More about Insurance Case Manager jobs
What cities near Pewaukee, WI are hiring for Insurance Case Manager jobs? Cities near Pewaukee, WI with the most Insurance Case Manager job openings:
Insurance Case Manager jobs near you
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 - Skilled Nursing

Champion Care

Milwaukee, WI • On-site

$20 - $24/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 days ago

Job description

) Case Manager - Skilled Nursing
Pay: $20.00 to $24.00 per hour
Champion Care is seeking a compassionate, organized, and detail-oriented Case Manager to support our skilled nursing community. In this role, you will coordinate resident care, collaborate with the interdisciplinary team, and help ensure each resident receives the services and support needed to achieve the best possible outcomes.
If you enjoy building relationships, solving problems, and advocating for residents, we'd love to meet you.
Responsibilities
  • Coordinate resident care plans with nursing, therapy, social services, physicians, and other healthcare professionals.
  • Complete initial and ongoing resident assessments to identify needs and support appropriate care planning.
  • Monitor resident progress and communicate changes to the interdisciplinary team.
  • Help ensure smooth admissions, discharges, and transitions of care.
  • Work with residents and families to provide education, support, and resources.
  • Maintain accurate and timely documentation.
  • Assist with insurance authorizations, Medicare and Medicaid requirements, and payer communication as needed.
  • Participate in care conferences and interdisciplinary team meetings.
  • Support quality improvement initiatives and promote positive resident outcomes.

Qualifications
  • Previous experience in case management, care coordination, admissions, social services, nursing, therapy, or another healthcare-related role preferred.
  • Experience in a skilled nursing, rehabilitation, long term care, hospital, or healthcare setting is strongly preferred.
  • Working knowledge of Medicare, Medicaid, managed care, and insurance authorization processes is a plus.
  • Excellent communication, organization, and problem-solving skills.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Strong computer and documentation skills.
  • A passion for providing outstanding resident care and customer service.

Why Join Champion Care?
  • Competitive hourly pay of $20.00 to $24.00, based on experience
  • Paid time off
  • Health, dental, and vision insurance
  • 401(k)
  • Life insurance
  • Employee Assistance Program
  • Professional growth and advancement opportunities
  • Supportive team environment where your work truly makes a difference

If you're ready to help improve the lives of residents while working alongside a dedicated healthcare team, we encourage you to apply today.
Champion Care is an Equal Opportunity Employer.
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