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

Jobot

Insurance Defense Attorney

Rochester, NY

$90K - $130K/yr

Manage a caseload of insurance defense matters including general liability, premises liability, auto, and torts. * Conduct legal research and analysis to support case strategy. * Draft pleadings ...

The Arc Wayne

Job Coach

Newark, NY · On-site

$17.58 - $18.60/hr

Insurance - Medical, Dental and Vision * Tuition Reimbursement * Paid Training * Bereavement Leave ... Provides accurate information to the Program Supervisor and Case Manager about the participants ...

The Arc Wayne

Job Coach

Newark, NY · On-site

$17.58 - $18.60/hr

Insurance - Medical, Dental and Vision * Tuition Reimbursement * Paid Training * Bereavement Leave ... Provides accurate information to the Program Supervisor and Case Manager about the participants ...

The Arc Wayne

Job Coach

Newark, NY · On-site

$16.50 - $21.50/hr

Insurance - Medical, Dental and Vision * Tuition Reimbursement * Paid Training * Bereavement Leave ... Provides accurate information to the Program Supervisor and Case Manager about the participants ...

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All JobsInsurance Case JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Rochester, NY

Insurance Case Manager information

See Rochester, NY salary details

$31.3K

$48.9K

$71.2K

How much do insurance case manager jobs pay per year?

As of Aug 17, 2026, the average yearly pay for insurance case manager in Rochester, NY is $48,890.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,500.00 and $56,700.00 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 Rochester, NY as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $48,890 per year, or $23.5 per hour.

Health Insurance & Authorization Specialist II

Highland Hospital of Rochester

Rochester, NY • On-site

$20.99 - $28.34/hr

Other

Re-posted 26 days ago

Job description


he Health Insurance and Authorization Specialist is responsible for verifying patient insurance eligibility and coverage and securing third-party payer authorization for our urgent/emergent inpatients, observation cases, maternity, and newborn admissions and notifies Utilization Management of clinical requests during the hospital stay. The Specialist also works closely with the uninsured/underinsured for appropriate referrals to our Financial Case Management team to assess patients for health insurance or financial assistance. They track our Medicare patients for benefit exhaustion to ensure compliance with Medicare Life Time Reserve (LTR) consent forms and consistently exercise judgment to resolve insurance barriers on the assigned admissions to avoid billing delays. This role involves a more significant amount of external coordination with outside agencies, including MVA/WC carriers, Motor Vehicle Accident Indemnification Corporation (MVAIC) agency, attorney offices, and works with parents to add their newborn through the NYS Marketplace or employer group.
Supervision: Responsible for monitoring own performance on assigned tasks. Self-directed and must make complex decisions independently. May train other support staff.
This role may have the option to work a hybrid-remote schedule and communicate daily through virtual meetings.
Salary Range:
$20.99- $28.34 an hour
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Job Requirements
  1. Education: High school Diploma or equivalent required. Associate degree preferred in related discipline (admitting/registration/patient billing/insurance); or equivalent experience
  2. Experience: Minimum of 3 years of related experience preferably in a hospital setting, medical office billing and or knowledge of third-party insurance regulations.
  3. Skills: Require high degree of professionalism and motivation with excellent communication and customer service skills, and medical terminology. Good interpersonal and telephone skills. Detail oriented. Computer, copier and FAX skills.

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