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Insurance Social Work Jobs in Rochester, NY (NOW HIRING)

Genesee County

Social Welfare Examiner

Batavia, NY · On-site

$24.07/hr

Work is performed under the direct supervision of a higher ranking Social Welfare Examiner who is ... and Unemployment Insurance; ability to deal effectively with others; ability to analyze facts ...

PuroClean

Social Media Managers 2026

Rochester, NY · On-site +1

$3.9K/mo

Dental insurance * Free food & snacks * Parental leave * Savings bank * Stock options plan ... You will work closely with cross-functional teams, including product, creative, and analytics, to ...

The Arc Wayne

Mental Health Associate

Newark, NY · On-site

Insurance - Medical, Dental and Vision * Tuition Reimbursement * Paid Training * Bereavement Leave ... OR Bachelor's Degree in social work, psychology, or in a related human services field. * Must ...

PuroClean

Social Media Executive 2026

Rochester, NY · On-site

$2.9K/mo

Dental insurance * Employee discounts * Opportunity for advancement * Parental leave * Vision ... With opportunities to work on large-scale projects with some of the world's most innovative brands ...

PuroClean

Social Media Experiment 2026

Rochester, NY · On-site +1

$4.8K/mo

Health insurance About the Role: Google is seeking a highly motivated and experienced Digital ... With opportunities to work on large-scale projects with some of the world's most innovative brands ...

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All JobsInsurance Social Work JobsInsurance Social Work Jobs in Rochester, NY

Insurance Social Work information

See Rochester, NY salary details

$30.6K

$39.3K

$68.1K

How much do insurance social work jobs pay per year?

As of Jul 23, 2026, the average yearly pay for insurance social work in Rochester, NY is $39,266.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,000.00 and $37,500.00 per year, depending on experience, location, and employer.

What is an Insurance Social Work job?

An Insurance Social Work job involves helping clients navigate the emotional, financial, and logistical challenges related to insurance claims, such as medical, disability, or life insurance. Professionals in this role assess client needs, provide guidance on benefits, advocate for fair claims processing, and connect clients with additional support services. They often work for insurance companies, healthcare organizations, or social service agencies to ensure clients receive appropriate resources and assistance.

What are some typical daily responsibilities for someone working in insurance social work?

Insurance social workers often spend their days assessing client situations, helping them understand available insurance benefits, and advocating for their needs with insurance companies. They collaborate closely with healthcare providers, case managers, and insurance adjusters to support seamless access to necessary services and resolve any coverage disputes. Client education, documentation, and follow-up on claims or appeals are also regular tasks. This multifaceted role requires the ability to juggle administrative duties while providing empathetic, client-centered support.

What are the key skills and qualifications needed to thrive in the Insurance Social Work position, and why are they important?

Insurance social workers need a strong background in social work, case management, and knowledge of insurance processes, usually supported by a degree in social work (BSW or MSW) and relevant licensure. Familiarity with client management systems, claims processing software, and an understanding of healthcare regulations is often required. Exceptional communication, problem-solving, and advocacy skills help professionals navigate complex client situations and communicate effectively with both clients and insurers. These abilities are crucial for ensuring clients receive appropriate support, coverage, and resources within the often complicated insurance landscape.

What are popular job titles related to Insurance Social Work jobs in Rochester, NY? For Insurance Social Work jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Insurance Social Work jobs in Rochester, NY look for? The top searched job categories for Insurance Social Work jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Insurance Social Work jobs? Cities near Rochester, NY with the most Insurance Social Work job openings:
Insurance Social Work jobs near you
Infographic showing various Insurance Social Work job openings in Rochester, NY as of July 2026, with employment types broken down into 1% As Needed, 70% Full Time, 22% Part Time, and 7% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $39,266 per year, or $18.9 per hour.

SCN Member Services Specialist

Forward Leading IPA

Rochester, NY • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Salary: $23.00 - $24.00

Ready to Make a Difference?

If you're passionate about helping individuals overcome barriers to care and connecting them with the resources they need to thrive, we encourage you to apply today. Join FLIPA and become part of a mission-driven team dedicated to improving health outcomes and strengthening communities across Upstate New York.


Title: SCN Member Services Specialist

Reports To: TBD
Location: Hybrid (Periodic in-person meetings required)


About Forward Leading IPA (FLIPA)

Forward Leading IPA (FLIPA) is a nonprofit membership association of safety net providers dedicated to improving healthcare outcomes for underserved populations across Upstate New York. Through integrated primary care, behavioral health, and social care services, FLIPA works collaboratively with healthcare providers and community organizations to address the whole-person needs of the communities we serve.


Position Summary

The Member Service Specialist is a dedicated position within the Internal Hub responsible for member status visibility, complaint prevention, coordination issue resolution, and compliance support. This role serves as SCN's primary contact for members seeking updates regarding referrals, services, authorizations, and care coordination activities. The Member Service Specialist bridges communication gaps between members, care managers, providers, community organizations, and the Internal Hub to ensure members receive accurate information and timely assistance. This position plays a critical role in reducing complaints, improving member satisfaction, and supporting SCN's accountability and reporting obligations as a lead entity.


Key Responsibilities

  • Respond to member inquiries regarding referrals, services, authorizations, and care coordination.
  • Track referral status and provide timely updates to members and stakeholders.
  • Investigate and resolve member concerns in collaboration with care managers, providers, and community partners.
  • Document member interactions, complaints, resolutions, and follow-up activities.
  • Monitor referral outcomes and identify barriers to service completion.
  • Support compliance reporting, quality initiatives, and audit preparation.
  • Maintain accurate records and contribute to process improvement efforts.


Qualifications

  • Bachelor's degree in social work, Human Services, Public Health, Healthcare Administration, Nursing, Psychology, or a related field.
  • OR Minimum 3 years of experience in member services, healthcare, care coordination, customer service, or a related area.
  • Strong communication, problem-solving, and customer service skills.
  • Ability to manage sensitive situations with professionalism, empathy, and confidentiality.


Preferred Qualifications

  • Experience with Medicaid, managed care, healthcare navigation, or social care programs.
  • Familiarity with referral management systems, electronic records, and complaint tracking.
  • Knowledge of community resources and care coordination workflows.
  • Bilingual or multilingual skills are preferred.


Compensation

$23.00 $24.00 per hour, commensurate with education and experience.


Benefits

  • 401(k) with Company Match
  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Health Savings Account (HSA)
  • Flexible Spending Account (FSA)
  • Paid Time Off (PTO)
  • Mileage Reimbursement