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Insurance Case Manager Jobs in Virginia Beach, VA

LGBT Life Center

Housing Case Manager

Norfolk, VA · On-site

$46K/yr

The Housing Case Manager works directly with individuals in need of housing stabilization and ... Medical Insurance * Dental Insurance * Vision Insurance * Life Insurance * Accidental Death ...

LGBT Life Center

Medical Case Manager

Norfolk, VA · On-site

$50K/yr

The Medical Case Manager provides comprehensive, client-centered medical case management services ... Medical Insurance * Dental Insurance * Vision Insurance * Life Insurance * Accidental Death ...

UHS

Case Manager

Portsmouth, VA · On-site

$58K - $61K/yr

The Case Manager provides services for youth, adolescents and their families that promote ... insurance offering, a physician network and various related services located in 40 U.S. states ...

Loyal Source

Nurse Case Manager

Virginia Beach, VA · On-site

The Case Manager shall negotiate, write, finalize, and administer product/service agreements to insure mutual compliance in meeting care goals. Qualifications * The contractor shall have demonstrated ...

genex

Medical Nurse Case Manager

Norfolk, VA · On-site

Compiles a case inventory monthly for submission to the branch manager to allow for proper billing ... Completes insurance carrier reports on a monthly (or as required) basis, as well as other necessary ...

genex

Medical Nurse Case Manager

Norfolk, VA

Compiles a case inventory monthly for submission to the branch manager to allow for proper billing ... Completes insurance carrier reports on a monthly (or as required) basis, as well as other necessary ...

Lifepoint Health

Case Manager (CM)

Portsmouth, VA · On-site

$45 - $55/hr

Obtain pre-certification and re-certification of patient's insurance coverage as appropriate ... Certification in Case Management or Rehabilitation Nursing preferred; for example, Commission for ...

Lifepoint Health

Case Manager (CM)

Portsmouth, VA · On-site

$45 - $55/hr

Obtain pre-certification and re-certification of patient's insurance coverage as appropriate ... Certification in Case Management or Rehabilitation Nursing preferred; for example, Commission for ...

Genex

Medical Nurse Case Manager

Norfolk, VA · On-site

... case management process. Works as an intermediary between carriers, attorneys, medical care ... paperwork for the insurance company, state, or other regulatory bodies. • Maintains ...

Virginia Health Services

RN Case Manager

Newport News, VA · On-site

$35 - $45/hr

) Join our team at VHS Hospice as an RN Case Manager. Proudly supported by Marquis Health Consulting ... Shift differentials * Company-sponsored life insurance * Employee assistance program (EAP ...

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All JobsInsurance Case JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Virginia Beach, VA

Insurance Case Manager information

See Virginia Beach, VA salary details

$30.8K

$48.3K

$70.2K

How much do insurance case manager jobs pay per year?

As of Sep 8, 2026, the average yearly pay for insurance case manager in Virginia Beach, VA is $48,250.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,000.00 and $56,000.00 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 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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The top searched job categories for Insurance Case Manager jobs in Virginia Beach, VA are:

What cities near Virginia Beach, VA are hiring for Insurance Case Manager jobs?

Cities near Virginia Beach, VA with the most Insurance Case Manager job openings:

Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Virginia Beach, VA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 92% In-person, 2% Hybrid, and 6% Remote job distribution, with an average salary of $48,250 per year, or $23.2 per hour.

Case Manager

Childrens Hospital of The Kings Daughters

Norfolk, VA • On-site

$37.13 - $55.69/hr

Full-time

Posted 8 days ago

Children's Hospital Of The King's Daughters rating

7.8

Company rating: 7.8 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

200th of 1,066 rated hospitals

Job description

  • GENERAL SUMMARY

    • The Case Manager is responsible for coordinating the case management care plan to meet the individual/caregiver needs, promoting quality, and cost-effective outcomes. This position involves identifying and resolving barriers that may hinder effective patient care and patient progression to a safe discharge in a timely manner. The Case Manager is responsible for the facilitation of clinically pertinent reviews on patient admissions for continued stay reviews including completion of certifications. Reports to department leadership.

  • ESSENTIAL DUTIES AND RESPONSIBILITIES
    • Educates and empowers individual/caregiver toward self-care and independence. 
    • Collaboratively works to carry out the process of assessment, planning, facilitation, care coordination, evaluation and advocacy options and services to meet the individual’s and family’s comprehensive health needs. 
    • Assesses the patient’s plan of care and develops, implements, monitors, and documents the utilization of resources and progress of the patient through their care. 
    • Interfaces with managed care organizations, external reviewers, and other payers to ensure that the admission and continued stay standards are in compliance with Centers for Medicare and Medicaid Services (CMS) standards.
    • Facilitates options and services to meet the patient’s health care needs. 
    • Performs all other duties as assigned. 
  • LICENSES AND/OR CERTIFICATIONS
    • Preferred Licenses and/or Certifications
      • Registered Nursing License in the State of Virginia or Registered Nurse (RN) holding a valid Compact State license preferred.
      • Case Management Certification preferred.
  • MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS
    • Required Education and Experience
      • Registered Nursing License in the State of Virginia, Registered Nurse (RN) holding a valid Compact State license or Master of Social Work (MSW) from an accredited college / university required.
      • Three years or more acute care experience required.
      • Must provide record of all licensures, certifications, training, and educational requirements at the time of hire.
      • Continuous re-certification and/or maintenance of state licensures, certifications, training, educational and application requirements is required during employment.
    • Preferred Education and Experience
      • Bachelor of Science in Nursing (BSN) preferred.
        • Must provide record of a completed degree or academic transcript from an accredited program, college, or university at time of hire.
      • One year or more case management / care coordination experience preferred. 
      • Three years of acute care experience in pediatric field preferred.
         
    • Required Knowledge, Skills, and Abilities
      • Professional knowledge of area of responsibility to direct planning and implementation of individualized service plan for eligible children with special health care needs to include medical care, social, developmental, educational, vocational, and financial aspects. 
      • Possess the ability to plan, manage and establish a professional working environment within areas of responsibility. 
      • Capable of identifying problems and implementing solutions for operational and organizational issues. 
      • Demonstrates an understanding of the authorization process with Medicaid and other insurances as well as knowledge of Medicaid regulations.
      • Highly motivated, enthusiastic team player who takes initiative.
      • Strong organizational skills with attention to detail and commitment to accuracy.
      • Possess strong verbal and written to adequately describe patient’s clinical presentation and progress in a comprehensive and concise manner.
      • Strong interpersonal skills as well as, the ability to interact with and build collegial relationships with diverse individuals.
      • Proficiency and technical aptitude with the use of Adobe Acrobat and MS Office products, including Excel, PowerPoint, Outlook, and Word.
    • Preferred Knowledge, Skills, and Abilities
      • Knowledge of utilization review and hospital finance processes preferred.
  • WORKING CONDITIONS
    • Normal office environment with little exposure to excessive noise, dust, temperature and the like.
  • PHYSICAL REQUIREMENTS
    • Click here to view physical requirements.

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