ZipRecruiter

Log In

1

Insurance Case Manager Jobs in Ridgecrest, CA (NOW HIRING)

Clarvida

Peer Support Specialist

Ridgecrest, CA · On-site

$22/hr

... auto insurance • Prior behavioral health experience preferred • Knowledge of community ... Case Management, Community Outreach, Recovery Services, Clarvida Careers

next page

Showing results 1-20

All JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Ridgecrest, CA

Insurance Case Manager information

See Ridgecrest, CA salary details

$32.3K

$50.5K

$73.5K

How much do insurance case manager jobs pay per year?

As of Jun 20, 2026, the average yearly pay for insurance case manager in Ridgecrest, CA is $50,491.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,700.00 and $58,600.00 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, and why are they important?

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.

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 job categories do people searching Insurance Case Manager jobs in Ridgecrest, CA look for? The top searched job categories for Insurance Case Manager jobs in Ridgecrest, CA are:
What cities near Ridgecrest, CA are hiring for Insurance Case Manager jobs? Cities near Ridgecrest, CA with the most Insurance Case Manager job openings:
Insurance Case Manager jobs near you
Triwest VA Liaison &Auth Specialist

Triwest VA Liaison &Auth Specialist

Ridgecrest Regional Hospital

Ridgecrest, CA

$20.54 - $30.81/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago

Ridgecrest Regional Hospital rating

7.5

Company rating: 7.5 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

240th of 1,001 rated hospitals

Job description

Job Summary 

  • Occupation: TriWest/VA Liaison Authorization Specialist 

  • Specialty: Patient Access / Authorization Services 

  • Salary: $20.54–$30.81 per hour 

  • Working Hours: 40 hours/week 

  • Shifts: Day 

  • On-Call: No 

  • Degree Required: High School Diploma 

  • Position Type: Full Time 

  • Work Environment: Hospital / Clinic 

  • Location: 93555, Ridgecrest, California, United States 

  • Visa Sponsorship: No 

Job Description 

We’re looking for TriWest/VA Liaison Authorization Specialists who are excited to help veterans, military personnel, and their families navigate healthcare services and access the care they need. In this role, you’ll coordinate prior authorizations, verify eligibility and benefits, educate patients on TriWest and VA processes, and serve as a valuable resource for government healthcare workflows. We value attention to detail, strong communication, collaboration, and exceptional customer service, and we’re excited to welcome teammates who bring these strengths to our team. 

Key Responsibilities 

  • Initiate and obtain prior authorizations for medical services, procedures, and specialty referrals in a timely manner. 

  • Ensure insurance carrier documentation requirements are met and referral support documentation is maintained within the patient medical record. 

  • Verify TriWest and VA eligibility and benefits using appropriate portals and tools. 

  • Educate patients and families regarding TriWest and VA processes, benefits, and required documentation. 

  • Collaborate with physicians, nurses, and case managers to ensure appropriate documentation is available for authorization submissions. 

  • Accurately document communications, updates, and authorization activity within the electronic health record. 

  • Utilize hospital information systems and scheduling software effectively. 

  • Serve as a subject matter expert for TriWest and VA-related questions and assist with process improvement initiatives related to government healthcare workflows. 

  • Perform medical billing duties and financial administrative tasks as requested by management. 

  • Communicate effectively with management to ensure timely and accurate information sharing. 

  • Perform other duties as assigned. 

Collaborative Teamwork 

This role involves working closely with physicians, nurses, case managers, patients, military personnel, and administrative staff to deliver effective patient-focused services and contribute to a supportive and collaborative work environment. 

Qualifications 

  • High School Diploma required. 

  • Experience with insurance authorizations, eligibility verification, referrals, healthcare administration, or medical billing preferred. 

  • Knowledge of TriWest, VA, or government healthcare programs preferred. 

  • Experience using electronic health records, scheduling systems, and healthcare software preferred. 

  • Ability to read, write, understand and communicate effectively in the English language. 

  • Must be able to put into practice Service Excellence skills with military personnel, patients, families, and coworkers. 

  • Strong organizational, problem-solving, and communication skills. 

Benefits You'll Enjoy 

  • Medical, Dental, Vision 

  • 403B with Employer Match 

  • Life Insurance 

  • Flex Spending – Health Care & Dependent Care 

  • Employee Assistance Program 

  • Gym Membership Reimbursement 

  • Sick and Vacation Time 

  • RRH Earn-To-Learn Program 

Welcome To RRH 

Established for over 60 years, RRH is a non-profit, DNV-accredited, full-service hospital and integrated healthcare system serving our region across a 38-acre campus. RRH includes a 25-bed acute care hospital, a 125-bed skilled nursing facility, and a comprehensive network of services supported by more than 860 employees. Our organization operates five primary care clinics and other multi-specialty clinics, an ambulatory surgery center, ambulance services, and full-service imaging and laboratory capabilities—allowing RRH to deliver coordinated, high-quality care across the continuum. RRH received the American Medical Association's Joy in Medicine Award in both 2023 and 2025, recognizing its commitment to healthcare worker well-being. RRH also maintains an established physician well-being program. 

Our mission is to be the partner of choice for the healthcare needs of our community. Our purpose is to care for our community's health and the well-being of those who care for them. 

About Ridgecrest 

Ridgecrest is a family-friendly community of 38,000 in the desert of central Southern California, far from the traffic and commotion of Los Angeles. Affordable and safe, it's been voted as the best place to live in Kern County by Niche. Home of the China Lake Naval Air Weapons Station, it is near the Sierra Mountains and full of natural wonders, outdoor recreation, and sunshine. Our hospital is close to Mammoth Ski Area, Mount Whitney, Sequoia National Forest, and Death Valley. 

Learn more About Ridgecrest and the Outdoor Activities available throughout the region. 

Apply