79 medical case manager jobs found

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a RN Field Case Manager position in Milwaukee, Wisconsin.   Work from home, and on the road. Monday – Friday, regular business hours.   As a RN Field Case Manager, you will make a meaningful difference in the lives of injured workers and their families.  Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others.  This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral source Utilizes their medical and nursing...

Join our Medical Bill Review team to ensure accurate processing of wage loss and medical claims using applicable laws; manage routine bills and escalate complex issues. This position will be staffed out of our Stevens Point, WI office and is NOT available for remote work. What You'll Do As a Medical Bill Reviewer I , you will: Review, and evaluate in accordance with state regulations and established guidelines, processes original medical, dental, and pharmacy bills. Evaluate bill data in compliance with medical bill processing guidelines. Identifies errors and makes corrections when possible. Determines the completeness of a bill and evaluates whether the bill can be sent back to the provider for required information in accordance with state guidelines. Complete and submit state mandated forms regarding bill review reductions and/or denials in accordance with jurisdictional requirements. Review and issue payment of vendor bills related to claim handling which may...

The Vocational Case Manager provides vocational rehabilitation services and vocational rehabilitation services to physically disabled individuals through coordination with client, referral source, physician, employer, attorney and others with the ultimate goal being the client’s timely return to gainful employment. The Vocational Case Manager interviews and evaluates the client to determine the degree of disability, eligibility and feasibility of vocational rehabilitation services.This position manages placements and activities within the Alternative Light Duty Program, supporting the objectives of the Case Management department and aligning with CorVel’s overall goals. This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Assess and identify suitable light duty assignments; monitor placements for compliance Maintain database of modified duty opportunities and communicate work restrictions and placement details to a variety of parties Collaborate with...

Crum & Forster Company Overview Crum & Forster (C&F) , with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry.   Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the 2025 Great Place to Work ® Award for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion.   C&F is part of Fairfax Financial Holdings, a global, billion dollar organization.  For more information about Crum & Forster,...

Our Actuaries combine refined analytical skills with business acumen to provide cutting edge solutions to real world problems to the markets we serve. Sentry is seeking an analytical and results driven individual to join our team as an Actuarial Analyst in Stevens Point, WI. Across our company, we work to cultivate homegrown talent: people like you who are curious, hardworking, and always looking to improve. Our Actuaries monitor rate adequacy, manage insurance risks, and calculate insurance rates. If this opportunity resonates with what you’re looking for, we want to hear from you. We’re looking for an eager self-starter to join our team. This position will be located at our Home Office in Stevens Point, WI and is not a remote opportunity. For this position, Sentry does not offer employment to holders of F-1, J-1, and H-1 Visas. What You’ll Do           As an Actuarial Analyst you will play a key role in assessing the performance of our business and...

Are you ready to launch your career in the insurance industry? We invite you to apply for this exciting opportunity, where your experience providing customer-focused solutions will be valued and developed. As a member of a comprehensive 24-month training program, you'll gain the experience needed to become a top-tier insurance professional. We're looking for candidates who are enthusiastic about learning insurance and sales, and who are motivated to deliver outstanding support to our customers and partners. This is a Primarily Office-based role, where you'll excel in a sales environment by making outbound phone calls to agents and their teams—increasing new business submissions, quotes, binders, and premium. You'll also work with a designated Brokerage & Alliance carrier, building valuable relationships and industry knowledge along the way. In this primarily office-based role, you will be expected to spend at least 80% of your time (4+ days per week) working from the office....

Job Description: Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead – our policyholders count on us to be there when it matters most. It’s a big ask, but it’s one that we have the power to deliver when we work together. We collaborate and innovate – pushing one another to transform not just Pacific Life, but the entire industry for the better. Why? Because it’s the right thing to do. Pacific Life is more than a job, it’s a career with purpose. It’s a career where you have the support, balance, and resources to make a positive impact on the future – including your own.  Pacific Life is seeking a skilled sales professional to support the growth of Broker Distribution within the Workforce Benefits organization. You will play an integral part in Pacific Life’s efforts to establish and grow a $1B revenue, profitable business in the Workforce Benefits market. This role is considered to be 100% remote, as travel is required, and our...

In this role, you will develop and modify procedures to solve complex problems considering computer equipment capacity and limitations, operating time, and form of desired results. You will analyze business and user needs, documentation of requirements, and translate into proper systems requirements specifications. You will understand the business, technology process (particularly AI delivery), and excel at turning AI tools into something people can confidently use every day—through support, continuous improvement, and smart partnership. Position Compensation Range: $88,000.00 - $145,000.00 Pay Rate Type: Salary Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates. Primary Accountabilities • Leverages line of business and business system expertise including business rule and process knowledge to provide leadership for the most complex business application systems projects. • Works...

This position is with AmFam Investments... In this senior level role, you will be responsible for cross-platform trade execution and settlement support, data quality control, updating databases, system maintenance, process improvements and documentation, collateral management and conducting limited research projects. You will complete trade settlements, security master processing, daily position reconciliations, and cash management across an array of asset sectors and products. You will report to the Senior Manager, Security Operations. Position Compensation Range: $113,000.00 - $194,000.00 Pay Rate Type: Salary Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates. Responsibilities: Review the results of trade support services (outsourced operations) activities against established service level standards. Oversee the setup security master file set-ups, standard wettlement...

Are you passionate about being part of a team at a Fortune 100 company with nearly $70 billion in annual sales that delivers extraordinary care to help individuals and businesses prepare for and protect their future? If so, then Nationwide Financial 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. This role does not qualify for employer-sponsored work authorization.  Nationwide does not participate in the Stem OPT Extension program. #LI-YA1 Job Description Summary Are you passionate about cultivating effective relationships to drive sales growth? If you love a highly visible position where you can influence results through relationship-building and activation expertise, we want to know more about you! As an Account Executive, you’ll be responsible for building and cultivating...

Support our claims operations through accurate data entry, record maintenance, and document prep. Resolve errors, assist stakeholders, and keep claims moving efficiently. Please note: this role is NOT available for remote work and will be staffed out of our Stevens Point, WI office following a hybrid work schedule. What You'll Do   Provide support in   maintaining   claim files, including updating claim coding, financial, and other data elements, preparing a variety   of claims forms and materials, and ordering police reports. Review and audit reports associated with claim file activity for documentation and accuracy. Enter/update   data   as necessary.   Assist   with basic claim referrals to various claims suppliers, including telephonic and field case managers, medical canvases, and   surveillance requests. Complete simple forms when   required .   Compile and review claim records and materials in response to...

Provides middle office support to investments throughout the investment lifecycle from onboarding, servicing and termination. We are looking for an Investment Operations Analyst to join our Alternative Investments team. In this role, you will be responsible for executing operational tasks, such as completing transactions, monitoring and responding to compliance inquiries, statement and documentation management and performing audit functions such as researching and responding to requests for information.   What You'll Do As an Investment Operations Analyst on our Alternative Investments team, you will: Review various communications and gather necessary documentation to initiate fund capital calls and distributions in a timely manner and record investment activity and valuations within internal systems Interpret documents to identify and gather required information to support submission of investment subscriptions and assist with completion of onboarding documents...

You will be responsible for leadership of a corporate digital print production team which performs printing, finishing, distribution, and mail insertion of a variety of print materials for internal and external customers. Ensure daily service level agreements and deadlines are met and that all work is completed. Participate in business continuity planning for the operation. You will report to the Senior Operations Manager, Correspondence Technologies and Operations. Position Compensation Range: $62,000.00 - $103,000.00 Pay Rate Type: Salary Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates. Primary Accountabilities Create a collaborative, performance-driven work environment by promoting trust, transparency, and inclusion. Work with team members to set clear goals, provide feedback, perform performance assessments, and support ongoing development. Lead with influence and...

We are adding an Agent Solutions Coordinator !  This is a hybrid position requiring individuals to work in office 10 days per month; or as needed for business needs.   Who We Are: Since 1909, National Guardian Life Insurance Company (NGL) has been one of America’s most successful and highly rated independent life insurance companies. We specialize in a suite of innovative products for life’s journey, giving people the financial stability, careful guidance and peace of mind to lead a life filled with confidence, dignity and grace.   NGL's Core Values – integrity, dependability, collaboration, compassion and growth are a foundation of our company and help to build on the interactions we have with our policyholders, partners, funeral homes and each other. We believe in creating an inclusive, welcoming environment for all where diversity is celebrated, and everyone is encouraged to live their best, most authentic self. We offer  Employee Resource Groups for...

About Acrisure A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services – and more. In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible. Job Summary Acrisure is seeking an inbound sales specialist to join our growing team. This role is a great opportunity for someone who enjoys working with people, has an interest in sales, and is looking to build a long term career in the insurance industry. This position primarily...

Primary Details Time Type: Full time Worker Type: Employee Title: Infrastructure Services Lead The Opportunity: This position is responsible for administering, supporting, and maintaining infrastructure services in alignment with QBE policies and standards. This role ensures reliable, high-quality service delivery across Data Center Colocation, Managed Services, and Public and Private Cloud environments by partnering with infrastructure teams, technical architects, and third-party providers. This position provides advanced systems and infrastructure analysis, contributes to planning and budgeting activities, and drives automation, optimization, and continuous improvement initiatives. The Service Delivery Lead operates with minimal supervision, exercising strong initiative, independent judgment, and accountability for customer experience and service outcomes. Location: Sun Prairie, Wisconsin Work Arrangement: This role will be on a hybrid schedule required to come in the...

The Cyber Security Engineer is responsible for supporting and enhancing the organization’s network security posture. This role focuses on the implementation, maintenance, and troubleshooting of security technologies including firewalls, endpoint protection solutions, and VPNs. The Cyber Security Engineer builds on foundational cybersecurity skills, demonstrating proficiency in network security concepts and tools, while continuing to develop advanced technical and analytical capabilities. The role requires effective communication, attention to detail, and a commitment to continuous learning within a dynamic security environment. Position Compensation Range: $80,000.00 - $131,000.00 Pay Rate Type: Salary Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates. This position is able to accept candidates who can   transfer a valid, current H-1B visa . However, we   do not provide...

The Cyber Security Lead Engineer is a senior technical leader responsible for designing, implementing, and maintaining robust network security solutions across the organization. This role oversees the configuration and management of firewalls, endpoint protection platforms, and VPN technologies to safeguard critical assets and ensure secure connectivity. In addition to deep expertise in network security, the Lead Engineer leverages software development tools to build, maintain, and update custom security controls and automation scripts, enhancing the overall security environment. The position requires advanced analytical skills, a strong understanding of threat landscapes, and the ability to mentor junior team members. The Lead Engineer collaborates with cross-functional teams, drives security initiatives, and ensures compliance with industry standards and organizational policies. This position demonstrates leadership, technical excellence, and a commitment to continuous improvement...

Provide leadership and management direction of a claim adjusting team. Claim adjusting teams investigate and maintain property/casualty claims. Determines liability, secures information, reviews coverages, arranges appraisals, and settles claims. May work in the field or central location. Directs conformity with the terms of each policy and in compliance with applicable laws, regulations, established standards, and procedures of the company. You will report to the Adjusting Services Senior Manager. In this primarily home-based role must be proximate to one of our office locations in Phoenix, AZ; Boston, MA; Madison, WI; St. Joseph, MO; Keene, NH; Denver, CO or Minneapolis, MN; Atlanta, GA. #LI-Remote Position Compensation Range: $88,000.00 - $145,000.00 Pay Rate Type: Salary Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates. Primary Accountabilities •Create a collaborative,...

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we  CARE  through our values,  Sustainability  initiatives and  inclusive corporate culture .   Our Risk Solutions team is currently seeking a Senior Risk Solutions/Loss Control Consultant , preferably in the Southern Wisconsin region. This is a full-time, exempt role. Position is eligible for a fully remote arrangement.    POSITION OVERVIEW: Conducts high level technical evaluations and loss analysis of more complex prospective or existing policyholders in a consultative manner. Identifies and analyzes exposures and controls. Delivers consultative and technical services to policyholders. Develops and delivers service strategies in collaboration with underwriting and agency partners to insureds.    IN THIS ROLE, YOU WILL: Conduct field surveys on prospect and...