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Remote Insurance Case Management Jobs in New York

Susquehanna University

Case Manager

Manhattan, NY · On-site +1

$43K - $48K/yr

Experience in residential setting, group work, tenant organization, case management, referral, and ... Medical/Dental/Prescription/Vision/Life Insurance; 403(b); Credit Union; FSAs; Short-and-Long-Term ...

Susquehanna University

Case Manager

Manhattan, NY · On-site +1

$43K - $48K/yr

Experience in residential setting, group work, tenant organization, case management, referral, and ... Medical/Dental/Prescription/Vision/Life Insurance; 403(b); Credit Union; FSAs; Short-and-Long-Term ...

TonaLaw

Personal Injury Case Manager

Islip, NY · On-site +1

$85K/yr

This is a senior-level management role responsible for case production from intake through ... Health insurance and 401(k) * Paid time off and firm holidays * Hybrid work flexibility after ...

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Remote Insurance Case Management information

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 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 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 New York?

For Remote Insurance Case Management jobs in New York, the most frequently searched job titles are:

What job categories do people searching Remote Insurance Case Management jobs in New York look for?

The top searched job categories for Remote Insurance Case Management jobs in New York are:

What cities in New York are hiring for Remote Insurance Case Management jobs?

Cities in New York with the most Remote Insurance Case Management job openings:

Remote Insurance Case Management jobs near you
Infographic showing various Remote Insurance Case Management job openings in New York as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 86% Physical, 1% Hybrid, and 13% Remote job distribution.

RN Care Navigator/Case Manager - Remote (NY State RN license required)

Healthmap Solutions

New York, NY • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Position Summary
The Registered Nurse, Care Navigator/Case Manager will be responsible for case management specific to kidney health management. The Care Navigator will complete activities for the continuum of care to facilitate and promote high quality, cost-effective outcomes for patients and focus on the whole patient and care delivery coordination. Managing a set caseload of mixed acuity members, reviewing and/or obtaining member data and entry in HealthMap’s Care Management documentation system (Compass), completing member health and social determinants of health screenings, medication reconciliation, creation and maintaining member-centric care plans, updates of identified problems, barriers, interventions, and goals and assistance with ongoing case management. The Care Navigator will collaborate with internal and external (physicians, nurses, and other healthcare personnel) to assure positive patient outcomes and care coordination. 

Location/License:  We're looking for candidates that have an active RN license in the state of New York.
Responsibilities

  • Handle in and outbound calls delivering world-class service to our members
  • Educate kidney health and related co-morbid conditions as well as optimizing renal replacement therapy by educating members on the types of dialysis and transplant options
  • Engage members into HealthMap’s Kidney Health Program
  • Follow up with members based on complexity and cadence by policy
  • Serve as patient advocate for responding and working to resolve concerns or barriers
  • Utilize community resources and programs in care planning
  • Serve as liaison between the patient, the patient’s support network, treating physician, and other ancillary providers as a member of an interdisciplinary care team to coordinate care, resolve nursing problems and assist patients in meeting individualized goals
  • Notify providers of identified patient needs based on policy
  • Comply with HIPAA privacy laws and all other federal, state, and local regulations
  • Comply with company-defined operational policies and procedures
  • Comply with company security policies
  • Accountable for individual metrics and key performance indicators and identified by the organization
  • Navigate technical applications - Excel, OneNote, Outlook, and Word
  • Support after hours and various time zones based on business need
  • Drive patient and families in their own care and to support self-management

Requirements

  • Active, unrestricted RN license required
  • Bachelor’s degree required; 6+ years of RN experience including 3+ years in case management may be considered in lieu of degree
  • CCM preferred
  • Three (3) years of experience in case management preferred
  • Experience in a dialysis center or transplant center preferred
  • Experience with Medicare and Medicaid preferred

Skills

  • Advocate and energize a culture of collaboration, positivity, and motivation
  • Strategic thinking and planning
  • Deliver effective communication – verbal and written
  • Succeed in a challenging environment with changing priorities

Travel
No Travel 

Compensation range: $80,000 - $105,000 (dependent on specific market/region as well as experience of the candidate selected).       
 
Benefits: Competitive: Paid Time Off, Medical, Dental, Vision, Short Term/Long Term Disability, 401K with match and other voluntary benefits as elected.


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