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

Merakey

Blended Case Manager

Warminster, PA · On-site

$22.85/hr

As a Case Manager, you'll work directly in the community to empower individuals on their journey ... Must possess a valid driver's license, insurance and have a clean driving record. * Own a reliable ...

Merakey

Blended Case Manager

Philadelphia, PA · On-site

$24.68/hr

Position Details Blended Case Management is designed to serve adults living in the community who ... Must possess a valid driver's license, insurance and have a clean driving record. * Own a reliable ...

Merakey

Blended Case Manager

Warminster, PA

$22.85/hr

As a Case Manager, you'll work directly in the community to empower individuals on their journey ... Must possess a valid driver's license, insurance and have a clean driving record. * Own a reliable ...

Genex

Medical Nurse Case Manager

Kennett Square, PA · 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 ...

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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 31, 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.
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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 93% In-person, 2% Hybrid, and 5% Remote job distribution, with an average salary of $46,071 per year, or $22.1 per hour.

CUA Case Manager

Asociacion Puertorriquenos En Marcha Inc

Philadelphia, PA

$60K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 15 days ago

Job description

Description:

Job Type: Full-Time | Field Work + Office-Based
Reports To: CUA Supervisor 

Starting Salary: $60,833 yearly | $29.25 per hour

Regular Work Schedule: Monday-Friday from 8:30 am to 5:00 pm

On-call Schedule: Monday-Friday from 5 pm to 8:30 am | Weekly rotation between team units| No weekends

Locations: Philadelphia, PA

  • CUA 2 - 1900 N 9th Street, Philadelphia, PA 19122
  • CUA 5 - 3300 Henry Avenue, Philadelphia, PA 19129



ABOUT APM & CUA

Asociación Puertorriqueños en Marcha (APM) has been helping families achieve their greatest potential since 1970 by providing early childhood education, foster care & adoption, child welfare, mental & behavioral health, community and economic development, housing, community school services, and violence intervention services to the North Philadelphia communities.  


The Community Umbrella Agencies (CUA) are community-based agencies established to provide case management services and ensure the permanency, wellbeing, and safety of the children, youth, and their families. APM CUA is looking for compassionate and committed social workers who want to create long-lasting impacts in the lives of children and families. APM CUA 2 services the Lower Eastern North region and CUA 5 services the Logan/Olney region. 



JOB SUMMARY  

The CUA Case Manager plays a critical role in supporting families involved in the child welfare system. This position is responsible for managing a caseload of children and families, conducting regular home visits, developing service plans, and coordinating with various stakeholders to ensure the safety and well-being of children. The Case Manager serves as the primary point of contact for families and is instrumental in helping them achieve reunification, kinship care, or other permanency goals.

Key Responsibilities:

  • Case Management & Planning
    • Maintain a caseload in accordance with DHS and agency standards.
    • Conduct comprehensive assessments of family strengths, needs, and risks.
    • Develop and implement Family Service Plans (FSPs) in collaboration with families and service providers.
    • Monitor progress toward goals and adjust plans as needed.
    • Make weekly homes visits for in-home cases and monthly visits for placement cases.
  • Family Engagement & Support
    • Build trusting relationships with children and families through regular home visits and consistent communication.
    • Provide crisis intervention, advocacy, and referrals to community resources.
    • Support families in navigating systems such as education, healthcare, behavioral health, and housing.
  • Collaboration & Coordination
    • Work closely with DHS, legal representatives, schools, medical professionals, and behavioral health providers.
    • Attend and participate in court hearings, Family Team Conferences, and other multidisciplinary meetings.
    • Ensure timely and accurate documentation in the electronic case management system (ECMS).
  • Compliance & Reporting
    • Adhere to all DHS, state, and federal regulations regarding child welfare services.
    • Submit required documentation, reports, and case notes within established timeframes.
    • Participate in regular supervision, training, and quality assurance activities.
  • On Call Services
    • Provision of on-call services in cases of emergency and on a rotational basis as required by APM CUA protocol.
    • On-call hours are 5 pm to 8:30 am Monday through Friday.
    • Every team unit is on call every 4-6 weeks.



 BENEFITS

  • Independence Administrators Medical Insurance Plan or $100/month Reimbursement with Proof of Current Plan
  • Livongo for Diabetes Prevention, Hypertension, and Weight Management (Only for Employees Who Elect Our Medical Insurance)
  • Sword, A Virtual Physical Care Program for Back, Joint, and Muscle Pain (Only for Employees Who Elect Our Medical Insurance)
  • WondrHealth for Weight Management (Only for Employees Who Elect Our Medical Insurance)
  • Sun Life Financial Insurance Plans for Dental, Vision, Life and AD&D, Critical Illness, Accident, and Hospital Indemnity
  • Basic Life Insurance (100% Employer Funded)
  • Short-term and Long-term Disability Insurances
  • 403B Retirement Plan through Mutual of America
  • Flexible Spending Accounts for Health, Childcare, Public Transportation, and Parking Expenses through The Harrison Group
  • AllOne Health Employee Assistance Program at No Cost
  • Employee Referral Program (You Can Earn Up to $600)
  • 20 Days of Paid Time Off include Illness, Vacation, Appointments, and Emergencies
  • 12 Days of Paid Holidays
  • Mileage Reimbursement
  • Free parking lot on Henry Ave location
Requirements:

Education and Experience

  • Must have a Bachelor’s Degree in Social Work or related field including but not limited to sociology, psychology, counseling, criminal justice, education, divinity, or public health administration
  • A minimum of 1 year of experience in human services preferred

Case Management Skills

  • Conducting assessments
  • Developing and implementing service plans
  • Monitoring progress and adjusting plans as needed

Knowledge of Child Welfare Systems

  • Familiarity with DHS policies and procedures
  • Understanding of trauma-informed care and permanency planning

Crisis Intervention

  • Ability to respond to emergencies and de-escalate situations
  • Making appropriate referrals for mental health, substance abuse, or domestic violence

Empathy and Cultural Competence

  • Working effectively with families from diverse backgrounds
  • Building trust and rapport with children and caregivers

Collaboration

  • Coordinating with schools, courts, healthcare providers, and other service agencies
  • Participating in team meetings and family group conferences

Strong Verbal and Written Communication

  • Writing clear, concise case notes and reports
  • Communicating effectively with families, supervisors, and stakeholders

Time Management

  • Managing a high caseload while meeting deadlines and documentation requirements

Attention to Detail

  • Ensuring compliance with legal and procedural standards

Tech Proficiency

  • Using case management software and digital tools for documentation and communication

Clearances

  • Ability to obtain FBI fingerprints, PA criminal record clearance, PA child abuse clearance, medical exam and TB test
  • Valid driver's license with clean driving record  

APM is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. 

Company Description

Asociación Puertorriqueños en Marcha (APM) has been helping families achieve their greatest potential since 1970 by providing early childhood education, foster care & adoption, child welfare, mental & behavioral health, community and economic development, housing, community school services, and violence intervention services to the North Philadelphia communities.