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Insurance Claims Nurse information

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$12

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How much do insurance claims nurse jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for insurance claims nurse in Indiana is $22.36, according to ZipRecruiter salary data. Most workers in this role earn between $16.68 and $24.47 per hour, depending on experience, location, and employer.

What does an insurance claims nurse do?

An Insurance Claims Nurse, also known as a nurse case manager or nurse reviewer, evaluates medical claims submitted to insurance companies. They review medical records to ensure that treatments and procedures are medically necessary and covered under the patient's insurance policy. These nurses use their clinical expertise to interpret medical information, communicate with healthcare providers, and help determine the appropriate level of care or coverage. Their work helps prevent fraud and ensures that claims are processed accurately and efficiently.

What are the key skills and qualifications needed to thrive as an insurance claims nurse?

To thrive as an Insurance Claims Nurse, you need a valid nursing license, clinical experience, and a solid understanding of medical terminology and insurance processes. Familiarity with claims management software, electronic health records (EHRs), and sometimes certification in case management (such as CCM) are typically required. Strong analytical thinking, attention to detail, and effective communication skills help you accurately evaluate claims and collaborate with patients, providers, and insurers. These competencies are essential to ensure fair, timely claims resolution and maintain compliance with healthcare and insurance regulations.

How does an insurance claims nurse typically collaborate with other professionals during the claims review process?

Insurance Claims Nurses work closely with claims adjusters, physicians, and case managers to evaluate the medical aspects of insurance claims. They review medical records, assess treatment plans, and provide expert opinions on the necessity and appropriateness of care. Effective communication and teamwork are essential, as their input helps determine coverage decisions and ensures that claims are processed efficiently and fairly. This collaborative environment allows for shared expertise and often presents opportunities to learn from other professionals in the insurance and healthcare fields.

What is the difference between Insurance Claims Nurse vs Insurance Adjuster?

AspectInsurance Claims NurseInsurance Adjuster
Required CredentialsRN license, possibly certifications in case management or insuranceState licensing, insurance certifications (e.g., AIC, CPCU)
Work EnvironmentHospitals, clinics, insurance companies, telehealthInsurance companies, claims offices, field work
Employer & Industry UsageHealthcare and insurance sectorsInsurance industry, claims processing
Common Search & Comparison IntentUnderstanding healthcare-related claims and patient careEvaluating claims, assessing damages, settling insurance claims

Insurance Claims Nurses focus on healthcare-related claims, utilizing nursing skills to evaluate patient needs, while Insurance Adjusters assess damages and process claims for insurance companies. Both roles require industry-specific certifications and work within the insurance sector, but their daily tasks and environments differ significantly.

Do insurance companies hire insurance claims nurses?

Insurance claims nurses are employed by insurance companies to review and assess medical claims, verify coverage, and ensure proper documentation. They often work in claims departments, utilizing clinical knowledge and claims processing systems to evaluate the validity of claims and support the claims adjustment process.

What are the most commonly searched types of Insurance Claims Nurse jobs in Indiana?

The most popular types of Insurance Claims Nurse jobs in Indiana are:

What are popular job titles related to Insurance Claims Nurse jobs in Indiana?

For Insurance Claims Nurse jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Insurance Claims Nurse jobs in Indiana look for?

The top searched job categories for Insurance Claims Nurse jobs in Indiana are:

Insurance Claims Nurse jobs near you
Infographic showing various Insurance Claims Nurse job openings in Indiana as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution, with an average salary of $46,517 per year, or $22.4 per hour.

Risk & Insurance Operations Administrator

Indiana Wesleyan University

Marion, IN • On-site

Full-time

Re-posted 24 days ago

Indiana Wesleyan University rating

8.6

Company rating: 8.6 out of 10

Based on 14 frontline employees who took The Breakroom Quiz

70th of 627 rated colleges and universities

Job description

Risk & Insurance Operations Administrator
Job no: 495134
Work type: Administrative (Full Time)
Location: Marion, IN
Categories: Administrative/Professional, Business/Accounting/Finance
Job Title: Risk & Insurance Operations Administrator
Reporting Relationship: Risk Operations Administrator & Deputy Title IX Coordinator
Unit: Central Administration
Department: Business Affairs-Central Administration
Campus Location: Elder Hall, Marion, IN
Summary of Position: The Risk & Insurance Operations Administrator supports the University's commercial insurance, claims, risk transfer, contract administration, waiver/release, travel risk, and compliance calendar functions. This role emphasizes commercial insurance administration, including claims coordination, certificates of insurance, insurance renewals, and review of contract insurance requirements. The position works with University departments, legal counsel, insurance brokers, carriers, vendors, and leadership to help identify, document, and mitigate risk while ensuring insurance, risk, and contract processes are timely, consistent, and well-documented.
Duties and Responsibilities
  • Insurance, Claims, and Risk Operations
    • Supports the administration of the University's insurance programs, including workers' compensation, property, commercial auto, general liability, professional liability, educator's legal liability, cyber liability, employment practices liability, travel insurance, and umbrella/excess loss policies
    • Assists with annual insurance renewal processes by gathering information, organizing documentation, and coordinating with internal departments, brokers, and carriers
    • Manages and monitors University claims, incidents, claim filings, subrogation, and loss recovery in coordination with appropriate University personnel, brokers, carriers, and legal counsel
    • Reviews claim and incident information to help determine appropriate next steps
    • Processes incoming and outgoing certificates of insurance
    • Reviews insurance requirements in contracts and coordinates appropriate insurance documentation
    • Completes professional liability claim verification reports for health care providers on former/current School of Nursing students
    • Maintains accurate records related to insurance, claims, COIs, incidents, and related risk documentation
  • Contract Operations
    • Reviews, prepares, and coordinates contracts involving leases, licenses, purchases, sales, services, employment, research, and related matters in conjunction with legal counsel and appropriate University stakeholders
    • Administers the University Contract Management and Contract Signature systems
    • Coordinates contract intake, routing, review, signature, storage, and recordkeeping
    • Verifies that contracts are routed to appropriate reviewers and authorized signatories
    • Maintains accurate contract records, including executed agreements, supporting documents, renewal dates, key obligations, and agreement owners
    • Reviews contract-related insurance requirements and escalates related risk issues, including indemnification concerns, renewal obligations, data/security issues, and operational responsibilities
  • Waivers, Releases, and Event Risk
    • Oversees the campus waiver/release process in coordination with legal counsel and appropriate University stakeholders
    • Creates and reviews release of liability and assumption of risk forms for events, activities, and trips
    • Advises departments on event risk considerations, including when waivers, releases, COIs, or other supporting documentation may be needed
  • Travel Risk Support
    • Gathers security information for travel petitions
    • Serves as an emergency contact for trip crisis response, as assigned
    • Supports risk control procedures for international travel, semester abroad, academic classes, short-term trips, and field trips
    • Assists with trip registrations, traveler readiness, documentation review, and analysis of travel security conditions
  • Compliance Calendar and Administrative Support
    • Tracks recurring risk, insurance, contract, travel, and compliance-related deadlines, renewals, reporting obligations, and administrative processes
    • Supports recurring deadlines, renewals, reporting obligations, and administrative risk processes
  • Secondary Duties and Responsibilities
  • Contributes to risk and compliance education for University staff
  • Cross-trains in business compliance, crisis management, and business continuity
  • Assists with process improvements related to contract intake, routing, claims tracking, insurance documentation, and compliance calendar management
  • In conjunction with the Title IX Coordinator, assist with various Title IX efforts to remain compliant with federal and state legislation, regulation, and case law requiring the prompt and equitable resolution of all complaints pursuant to Title IX
  • Supports the development of internal procedures, checklists, templates, and guidance documents
  • Supports special projects related to risk operations, contracts, insurance, travel risk, and institutional risk documentation
  • Performs other duties as assigned in support of Business Affairs and University risk operations

Qualifications: According to Indiana Wesleyan University employment policy all employees must possess a strong Christian commitment and adhere to the standards outlined in the IWU Community Lifestyle Statement.
Education
  • Bachelor's degree required in Business, Risk Management, or a related field
  • Master's preferred.
  • Regulatory compliance, contract management, risk management, insurance, or claims-related certification preferred

Experience
  • Three or more (3+) years of experience in risk management, contract administration, insurance, claims, compliance operations, legal operations, higher education administration, or a related field
  • Two to five (2-5) years of experience with insurance programs, claims, certificates of insurance, risk transfer, or commercial liability lines
  • One or more (1+) years of experience reviewing, routing, or administering contracts and agreements preferred
  • Two to five (2-5) years in higher education, nonprofit, healthcare, or another regulated environment preferred
  • Experience using contract management systems, electronic signature platforms, compliance tracking tools, or similar administrative systems preferred

Required Skills
  • Ability to read, interpret, and communicate contract, insurance, regulatory, and operational documents
  • Strong organizational skills and attention to detail
  • Ability to manage multiple workflows, deadlines, and stakeholder requests
  • Critical thinking and sound judgment
  • Ability to identify and escalate risk issues appropriately
  • Strong written and verbal communication skills
  • Customer-oriented service approach
  • Ability to work collaboratively with University departments, legal counsel, insurance brokers, vendors, and external partners
  • Ability to maintain confidentiality and handle sensitive information with discretion
  • Proficiency with Microsoft Office, electronic document systems, contract management platforms, and related administrative tools

IWU Kingdom Diversity Statement
IWU, in covenant with God's reconciling work and in accordance with the Biblical principles of our historic Wesleyan tradition, commits to build a community that reflects Kingdom diversity. We will foster an intentional environment for living, teaching and learning, which exhibits honor, respect, and dignity. Acknowledging visible or invisible differences, our community authentically values each member's earthly and eternal worth. We refute ignorance and isolation and embrace deliberate and courageous engagement that exhibits Christ's commandment to love all humankind.
LIMITATIONS AND DISCLAIMER
As a religious educational institution operating under the auspices of The Wesleyan Church, Indiana Wesleyan University is permitted and reserves the right to prefer employees on the basis of religion (42 U.S.C., Sections 2000e-1 and 2000e-2).
The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required for the position. Employees will be required to follow other job-related instructions and to perform other job-related duties requested by their supervisor in compliance with Federal and State Laws.
Advertised: 08 Jul 2026 US Eastern Daylight Time
Applications close: 13 Sep 2026 US Eastern Daylight Time
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