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

For insurance purposes, drivers need to be at least 21 years old, must have a valid drivers ... Case management experience with City Net's target populations (people affected by homelessness ...

A Behavioral Health or (ABA) Program Manager serves in the field as the onsite case supervisor and ... Medical, Dental, and Vision insurance * Generous time off policy (vacation, sick time, and holidays)

A Behavioral Health or (ABA) Program Manager serves in the field as the onsite case supervisor and ... Medical, Dental, and Vision insurance * Generous time off policy (vacation, sick time, and holidays)

A Behavioral Health or (ABA) Program Manager serves in the field as the onsite case supervisor and ... Medical, Dental, and Vision insurance * Generous time off policy (vacation, sick time, and holidays)

RN Case Manager

San Jacinto, CA · On-site

$36.53 - $41.56/hr

Job Summary The RN Case Manager serves as an advocate and care coordinator for at-risk patients ... insurance status * Arrange and coordinate various services based on the needs of the patient ...

Inpatient Case Manager

Perris, CA · On-site

$49.83 - $63.20/hr

... of functions of case management, utilization review and management, and discharge planning ... Knowledge of Medicare benefits and insurance processes and contracts. * Knowledge of accreditation ...

As a Field Case Manager, you will work closely with treating physicians/providers, employers ... and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a ...

RN Case Manager

San Jacinto, CA · On-site

$36.53 - $41.56/hr

Job Summary The RN Case Manager serves as an advocate and care coordinator for at-risk patients ... insurance status * Arrange and coordinate various services based on the needs of the patient ...

Showing results 21-40

Insurance Case Manager information

See Temecula, CA salary details

$32.3K

$50.5K

$73.5K

How much do insurance case manager jobs pay per year?

As of Aug 10, 2026, the average yearly pay for insurance case manager in Temecula, CA is $50,511.00, 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?

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.

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.

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 job categories do people searching Insurance Case Manager jobs in Temecula, CA look for? The top searched job categories for Insurance Case Manager jobs in Temecula, CA are:
What cities near Temecula, CA are hiring for Insurance Case Manager jobs? Cities near Temecula, CA with the most Insurance Case Manager job openings:
Infographic showing various Insurance Case Manager job openings in Temecula, CA as of August 2026, with employment types broken down into 80% Full Time, and 20% Part Time. Highlights an 100% In-person job distribution, with an average salary of $50,511 per year, or $24.3 per hour.

Medical Case Manager - Workers' Compensation

ForzaCare

Carlsbad, CA • On-site

$90K - $120K/yr

Part-time

Re-posted 28 days ago


Job description

ABOUT US:
Founded in 2022, ForzaCare is a purpose-driven organization that helps injured individuals recover faster and return to work safely through coordinated, clinically appropriate care. Our name reflects our mission - Forza means "strength," representing the power of our team, and Care reflects our compassion for those we serve.
ForzaCare is proud to be part of Ethos Risk Services, a leading national provider of investigative and risk mitigation solutions. Together, we're expanding our reach and strengthening our ability to deliver exceptional service across the workers' compensation industry.
JOB SUMMARY:
As a Field Medical Case Manager at ForzaCare, you'll help injured workers navigate their recovery and return to work. You'll act as the central point of coordination, connecting the injured worker, medical providers, employers, and insurance carriers to ensure timely, transparent, and effective care management.
This role is ideal for licensed nurses or certified rehabilitation counselors. While prior experience in workers' compensation is strongly preferred, those who have it will find their background especially valuable in this role.
KEY RESPONSIBILITIES:
  • Coordinate care between medical providers, employers, insurance carriers, and injured workers.
  • Attend appointments with the injured workers, which may include visiting employers and injured workers at their place of employment.
  • Develop, document, and monitor individualized recovery goals and return-to-work plans.
  • Provide consistent communication and detailed progress reports to clients and stakeholders.
  • Ensure all case management work meets or exceeds customer and compliance requirements.
  • Build and maintain strong relationships with clients, providers, and internal team members.

QUALIFICATIONS:
Education & Licensure:
  • Active Registered Nurse (RN) or Certified Rehabilitation Counselor (CRC) license with associated college degree is required.
  • Additional certifications such as CCM, CIRS, or other case management credentials are preferred.
  • Must comply with all state-specific licensure and certification requirements.
  • Prior experience in workers' compensation case management is strongly preferred.
  • Valid driver's license, reliable transportation, and auto insurance with ability to travel to appointments.

Skills & Attributes:
At ForzaCare, we look for professionals who embody our values and thrive in a collaborative, purpose-driven environment:
  • Motivated -You take pride in exceeding goals and continuously improving.
  • Organized - You can manage a fast-paced workload and multiple priorities with ease.
  • Collaborative - You communicate clearly and work well with diverse teams and stakeholders.
  • Committed - You uphold ForzaCare's mission to deliver high-quality, compassionate care and comply with all safety, ethical, and professional standards.

ForzaCare is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic.