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Insurance Case Manager Jobs in Rome, GA (NOW HIRING)

AdventHealth

Director, Care Management

Calhoun, GA · On-site

$89.92K - $167.25K/yr

Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance * Paid Time Off from Day ... Case Manager (CCM) [Preferred] Pay Range: $89,916.80 - $167,252.91 This facility is an equal ...

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Insurance Case Manager information

See Rome, GA salary details

$32.5K

$50.9K

$74K

How much do insurance case manager jobs pay per year?

As of Jun 3, 2026, the average yearly pay for insurance case manager in Rome, GA is $50,865.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,000.00 and $59,000.00 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 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.

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 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 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.

More about Insurance Case Manager jobs
What job categories do people searching Insurance Case Manager jobs in Rome, GA look for? The top searched job categories for Insurance Case Manager jobs in Rome, GA are:
What cities near Rome, GA are hiring for Insurance Case Manager jobs? Cities near Rome, GA with the most Insurance Case Manager job openings:
Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Rome, GA as of May 2026, with employment types broken down into 73% Full Time, 19% Part Time, and 8% Contract. Highlights an 100% In-person job distribution, with an average salary of $50,865 per year, or $24.5 per hour.
Case Manager (Community Support Services)

Case Manager (Community Support Services)

Highland Rivers Behavioral Health

Cedartown, GA • On-site

$18.25 - $23.50/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 27 days ago

Highland Rivers Behavioral Health rating

6.6

Company rating: 6.6 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

There is a place for you at Highland Rivers Behavioral Health!

Highland Rivers provides treatment and recovery services to individuals impacted by mental illness; substance use disorders and intellectual developmental disabilities.

Are you ready to make a Difference?

JOB SUMMARY: Community Support Services (CSS) are medium-intensity community-based services that promote mental health recovery for people with persistent mental health issues. Services are customized to the needs and preferences of the individual. CSS helps restore individuals to their best possible level of functioning, while building the independence, resiliency and coping skills needed to live in their communities. CSS staff have flexible hours in order to be available to individuals who might need help outside normal hours of operation and are available to respond rapidly to early signs of relapse or crisis.

Duties and Responsibilities include:

  • Community based position.
  • Assist individuals with service needs, developing strategies and supportive, social support networks and coordinating rehabilitation services as specified in the consumer's individual recovery plan.
  • Partner with the individual and CORE services provider in the development of the individual service plan.
  • Assist the individual with the transitioning between levels of care. Link and/or serve as advocate with other agencies to garner needed resources for consumers.
  • Provides assistance and support in crisis situations.
  • Provides assessment, monitoring, and assistance to individuals.
  • Establishes professional and ethical relationships with individuals, families, and coworkers
  • Provides direct service to individuals; completes all necessary paperwork according to policy; ensures individual meet eligibility criteria or refers to appropriate provider in the community.
  • Manages a caseload by ensuring all services are authorized, chart paperwork is complete and current, and consumer charts are closed according to Policy & Procedure.
  • Sees a caseload at the frequency defined in the service plan; documents attempt to contact individuals and ISP reviews; completes monthly caseload reports; track appointments and case management.

Benefits:

  • Health Insurance through the State Health Benefit Plan of GA
  • Flexible Benefits such as dental, vision, life, critical illness, etc.
  • Retirement Plan with employer matching
  • 4 weeks of Paid Time Off with increase of accruals based on years of service
  • 10 paid holidays
  • 1 personal day
  • Qualifying employer for Public Student Loan Forgiveness
  • NHSC loan forgiveness in qualifying counties.
  • Clinical supervision for candidates on a licensure track.

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