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Remote Insurance Case Management Jobs in Tennessee

VIVA USA INC

Nurse Case Manager

Nashville, TN · On-site +1

Remote Description: Government Programs Care Manager III. For this position, formerly Nurse Case Management Senior Analyst, through the care management process, will promote the improvement of health ...

Symmetry

Remote Insurance Sales Agent

Knoxville, TN · Remote

Remote Insurance Sales Agent Must be authorized to work in the US, no work visas offered at this ... MUST HAVE A WORKING PHONE AND COMPUTER The Wayland Agency | Regional Sales Manager No agents ...

Symmetry

Remote Insurance Sales Agent

Knoxville, TN · On-site +1

Remote Insurance Sales Agent Must be authorized to work in the US, no work visas offered at this ... MUST HAVE A WORKING PHONE AND COMPUTER The Wayland Agency | Regional Sales Manager No agent ...

HMG Careers

Sales Manager Remote

Clarksville, TN · Remote

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work ...

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All JobsInsurance Case Management JobsRemote Insurance Case Management JobsRemote Insurance Case Management Jobs in Tennessee

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 Tennessee?

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

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

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

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

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

Remote Insurance Case Management jobs near you

Nurse Case Manager

VIVA USA INC

Nashville, TN • On-site, Remote

Contractor

Re-posted 16 days ago

Job description

Remote
Description:
Government Programs Care Manager III. For this position, formerly Nurse Case Management Senior Analyst, through the care management process, will promote the improvement of health outcomes to SNP members. Also assist those members experiencing the burdens of illness and injury. The Care Manager will assess, plan, implement, coordinate, monitor and evaluate options and services to meet an individual's health needs within case load assignments of a defined population.
The Care Manager will promote quality cost-effective outcomes managing care needs through the continuum of care utilizing effective verbal and written communication skills and a consumerism approach through education and health advocacy to members serviced.
Ability to work independently and effectively communicate to internal and external customers in a telephonic environment.
Responsibilities:
Establishes a collaborative relationship with client (plan participant/member), family, physician(s), and other providers to determine medical history, current health status, and assess the options for optimal outcomes.
Promote consumerism through education and health advocacy.
Assesses member's health status and treatment plan and identifies any gaps or barriers to healthcare. Establishes a documented patient centric care management plan involving all appropriate parties (client, physician, providers, employers, etc), identifies anticipated case results/outcomes, criteria for case closure, and promotes communication within all parties involved.
Implements, coordinates, monitor and evaluate the care management plan on an ongoing, appropriate basis.
Adheres to professional practice within scope of licensure and certification quality assurance standards and all care management policy and procedures.
Participates in unit and corporate training initiatives and demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate.
Demonstrates sensitivity to culturally diverse situations, clients and customers.
All care management activities and performance metrics are monitored.
Minimum requirements:
Active unrestricted Registered Nurse (RN) license in state or territory of the United States. Compact RN license a required for this role.
Two years full-time equivalent of direct clinical care to the consumer.
Notes:
40 hour schedule that supports M-F, 8 working hours each work day (exclusion of company holidays)
can be remote in any state except NY, CA, HI or AK
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status

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