Working knowledge of the insurance industry, medical claims, and/or disability claims. Experience ... management. Work Environment You will be working in an approved remote environment within the ...
Working knowledge of the insurance industry, medical claims, and/or disability claims. Experience ... management. Work Environment You will be working in an approved remote environment within the ...
Remote Insurance Agent
Grand Rapids, MI · Remote
$69K/yr
Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Quick apply
Remote Insurance Agent
Grand Rapids, MI · Remote
$69K/yr
Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Remote Insurance Agent
Detroit, MI · Remote
$69K/yr
Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Quick apply
Remote Insurance Agent
Detroit, MI · Remote
$69K/yr
Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Remote Insurance Agent
Lansing, MI · Remote
$69K - $150K/yr
Remote Insurance Representative | Flexible Schedule | Commission Only This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Quick apply
Remote Insurance Agent
Lansing, MI · Remote
$69K - $150K/yr
Remote Insurance Representative | Flexible Schedule | Commission Only This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Remote Insurance Agent
Detroit, MI · Remote
$69K - $150K/yr
Remote Insurance Representative | Flexible Schedule | Commission Only This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Quick apply
Remote Insurance Agent
Detroit, MI · Remote
$69K - $150K/yr
Remote Insurance Representative | Flexible Schedule | Commission Only This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Remote Insurance Agent
Ann Arbor, MI · Remote
$69K - $150K/yr
Remote Insurance Representative | Flexible Schedule | Commission Only This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Quick apply
Remote Insurance Agent
Ann Arbor, MI · Remote
$69K - $150K/yr
Remote Insurance Representative | Flexible Schedule | Commission Only This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Remote Insurance Agent
Lansing, MI · Remote
$69K/yr
Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Quick apply
Remote Insurance Agent
Lansing, MI · Remote
$69K/yr
Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Remote Insurance Agent
Saginaw, MI · Remote
$60K - $110K/yr
Remote Insurance Sales Agent | $60k-$110k+ First Year | No Cold Calling Earn strong first-year ... Manage client pipeline using our CRM system * Follow up to ensure satisfaction and policy retention
Quick apply
Remote Insurance Agent
Saginaw, MI · Remote
$60K - $110K/yr
Remote Insurance Sales Agent | $60k-$110k+ First Year | No Cold Calling Earn strong first-year ... Manage client pipeline using our CRM system * Follow up to ensure satisfaction and policy retention
Remote Insurance Agent
Grand Rapids, MI · Remote
$60K - $110K/yr
Remote Insurance Sales Agent | $60k-$110k+ First Year | No Cold Calling Earn strong first-year ... Manage client pipeline using our CRM system * Follow up to ensure satisfaction and policy retention
Quick apply
Remote Insurance Agent
Grand Rapids, MI · Remote
$60K - $110K/yr
Remote Insurance Sales Agent | $60k-$110k+ First Year | No Cold Calling Earn strong first-year ... Manage client pipeline using our CRM system * Follow up to ensure satisfaction and policy retention
Remote Insurance Agent
Ann Arbor, MI · Remote
$69K/yr
Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Quick apply
Remote Insurance Agent
Ann Arbor, MI · Remote
$69K/yr
Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Remote Insurance Agent
Grand Rapids, MI · Remote
$69K - $150K/yr
Remote Insurance Representative | Flexible Schedule | Commission Only This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Quick apply
Remote Insurance Agent
Grand Rapids, MI · Remote
$69K - $150K/yr
Remote Insurance Representative | Flexible Schedule | Commission Only This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...
Remote Insurance Agent
Detroit, MI · Remote
$60K - $110K/yr
Remote Insurance Sales Agent | $60k-$110k+ First Year | No Cold Calling Earn strong first-year ... Manage client pipeline using our CRM system * Follow up to ensure satisfaction and policy retention
Quick apply
Remote Insurance Agent
Detroit, MI · Remote
$60K - $110K/yr
Remote Insurance Sales Agent | $60k-$110k+ First Year | No Cold Calling Earn strong first-year ... Manage client pipeline using our CRM system * Follow up to ensure satisfaction and policy retention
Remote Insurance Agent
Kalamazoo, MI · Remote
$60K - $110K/yr
Remote Insurance Sales Agent | $60k-$110k+ First Year | No Cold Calling Earn strong first-year ... Manage client pipeline using our CRM system * Follow up to ensure satisfaction and policy retention
Quick apply
Remote Insurance Agent
Kalamazoo, MI · Remote
$60K - $110K/yr
Remote Insurance Sales Agent | $60k-$110k+ First Year | No Cold Calling Earn strong first-year ... Manage client pipeline using our CRM system * Follow up to ensure satisfaction and policy retention
Remote Insurance Agent
Flint, MI · Remote
$60K - $110K/yr
Remote Insurance Sales Agent | $60k-$110k+ First Year | No Cold Calling Earn strong first-year ... Manage client pipeline using our CRM system * Follow up to ensure satisfaction and policy retention
Quick apply
Remote Insurance Agent
Flint, MI · Remote
$60K - $110K/yr
Remote Insurance Sales Agent | $60k-$110k+ First Year | No Cold Calling Earn strong first-year ... Manage client pipeline using our CRM system * Follow up to ensure satisfaction and policy retention
Remote Insurance Broker
Troy, MI · On-site +1
$10K - $20K/mo
... case of a death or disability. * Meeting with Families: 2 days per week: meeting with clients ... Administrative: 2 hours per week: following up with insurance carriers to facilitate client ...
Remote Insurance Broker
Troy, MI · On-site +1
$10K - $20K/mo
... case of a death or disability. * Meeting with Families: 2 days per week: meeting with clients ... Administrative: 2 hours per week: following up with insurance carriers to facilitate client ...
Hiring Remote Insurance Brokers
Detroit, MI · On-site +1
$70K - $90K/yr
Responsibilities include assessing client needs, recommending policies, managing applications, and ... Remote work with flexible hours. Tailored to YOUR schedule Join The Edelson Agency and build a ...
Hiring Remote Insurance Brokers
Detroit, MI · On-site +1
$70K - $90K/yr
Responsibilities include assessing client needs, recommending policies, managing applications, and ... Remote work with flexible hours. Tailored to YOUR schedule Join The Edelson Agency and build a ...
Hiring Remote Insurance Brokers
Detroit, MI · Remote
$70K - $90K/yr
Responsibilities include assessing client needs, recommending policies, managing applications, and ... Remote work with flexible hours. Tailored to YOUR schedule Join The Edelson Agency and build a ...
Hiring Remote Insurance Brokers
Detroit, MI · Remote
$70K - $90K/yr
Responsibilities include assessing client needs, recommending policies, managing applications, and ... Remote work with flexible hours. Tailored to YOUR schedule Join The Edelson Agency and build a ...
Supervisor Care Management
Southfield, MI · On-site +1
Remote - Associate must reside in Michigan (MI) Responsibilities: * Provide daily oversight and clinical direction for the Case Management unit. * Supervise and support staff conducting case ...
New
Supervisor Care Management
Southfield, MI · On-site +1
Remote - Associate must reside in Michigan (MI) Responsibilities: * Provide daily oversight and clinical direction for the Case Management unit. * Supervise and support staff conducting case ...
New
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
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?
What are some common challenges faced in remote insurance case management, and how can they be addressed?
What is remote insurance case management?
What is the difference between Remote Insurance Case Management vs Remote Insurance Claims Adjuster?
| Aspect | Remote Insurance Case Management | Remote Insurance Claims Adjuster |
|---|---|---|
| Credentials | Typically requires insurance or case management certifications | Requires claims adjusting licenses or certifications |
| Work Environment | Coordinate with clients, providers, and insurers to manage cases | Evaluate and settle insurance claims, often reviewing documentation |
| Industry Usage | Used across health, auto, and property insurance sectors | Primarily in auto, property, and health insurance claims |
| Search & Comparison Intent | People seeking case management roles or services | People 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.

Full-time
Posted 6 days ago
Job description
About the Role
We are looking for an experienced RN Clinical Case Manager to support a disability claim review program. In this role, you will guide members through a collaborative case management process built on assessment, planning, care coordination, and ongoing evaluation. Your work directly supports improvement in members' (patients) disabling and co-morbid conditions and helps maximize their employability. You will own your caseload from start to finish and be responsible for an efficient, timely, and complete case management process.
What You'll Do
Determine the appropriate case management track for each assigned case.
Conduct telephonic clinical assessments covering activities of daily living, psycho-social factors, recent hospitalizations, current clinical status, treatment plans and medications, treating physicians, special needs, and the appropriate outreach interval for each case.
Develop customized, member-specific clinical case management plans.
Perform ongoing periodic telephonic outreach at intervals set during the initial clinical assessment.
Request and track receipt of the records and documentation needed to identify ongoing case management needs.
Build and maintain a case management resource library to provide members with information relevant to their conditions.
Assess whether a review is needed for a member's return to their own occupation, and identify the appropriate physician specialty when it is.
Collaborate with vocational specialists during the case management process when needed.
Conduct thorough, ongoing quality review of all case documentation and ensure completeness and accuracy of case paperwork.
Communicate with members, physicians, employers, and clients as appropriate.
Enter case activities into the case management system accurately and within client-required timeframes.
Maintain compliance with applicable practice standards and guidelines, including strict confidentiality and HIPAA adherence.
What You'll Bring
Unrestricted RN licensure, without sanctions.
Current certification in case management or a related field, or the ability to qualify for certification testing within six months of hire.
Minimum of five years of clinical experience.
Minimum of five years of case management experience in one or more of the following: medical, workers' compensation, auto, or disability case management.
Working knowledge of diagnostic coding (ICD-10).
Strong critical thinking, decision-making, and organizational skills with close attention to detail.
Ability to meet deadlines and turnaround times consistently.
Ability to work independently as well as within a team.
Computer literacy, including solid working knowledge of Microsoft Word and Excel.
Strong written, verbal, and telephonic communication skills, with the ability to manage multiple priorities.
Bachelor's degree in nursing or a health-related field.
Working knowledge of the insurance industry, medical claims, and/or disability claims.
Experience with Lean production management.
Work Environment
You will be working in an approved remote environment within the states of: Michigan, Illinois, Florida, Texas, or Minnesota. Stressful conditions may arise when the workload becomes more demanding than usual.
About Managed Medical Review Organization
Sourced by ZipRecruiter
Industry
Public administration
Company size
51 - 200 Employees
Headquarters location
Novi, MI, US
Year founded
2007