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Long Term Disability Claim Case Manager Jobs (NOW HIRING)

AmTrust Financial Services Inc.

... claim. These responsibilities may include utilization review, pharmacy oversight and care ... Knowledge of the nature and extent of injuries, periods of disability, and treatment needed

Walmart

Case Manager II, Claims Management

Greenland, AR · On-site

$70K - $130K/yr

This role involves reviewing claim reports, determining compensability, authorizing medical ... Other benefits include short-term and long-term disability, company discounts, Military Leave Pay ...

Walmart

Case Manager II, Claims Management

Decatur, AR · On-site

$70K - $130K/yr

This role involves reviewing claim reports, determining compensability, authorizing medical ... Other benefits include short-term and long-term disability, company discounts, Military Leave Pay ...

Walmart

Case Manager II, Claims Management

Lowell, AR · On-site

$70K - $130K/yr

This role involves reviewing claim reports, determining compensability, authorizing medical ... Other benefits include short-term and long-term disability, company discounts, Military Leave Pay ...

Walmart

Case Manager II, Claims Management

Elkins, AR · On-site

$70K - $130K/yr

This role involves reviewing claim reports, determining compensability, authorizing medical ... Other benefits include short-term and long-term disability, company discounts, Military Leave Pay ...

Walmart

Case Manager II, Claims Management

Farmington, AR · On-site

$70K - $130K/yr

This role involves reviewing claim reports, determining compensability, authorizing medical ... Other benefits include short-term and long-term disability, company discounts, Military Leave Pay ...

CCMSI

Nurse Case Manager Senior

Carson City, NV · Remote

$90K - $100K/yr

As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim ... Medical, Dental, Vision, Life, and Disability Insurance * Retirement plans : 401(k) and Employee ...

Pacific Asset Management, LLC

... claim decision-making and help employees in their return-to-work (RTW) journey. You will play an ... This position combines hands-on case management with leadership and mentorship responsibilities. As ...

Genex

Return to Work Case Manager

Wayne, PA · On-site

$18 - $23.25/hr

... claim) and facilitate ADAAA actions for an employer. Responsible for assessment, planning ... disability, long term disability or requests for accommodation process. Case manager works as an ...

ServiceNet

Autism Case Manager

Northampton, MA · On-site

$20/hr

Tuition assistance Autism Case Manager for Adult Programs Fulltime Case Locations: Communities in ... Life insurance and long-term disability insurance. * 403(b) retirement plan. * Tuition remission ...

EagleOne Case Management Solutions

Be Seen First

Field/ Remote RN Case Manager CCM Certified

Memphis, TN · On-site

$79K - $85K/yr

... meets disability/medical criteria throughout claim duration * Updates employer and any other ... If PRN case manager, perform tasks as requested and attend appointments as needed per field ...

GGRM Law Firm

Case Manager

$48K - $72K/yr

Meeting with the assigned attorney on a regular basis to ensure each claim is reviewed at least ... disability status, genetics, protected veteran status, sexual orientation, gender identity or ...

GGRM Law Firm

Case Manager

Las Vegas, NV · On-site

$48K - $72K/yr

Meeting with the assigned attorney on a regular basis to ensure each claim is reviewed at least ... disability status, genetics, protected veteran status, sexual orientation, gender identity or ...

Pacificlife

Sr. Short Term Disability Specialist-1

... claim decision-making and help employees in their return-to-work (RTW) journey. You will play an ... This position combines hands-on case management with leadership and mentorship responsibilities. As ...

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Long Term Disability Claim Case Manager information

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How much do long term disability claim case manager jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for long term disability claim case manager in the United States is $22.95, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $24.76 per hour, depending on experience, location, and employer.

What states have the most Long Term Disability Claim Case Manager jobs?

States with the most job openings for Long Term Disability Claim Case Manager jobs include:

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Medical Case Manager

Scottsdale, AZ • On-site

AmTrust Financial Services, Inc.
Insurance Services • 5 - 10K employees
Learn more about AmTrust Financial Services, Inc.external

Full-time

Medical, Dental, Life, Retirement, PTO

Re-posted 11 days ago

Key responsibilities

  • Use clinical/nursing skills to determine whether all aspects of a patient's care are medically necessary and appropriately delivered.

  • Perform utilization review activities prospectively, concurrently, or retrospectively in accordance with jurisdictional guidelines.

  • Communicate effectively with claims adjuster, client, vendor, supervisor, and other parties to coordinate appropriate medical care and return to work.

Job description

Overview
AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN.
PRIMARY PURPOSE: To provide comprehensive quality telephonic case management to proactively drive a medically appropriate return to work through engagement with the injured employee, provider and employer. Our nurses will be empathetic informative medical resources for our injured employees and they will partner with our adjusters to develop a personalized holistic approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care coordination.
This position is hybrid out of Scottsdale, AZ or remote in Arizona.
Responsibilities
  • Uses clinical/nursing skills to determine whether all aspects of a patient's care, at every level, are medically necessary and appropriately delivered.
  • Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate jurisdictional guidelines.
  • Sends letters as needed to prescribing physician(s) and refers to physician advisor as necessary
  • Responsible for accurate comprehensive documentation of case management activities in case management system.
  • Uses clinical/nursing skills to help coordinate the individual's treatment program while maximizing quality and cost-effectiveness of care including direction of care to preferred provider networks where applicable.
  • Addresses need for job description and appropriately discusses with employer, injured employee and/or provider. Works with employers on modifications to job duties based on medical limitations and the employee's functional assessment.
  • Responsible for helping to ensure injured employees receive appropriate level and intensity of care through use of medical and disability duration guidelines, directly related to the compensable injury and/or assist adjusters in managing medical treatment to drive resolution.
  • Communicates effectively with claims adjuster, client, vendor, supervisor and other parties as needed to coordinate appropriate medical care and return to work.
  • Performs clinical assessment via information in medical/pharmacy reports and case files; assesses client's situation to include psychosocial needs, cultural implications and support systems in place
  • Objectively and critically assesses all information related to the current treatment plan to identify barriers, clarify or determine realistic goals and objectives, and seek potential alternatives.
  • Partners with the adjuster to develop medical resolution strategies to achieve maximal medical improvement or the appropriate outcome
  • Evaluate and update treatment and return to work plans within established protocols throughout the life of the claim.
  • Engage specialty resources as needed to achieve optimal resolution (behavioral health program, physician advisor, peer reviews, medical director).
  • Partner with adjuster to provide input on medical treatment and recovery time to assist in evaluating appropriate claim reserves
  • Maintains client's privacy and confidentiality; promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards.
  • May assist in training/orientation of new staff as requested
  • Other duties may be assigned.
  • Supports the organization's quality program(s).

Qualifications
Education & Licensing
  • Active unrestricted RN license in Arizona or Utah.
  • Active unrestricted RN license in California.
  • Bachelor's degree in nursing (BSN) from accredited college or university or equivalent work experience preferred.
  • Certification in case management, pharmacy, rehabilitation nursing or a related specialty is highly preferred.
  • Ability to acquire, and maintain, appropriate Professional Certifications and Licenses to comply with respective state laws may be required
  • Preferred for license(s) to be obtained within three - six months of starting the job.
  • Written and verbal fluency in Spanish and English preferred

Experience
Five (5) years of related experience or equivalent combination of education and experience required to include two (2) years of direct clinical care OR two (2) years of case management/utilization management required.
Skills & Knowledge:
  • Knowledge of workers' compensation laws and regulations
  • Knowledge of case management practice
  • Knowledge of the nature and extent of injuries, periods of disability, and treatment needed
  • Knowledge of URAC standards, ODG, Utilization review, state workers compensation guidelines
  • Knowledge of pharmaceuticals to treat pain, pain management process, drug rehabilitation
  • Knowledge of behavioral health
  • Excellent oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Leadership/management/motivational skills
  • Analytic and interpretive skills
  • Strong organizational skills
  • Excellent interpersonal and negotiation skills
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding
Auditory/Visual: Hearing, vision and talking
The expected salary range for this role is $80,000.00-$91,000.00.
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.

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