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Insurance Case Manager Jobs in Wayne, PA (NOW HIRING)

Avenues Recovery

Case Manager

Warminster, PA · On-site

$20 - $25.75/hr

Oversee client accounts, ensuring insurance is active throughout duration of treatment * Provide ongoing case management throughout the duration of treatment * Arrange housing, financial aid, legal ...

New

Bethesda Project

Senior Case Manager

Philadelphia, PA · On-site

$25 - $27/hr

The Senior Case Manager assists individuals with a history of homelessness, chronic mental illness ... Life insurance * 403(b) * Employee Assistance Program * Employee Perks Program

Team Select Home Care

Case Manager

Conshohocken, PA · On-site

$19.75 - $25.25/hr

The Case Manager is a qualified registered nurse with the ability to provide and oversee the care ... insurance payers within required timeframes * Makes the initial evaluation visit and regularly ...

BETHANNA

CUA CASE MANAGER

Philadelphia, PA · On-site

Case manager applicants should have strong knowledge of child welfare protective services issues ... proof of insurance coverage * Experience with computers beneficial * Knowledge of social work ...

Team Select Home Care

Case Manager

Conshohocken, PA · On-site

$18.50 - $23.75/hr

The Case Manager is a qualified registered nurse with the ability to provide and oversee the care ... insurance payers within required timeframes * Makes the initial evaluation visit and regularly ...

Merakey

Blended Case Manager

Philadelphia, PA · On-site

$24.68/hr

We are seeking a Blended Case Manager to join our team at our program in Philadelphia, PA 19119 ... Must possess a valid driver's license, insurance and have a clean driving record. * Own a reliable ...

ActionAIDS

Perinatal Case Manager

Philadelphia, PA · On-site

$44K - $49K/yr

The Case Manager works collaboratively with HIV and OB providers, as well as other program staff ... Prior experience working with pregnant individuals, families, and navigating insurance, Medicaid ...

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All JobsInsurance Case JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Wayne, PA

Insurance Case Manager information

See Wayne, PA salary details

$29.5K

$46.1K

$67.1K

How much do insurance case manager jobs pay per year?

As of Aug 23, 2026, the average yearly pay for insurance case manager in Wayne, PA is $46,071.00, according to ZipRecruiter salary data. Most workers in this role earn between $35,300.00 and $53,500.00 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.
More about Insurance Case Manager jobs

What job categories do people searching Insurance Case Manager jobs in Wayne, PA look for?

The top searched job categories for Insurance Case Manager jobs in Wayne, PA are:

What cities near Wayne, PA are hiring for Insurance Case Manager jobs?

Cities near Wayne, PA with the most Insurance Case Manager job openings:

Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Wayne, PA 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 $46,071 per year, or $22.1 per hour.

ABA Case Manager

Laila's Way Behavioral Services

Philadelphia, PA • On-site

$21/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 20 days ago

Job description

Join us to make a positive impact on the lives of children!

Laila’s Way is growing and we’re looking for a Case Manager to join our team. The Case Manager will play a key role in assessing the social and emotional needs of clients, coordinating services, and ensuring all cases are handled with the utmost care and compliance. This is a fantastic opportunity to make a direct impact on families by supporting their behavioral health needs through thoughtful case management and collaboration with various teams and agencies. Individuals who are bilingual are encouraged to apply, but it is not required.

What You’ll Do as a Case Manager:

Make an initial assessment of clients' social and emotional needs, develop action plans, and implement them to successful completion (includes completing intakes as needed).

Schedule psychological appointments for clients and manage related authorizations.

Compile documentation and submit necessary updates to insurance entities for compliance, research, and evaluation purposes.

Ensure cases are appropriately staffed based on client needs, providing guidance to match clinicians' skill sets with family requirements. Advise behavior health technicians on case assignments to optimize care delivery.

Prepare reports, correspondence, and maintain accurate case files for clients.

Collaborate with the Psychological Team, Billing Department, schools, and other external agencies to ensure coordinated care.

Provide families with resources to support their children’s behavioral health needs.

Perform additional duties as assigned, including covering absences or helping during peak periods to balance workloads.

What We’re Looking For in a Case Manager:

Bachelor's degree in social work, psychology, education, ABA, or a related field preferred, but an associate's degree in human services or related fields accepted.

A minimum of one year of experience working in the field of social work, case management, or related behavioral health services

Strong communication skills for collaborating with parents, teachers, and professionals.

A Bilingual candidate is a plus!!

At Laila’s Way, our clinicians receive top-notch training, staying ahead with modern practices and evidence-based interventions. We blend Applied Behavior Analysis (ABA), Cognitive Behavioral Therapy (CBT), and other proven methods to teach effective skills, reduce challenging behaviors, and introduce positive, appropriate replacements.

We’re not just focused on our clients’ progress—we’re committed to ensuring our clinicians are the perfect match for every family we serve. Ready to join a team that’s passionate, knowledgeable, and dedicated to making a lasting impact? Apply today!

Job Type: Full-time

Benefits:

401(k)

Dental insurance

Employee discount

Health insurance

Paid time off

Vision insurance

People with a criminal record are encouraged to apply

Work Location: In person

Apply