80 medical case manager jobs found

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 remote in Pennsylvania ! 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...

If you're passionate about being part of a diverse organization that enables a Fortune 100 company with nearly $70 billion in annual sales to deliver innovative business solutions with excellence, then Nationwide's Legal team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. Would you thrive in an environment where you can deliver top-quality legal services to support the mission of a Fortune 100 insurance company’ to protect people, businesses and futures with extraordinary care? If you possess the academic credentials, strong analytical skills and legal acumen needed for successful litigation work, our team may be the place for you!  Nationwide Trial Division is a national team with approximately 40 offices through six regions across the United States. Our Senior Trial Attorneys are seasoned litigation...

The STD/Absence Claims Case Manager I (CM) is responsible for adjudicating and medically managing Short Term and Absence claims involving specific diagnoses or leave types that tend to resolve quickly. The CM will work with employers, employees, and health care providers to administer Short Term disability in conjunction with other paid or unpaid leaves covered by Guardian, including Family and Medical Leave Act (FMLA), State Paid Medical Leave, and/or State Paid Disability. The CM will manage the claim according to the plan provisions, state and federal guidelines, and established protocols. This role requires sound judgment, critical thinking, and problem-solving skills to work independently, interpret contract provisions, analyze medical and claim information, and administer benefits through the appropriate claim duration or return to work. The CM is responsible for meeting key service deliverables such as turnaround times, quality assurance, and overall customer experience....

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Field Case Manager This Field Case Manager will cover our Philidelphia, PA and surrounding areas along with Cherry Hill, NJ and must live in this area in order to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers t o facilitate; through advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all...

Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees...

Job Description At WSFS Bank, we empower our Associates to grow their careers, guide our customers to secure their financial futures, and actively support our Communities so they can fully thrive. Careers with WSFS Bank offer an inclusive and supportive culture, competitive salaries, advancement opportunities, and more. We are the region's locally headquartered bank and wealth management company. We are honored to consistently be named a Top Workplace by our Associates, who make a difference every day for the people, businesses, and Communities we serve. We Stand For Service® is more than part of our name, it’s our mission and our purpose. The Bank Secrecy Act (BSA) Manager will provide management support and assistance to a team of investigators and analysts specializing in BSA/AML/OFAC compliance issues to ensure regulatory requirements are met using various monitoring systems and reports. The incumbent will be responsible for conducting quality control functions of...

The Annuity New Business Case Manager is responsible for delivering a high-quality service experience while supporting the efficient processing of annuity new business and related operations. This position serves as a primary point of coordination for financial professionals, ensuring requests are handled accurately, proactively, and in accordance with regulatory and company requirements. The position is responsible for managing complex annuity transactions and monitoring cases through each stage of the business process. Through a CARE-focused approach (Communicate, Advocate, Respond, and Empower), this position helps create positive customer experiences while balancing operational efficiency, risk management, and regulatory compliance. As an annuity subject matter expert, the Annuity New Business Case Manager provides guidance on replacement regulations, Best Interest standards, suitability requirements, and annuity order entry platforms. This role partners closely with...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager This Field Case Manager will cover West Pittsburg, PA region (including some of Ohio) and must live in this area in order to be considered. must apply for and or hold an Ohio RN license . Must be an RN and prefers 1.5 years of prior Field Case Manager workers compensation experience. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers t o facilitate; though...

At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship.  We deliver financial strength that builds for generations, and we are always aspiring, looking ahead, and collaborating to achieve more, together.  Come be a part of this journey with us as we champion lives! Job Summary Produce within the assigned territory and achieve satisfactory sales results and submissions of OneAmerica/AUL products. Meet renewal objectives as established by the home office. Provide acceptable levels of service to producers and clients. Assist the Regional Vice President in the development and implementation of the RGO marketing plan. Operate within the RGO budget. Conduct sales and product seminars as necessary. Attend regularly scheduled manager one on ones and office meetings to help identify patterns, areas for improvement, and...

At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship.  We deliver financial strength that builds for generations, and we are always aspiring, looking ahead, and collaborating to achieve more, together.  Come be a part of this journey with us as we champion lives! Job Summary Produce within the assigned territory and achieve satisfactory sales results and submissions of OneAmerica/AUL products. Meet renewal objectives as established by the home office. Provide acceptable levels of service to producers and clients. Assist the Regional Vice President in the development and implementation of the RGO marketing plan. Operate within the RGO budget. Conduct sales and product seminars as necessary. Attend regularly scheduled manager one on ones and office meetings to help identify patterns, areas for improvement, and...

We are GROWING and we are searching for you! Join our team and unlock your potential.     We are GROWING and we are searching for you! Join our team and unlock your potential.     Sign-On Bonus Opportunity! *Unlicensed: Up to $1,500 *Licensed: Up to $2,500 Pay Range : $18-$23 per hour for a Bilingual   Insurance Sales Store Manager.   Our Compensation package includes a competitive base salary + monthly uncapped commissions + renewal commissions + monthly bonus incentives What We Offer: No cold calling involved Uncapped commission potential Lucrative bonus opportunities including performance-based bonuses and sales competitions Continuous on-going training and mentorship Growth-oriented culture with internal promotion opportunities Comprehensive Benefits package including medical, dental, vision, and life insurance Comprehensive 401K plan with competitive employer match Paid time off including holidays, vacation, and...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. Territory: This role covers the Philadelphia, PA and surrounding areas. Ideal Candidate Locations: The ideal candidate will live in Philadelphia or surrounding area.   This is a work-from-home position with day travel to policy locations (on average 3-4 days a week) via company vehicle (personal use, gas and maintenance included). Claims inspections will include onsite and virtual inspection. Depending on claim volume, this role may also support...

The Knowledge Management and Technical Communication Specialist will create, maintain, and optimize FPRS operational knowledge standard operating procedures (SOP’s) and learning assets that improve business performance and colleague effectiveness. This role combines technical writing, process documentation, knowledge management, AI enablement, and targeted training support to ensure colleagues have access to accurate, actionable, and easy-to-find information. The specialist will use approved AI and productivity tools to streamline documentation workflows, improve knowledge accessibility, and support continuous improvement across FPRS operations. Key Responsibilities Knowledge Strategy & Content Development Create, maintain, and continuously improve SOP’s, knowledge articles, procedures, and operational learning assets. Translate complex operational, technical, and regulatory information into clear, concise, user-focused content. Apply documentation standards that...

Senior MS SQL Database Engineer Position Summary We are seeking a highly skilled and experienced Senior MS SQL Database Engineer to lead the design, architecture, governance, and operational support of enterprise database platforms. This role combines strategic architecture responsibilities with deep hands-on database administration expertise, ensuring highly available, performant, secure, and resilient SQL Server environments across on-premises and cloud platforms. The ideal candidate will serve as the technical leader for SQL Server technologies, drive database modernization initiatives, establish architecture standards, and provide operational support for mission-critical applications. This individual will partner with application teams, infrastructure teams, cloud engineering, security, and business stakeholders to design scalable database solutions while maintaining operational excellence. Key Responsibilities Database Engineering & Strategy Define and...

Is the opportunity to join a culture where “We Do the Right Thing,” and “We Courageously Shape Our Future Together” important to you? If so, Guardian is seeking a resolute motivated individual to join our team as a Financial Analyst. Reporting to the Head of Operations, Service, Claims & Transformation Finance, this role plays a central position within Group Benefits Finance, supporting financial analytics, performance insights, and strategic decision support across all operational areas. Financial Analyst partners closely with Operations, Service, Claims, Transformation, Actuarial, FP&A, and senior leadership to deliver actionable insights, enhance cost transparency, and support business decision-making. This role combines operational rigor, executive reporting, and forward-looking analytics to influence financial outcomes and support transformation priorities.  This role partners closely with Operations, Service, Claims, Transformation, Actuarial, FP&A, and...

Digital Marketing Analyst - 87MG6E We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.              Hartford Funds is seeking a Web Designer to work within the Marketing Design team, partnering with our Senior Web Designer on the design, development, ongoing maintenance, and data-driven page management of Hartford Funds' websites and digital campaigns. This is an ideal opportunity for an early-career designer/developer who blends strong graphic design sensibilities with hands-on front-end coding skills, a detail-oriented approach to site maintenance, and a genuine interest in modern web tools, including AI-assisted development. The Web Designer will translate creative concepts into clean, accessible, and functional web pages; hand-code...

About The Institutes Located in beautiful Malvern, Pennsylvania, The Institutes® are a not-for-profit comprised of diverse affiliates that educate, elevate, and connect people in the essential disciplines of risk management and insurance. Through products and services offered by our nearly 20 affiliated business units, people and organizations are empowered to help those in need with a focus on understanding, predicting, and preventing losses to create a more resilient world.   Additionally, we understand the importance of work-life balance—in 2026 Philly.com named us a Top Workplace for the eleventh year and USA Today named us a USA Top Workplace for the fourth year. We provide excellent benefits and a friendly, team-focused work environment to drive employee engagement.   Membership Director The IASA Membership Director is responsible for the full IASA member lifecycle, including recruitment, onboarding, engagement, renewal and retention. This role owns...

We are GROWING and we are searching for you! Join our team and unlock your potential.     Sign-On Bonus Opportunity! *Unlicensed:   Up to   $1,500 *Licensed:   Up to   $2,500 Pay Range : $18-$23 per hour for a Bilingual   Insurance Sales Store Manager.   Our Compensation package includes a competitive base salary + monthly uncapped commissions + renewal commissions + monthly bonus incentives What We Offer: No cold calling involved Uncapped commission potential Lucrative bonus opportunities including performance-based bonuses and sales competitions Continuous on-going training and mentorship Growth-oriented culture with internal promotion opportunities Comprehensive Benefits package including medical, dental, vision, and life insurance Comprehensive 401K plan with competitive employer match Paid time off including holidays, vacation, and personal time Annual incentive trip for top performers Fitness perks: Corporate...

We are GROWING and we are searching for you! Join our team and unlock your potential.     Sign-On Bonus Opportunity! *Unlicensed: Up to $1,500 *Licensed: Up to $2,500 Pay Range : $18-$23 per hour for a Bilingual   Insurance Sales Store Manager.   Our Compensation package includes a competitive base salary + monthly uncapped commissions + renewal commissions + monthly bonus incentives What We Offer: No cold calling involved Uncapped commission potential Lucrative bonus opportunities including performance-based bonuses and sales competitions Continuous on-going training and mentorship Growth-oriented culture with internal promotion opportunities Comprehensive Benefits package including medical, dental, vision, and life insurance Comprehensive 401K plan with competitive employer match Paid time off including holidays, vacation, and personal time Annual incentive trip for top performers Fitness perks: Corporate discounts...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. Territory: Western Pennsylvnia *The successful candidate must live within the assigned territory. This role requires frequent travel throughout the territory. Regular, in person engagement with agency partners within your assigned territory is critical to maintain a level of field presence and visibility that supports Nationwide's commitment to deepening agency relationships and driving profitable growth. Successful candidates should possess: A strong...