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Insurance Case Manager Jobs in Raleigh, NC (NOW HIRING)

Addison Group

Case Manager

Raleigh, NC · On-site

$19.50 - $25/hr

The Pre-Litigation Case Manager will work closely with attorneys, clients, medical providers, insurance adjusters, and other external parties to ensure claims progress efficiently toward resolution.

Team Select Home Care

Case Manager

Raleigh, NC · On-site

$19.50 - $25/hr

The Case Manager is a qualified registered nurse with the ability to provide and oversee the care ... insurance payers within required timeframes * Makes the initial evaluation visit and regularly ...

Team Select Home Care

Case Manager

Raleigh, NC · On-site

$19.50 - $25/hr

The Case Manager is a qualified registered nurse with the ability to provide and oversee the care ... insurance payers within required timeframes * Makes the initial evaluation visit and regularly ...

McKesson

Reimbursement Case Manager

Cary, NC · Hybrid

$25 - $26/hr

The Reimbursement Case Manager conducts benefit investigations, prior authorization support ... Key Responsibilities Reimbursement and Insurance Support * Contact commercial, Medicare, Medicaid ...

McKesson

Reimbursement Case Manager

Cary, NC · Hybrid

$25 - $26/hr

The Reimbursement Case Manager conducts benefit investigations, prior authorization support ... Key Responsibilities Reimbursement and Insurance Support * Contact commercial, Medicare, Medicaid ...

McKesson Corporation

Reimbursement Case Manager

Cary, NC · On-site

$25 - $26/hr

The Reimbursement Case Manager conducts benefit investigations, prior authorization support ... Key Responsibilities Reimbursement and Insurance Support * Contact commercial, Medicare, Medicaid ...

genex

Medical Nurse Case Manager

Durham, NC · On-site

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

Chapel Hill, NC

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

Raleigh, NC · 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 ...

Mosaic Health

Clinical Case Manager

Durham, NC

$66K - $111K/yr

Medical, Dental, and Vision insurance * 401(k) with company match * Employer-paid Basic Life ... year of case management experience preferred Preferred Skills & Abilities * Strong computer ...

Mosaic Health

Clinical Case Manager

Raleigh, NC · On-site

$66K - $111K/yr

Medical, Dental, and Vision insurance * 401(k) with company match * Employer-paid Basic Life ... year of case management experience preferred Preferred Skills & Abilities * Strong computer ...

Mosaic Health

Clinical Case Manager

Durham, NC · On-site

$66K - $111K/yr

Medical, Dental, and Vision insurance * 401(k) with company match * Employer-paid Basic Life ... year of case management experience preferred Preferred Skills & Abilities * Strong computer ...

TalentBurst, Inc.

Case Manager - RN

Clayton, NC

Summary: Provides medical case management services to Grifols employees in US who are injured on ... The nurse will facilitate communication and action among Grifols management, insurance carriers ...

Valeris

Executive Case Manager (Remote)

Raleigh, NC · 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 ...

Paradigm

Nurse Case Manager - Raleigh, NC

Raleigh, NC · On-site

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 ...

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Insurance Case Manager information

See Raleigh, NC salary details

$31.6K

$49.4K

$71.9K

How much do insurance case manager jobs pay per year?

As of Sep 1, 2026, the average yearly pay for insurance case manager in Raleigh, NC is $49,422.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,900.00 and $57,400.00 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.
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Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $49,422 per year, or $23.8 per hour.

Case Manager

Addison Group

Raleigh, NC • On-site

$19.50 - $25/hr

Other

Re-posted 21 days ago

Job description

Job Title: Pre-Litigation Case Manager

Location: Charlotte, NC

Type: Temp to Hire, Full time.

Schedule: Monday–Friday 8-5pm


Overview:

We are partnering with a respected law firm to identify a Pre-Litigation Case Manager to manage a high-volume caseload of personal injury claims from inception through resolution. This position is ideal for an organized, client-focused legal professional with personal injury experience who can independently manage multiple cases while providing exceptional client service. The Pre-Litigation Case Manager will work closely with attorneys, clients, medical providers, insurance adjusters, and other external parties to ensure claims progress efficiently toward resolution.


Key Responsibilities:

  • Manage and organize 120+ personal injury cases from inception through resolution.
  • Provide comprehensive support to clients navigating bodily injury and property damage claims.
  • Conduct monthly client calls to gather treatment updates, address concerns, and monitor medical treatment progress.
  • Identify and prioritize cases at various stages of the claims process to ensure timely resolution.
  • Establish, maintain, and follow up on insurance claims while ensuring accuracy and adherence to established procedures.
  • Build and maintain strong relationships with clients, healthcare providers, insurance adjusters, and other external parties.
  • Identify potential claim issues and collaborate with managers and attorneys to develop appropriate solutions.
  • Request, organize, review, and summarize medical records to support case development.
  • Prepare and submit comprehensive settlement packages and demands to insurance companies.
  • Maintain accurate case documentation and ensure files remain organized and up to date.
  • Complete documentation and financial disbursement processes with a high level of accuracy.
  • Communicate professionally and effectively with clients, attorneys, medical providers, insurance representatives, and other parties involved in each claim.


What They're Looking For:

  • 1–3 years of experience working in a personal injury law firm as a Case Manager, Paralegal, or similar legal role.
  • Prior legal experience is required, ideally with experience managing a high-volume litigation or pre-litigation caseload.
  • Demonstrated experience managing 120+ active personal injury cases is highly preferred.
  • Strong understanding of personal injury claims and pre-litigation processes.
  • Excellent client service and interpersonal skills, including the ability to de-escalate and resolve client concerns.
  • Strong organizational and time-management skills with exceptional attention to detail.
  • Excellent written and verbal communication skills.
  • Strong critical thinking and problem-solving abilities.
  • Ability to work independently while also collaborating effectively with attorneys and internal teams.
  • High School Diploma required; Associate's degree preferred. Equivalent relevant experience may be considered.
  • Spanish fluency, including verbal and written communication, is highly preferred.
  • Proficiency with Microsoft Office Suite and legal case management systems.


Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, disability, genetic information, veteran status, or any other protected characteristic in accordance with applicable federal, state, and local laws. Reasonable accommodations are available for qualified individuals with disabilities upon request.

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