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Remote Insurance Case Management Jobs in Florida

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Remote Insurance Case Management information

What are the key skills and qualifications needed to thrive as a Remote Insurance Case Manager, and why are they important?

To thrive as a Remote Insurance Case Manager, you need a solid understanding of insurance policies, claims processes, and case management principles, typically supported by a relevant degree or insurance certifications. Familiarity with case management software, claims processing systems, and secure communication platforms is essential. Excellent organizational skills, attention to detail, and strong written and verbal communication make someone stand out in this role. These skills ensure accurate, efficient handling of cases, effective client support, and compliance with regulatory standards in a remote environment.

What are some common challenges faced in remote insurance case management, and how can they be addressed?

Remote insurance case managers often face challenges such as coordinating care and communication across multiple stakeholders, managing large caseloads, and ensuring timely follow-ups without in-person interactions. To address these, it’s important to utilize robust digital tools for secure documentation and communication, establish clear routines for regular check-ins with clients and providers, and stay organized with task management software. Proactive communication and collaboration with both internal team members and external partners are key to overcoming the distance barrier and ensuring high-quality case management.

What is remote insurance case management?

Remote insurance case management involves overseeing and coordinating insurance claims or cases from a remote location, often working from home or another off-site setting. Professionals in this role assess client needs, communicate with policyholders, healthcare providers, and other stakeholders, and ensure that cases are processed efficiently and in compliance with regulations. Technology and secure software platforms are used to track cases, maintain documentation, and facilitate virtual communication. This role is common in health, disability, and life insurance, and requires strong organizational, communication, and analytical skills.

What is the difference between Remote Insurance Case Management vs Remote Insurance Claims Adjuster?

AspectRemote Insurance Case ManagementRemote Insurance Claims Adjuster
CredentialsTypically requires insurance or case management certificationsRequires claims adjusting licenses or certifications
Work EnvironmentCoordinate with clients, providers, and insurers to manage casesEvaluate and settle insurance claims, often reviewing documentation
Industry UsageUsed across health, auto, and property insurance sectorsPrimarily in auto, property, and health insurance claims
Search & Comparison IntentPeople seeking case management roles or servicesPeople comparing claims adjusting roles or careers

Remote Insurance Case Management involves coordinating and managing insurance cases, focusing on client advocacy and case resolution. In contrast, Remote Insurance Claims Adjusters evaluate and settle insurance claims by reviewing evidence and documentation. Both roles require industry-specific certifications and are integral to the insurance industry, but they serve different functions within the claims process.

What are popular job titles related to Remote Insurance Case Management jobs in Florida? For Remote Insurance Case Management jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Remote Insurance Case Management jobs in Florida look for? The top searched job categories for Remote Insurance Case Management jobs in Florida are:
What cities in Florida are hiring for Remote Insurance Case Management jobs? Cities in Florida with the most Remote Insurance Case Management job openings:
Remote Insurance Case Management jobs near you
Bilingual Case Manager Registered Nurse - Field - Must reside in Hillsborough or Polk County Florida

Bilingual Case Manager Registered Nurse - Field - Must reside in Hillsborough or Polk County Florida

CVS Health

Lakeland, FL • Remote

$60K - $129K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 27 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,245 frontline employees who took The Breakroom Quiz

78th of 99 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary


This is a fulltime remote role with 50-75% travel required for face-to-face visits with members in Polk, Hillsborough, Highlands, Hardee, Manatee Counties. Schedule is Monday-Friday, 8:00am-5:00pm, standard business hours.

We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Clinical Case Management to join our Case Management team. This opportunity offers a competitive salary and full benefits. Our organization promotes autonomy through a Monday-Friday working schedule, paid holidays, and flexibility as you coordinate the care of your members. Clinical Case Management is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Clinical Case Management will effectively manage a caseload that includes supportive and medically complex members. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration. Clinical Case Management will determine appropriate services and supports due to member's health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports.

Required Qualifications

  • Bi-lingual in English and Spanish
  • Active and unrestricted RN license in FL
  • Must reside in Hillsborough or Polk County Florida
  • Willing and able to travel 50-75% of their time to meet members face to face in Polk, Hillsborough, Highlands, Hardee, Manatee Counties
  • 1+ years clinical experience
  • 1+ year computer proficiency in Microsoft Word, Excel, and Outlook

Preferred Qualifications

  • Experience in behavioral health or a long-term care setting
  • Case management and discharge planning experience
  • Managed Care experience
  • Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment
  • Effective communication skills, both verbal and written

Education

  • Diploma RN or Associates Degree in Nursing required
  • Bachelors Degree in Nursing preferred

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$60,522.00 - $129,615.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 06/22/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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