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Insurance Case Manager Jobs in Rochester, NY (NOW HIRING)

RN Case Manager

Rochester, NY · On-site

$75K - $90K/yr

Meeting regulatory requirements and having a comprehensive understanding of various insurances ... Work Environment The RN Case Manager is primarily in a non-office setting and may be exposed to ...

In lieu of case management experience, 3 or more years of experience assessing patient needs ... of insurance coverage required * Basic computer skills and proficiency in MS Word and Outlook ...

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Insurance Case Manager information

See Rochester, NY salary details

$32.1K

$50.2K

$73.1K

How much do insurance case manager jobs pay per year?

As of Jul 27, 2026, the average yearly pay for insurance case manager in Rochester, NY is $50,241.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,500.00 and $58,300.00 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.
What are popular job titles related to Insurance Case Manager jobs in Rochester, NY? For Insurance Case Manager jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Insurance Case Manager jobs in Rochester, NY look for? The top searched job categories for Insurance Case Manager jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Insurance Case Manager jobs? Cities near Rochester, NY with the most Insurance Case Manager job openings:
Infographic showing various Insurance Case Manager job openings in Rochester, NY as of July 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, and 3% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $50,241 per year, or $24.2 per hour.
Case Manager - RRC

$21 - $24/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago


Volunteers Of America rating

7.0

Company rating: 7.0 out of 10

Based on 125 frontline employees who took The Breakroom Quiz

357th of 759 rated non-profit organizations


Job description

Make a difference in a family's life!
Volunteers of America Upstate New York's continuum of residential programs offer homeless & low-income individuals and families safe housing and support services. We provide long-term solutions to the problems of homelessness, addiction, incarceration, and poverty by helping the people we serve overcome obstacles and develop healthier, more self-sufficient lives.
Part-tkme Case Manager Residential Reentry Center Rochester, NY
SUMMARY
This position is responsible for providing all aspects of case management to Residential Reentry Center residents and former residents currently on home confinement. Scheduled hours include three 8-hour shifts per week, from 12 pm - 8 pm, to include one weekend day.
JOB DUTIES AND RESPONSIBILITIES
  • Work with Residential Reentry Center residents and former residents currently on home confinement to develop and execute individualized case plans.
  • Establish good working relationships with related agencies to maintain a comprehensive referral network for residents.
  • Conduct home visits and employment checks in accordance with VOA policies and relevant regulatory and funding sources.
  • Provide pro-social life skills training and support on an individual and group basis, and provide follow up to assure residents are achieving set goals. Upload all progress notes (IPP) and other required documentation on R3M - Federal Bureau of Prisons case management program
  • Transport and coordinate transportation for residents to services when needed.
  • Maintain accurate records for all residents in accordance with VOA policies and relevant regulatory and funding sources.
  • Attend all required trainings and maintain all required certifications.
  • Provide evening and on-call services as scheduled.
  • Other duties as needed.

EXPERIENCE AND EDUCATION QUALIFICATIONS
  • Associates' Degree with a Bachelor's Degree preferred in a social, human services, criminal justice or behavioral science program from an accredited college or university. Four years' of relevant experience may be substituted for a bachelor's degree or two years with an Associate's Degree.
  • One year of experience working in human services, corrections or community-based services
  • Valid NYS Driver's License
  • Strong organizational skills
  • Working knowledge of MS Office products

VOA provides comprehensive benefits for eligible employees including:
  • Competitive Pay
  • Paid Time Off
  • Health, Dental, Vision Insurance
  • Company Paid Life & LTD Insurance
  • 403(b), & more!

Volunteers of America is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, among other things, or status as a qualified individual with a disability.

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