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Insurance Company Nurse Jobs (NOW HIRING)

Monarch

$90 - $120/hr

Free Single Medical Insurance * Loan reimbursement. * Scholarship Opportunities * Paid Time Off ... Career path to other positions within our growing company! Nurse Manager, RN POSITION SUMMARY The ...

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PACS

Workers Compensation Specialist

Farmington, UT · On-site

Act as a liaison between the injured employee's physician, insurance company, nurse case manager, management, and employee to gain a timely return-to-work release. * Maintain communication with the ...

Pacs

Act as a liaison between the injured employee's physician, insurance company, nurse case manager, management, and employee to gain a timely return-to-work release. * Maintain communication with the ...

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Insurance Company Nurse information

See salary details

$23.5K

$59.1K

$97.5K

How much do insurance company nurse jobs pay per year?

As of Sep 6, 2026, the average yearly pay for insurance company nurse in the United States is $59,095.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,500.00 and $77,500.00 per year, depending on experience, location, and employer.

What does an insurance company nurse do?

An Insurance Company Nurse, often called a nurse case manager or nurse consultant, evaluates medical claims and assists in determining the necessity and appropriateness of medical treatments for insurance purposes. They review patient records, communicate with healthcare providers, and help ensure that care meets established guidelines and policies. Their expertise helps insurance companies make informed decisions on coverage, authorizations, and sometimes in detecting fraud. They may also educate patients about care options and coordinate with various stakeholders to facilitate efficient and effective healthcare delivery.

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

To excel as an Insurance Company Nurse, you need a solid clinical background, strong analytical skills, and current nursing licensure, often paired with case management or utilization review experience. Familiarity with claims management software, medical coding systems (such as ICD-10), and proficiency in electronic health records are typically required. Outstanding communication, attention to detail, and critical thinking are crucial soft skills for effectively assessing claims and collaborating with clients and providers. These skills ensure accurate claim evaluations, regulatory compliance, and efficient service delivery within the insurance industry.

How does an insurance company nurse typically collaborate with claims adjusters and other team members?

Insurance Company Nurses work closely with claims adjusters, case managers, and sometimes physicians to review medical claims, evaluate treatment plans, and ensure that policyholders receive appropriate care. They provide clinical expertise by interpreting medical records and helping determine the necessity and coverage of treatments. Regular communication and teamwork are essential, as nurses often participate in case conferences and provide recommendations that influence claim outcomes. Being proactive and detail-oriented helps foster effective collaboration within the multidisciplinary team.

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

AspectInsurance Company NurseClaims Adjuster
Required CredentialsRN license, healthcare certificationsHigh school diploma, sometimes licensing or certifications
Work EnvironmentOffice, healthcare settings, telehealthOffice, fieldwork, client meetings
Industry UsageInsurance companies, healthcare providersInsurance companies, claims departments
Job FocusAssessing health claims, patient care, medical record reviewEvaluating insurance claims, determining coverage, settlement

Insurance Company Nurses primarily focus on health assessments and patient care within insurance companies, requiring nursing credentials. Claims Adjusters handle insurance claims processing and coverage evaluation, often with less healthcare-specific training. Both roles are vital in the insurance industry but differ in credentials, work environment, and job responsibilities.

Can a nurse work for an insurance company?

Yes, an insurance company nurse, often called a claims or utilization review nurse, works for an insurance company to assess medical claims, review patient records, and determine coverage eligibility. These roles typically require nursing licensure, clinical experience, and knowledge of insurance policies and medical coding. They may involve tasks such as telehealth assessments, case management, and policy interpretation.

How much do insurance company nurses make?

Insurance company nurses typically earn between $60,000 and $80,000 annually, depending on experience, location, and certifications. They often work in claims review, case management, or health assessments, requiring strong clinical skills and knowledge of insurance policies.
More about Insurance Company Nurse jobs

What cities are hiring for Insurance Company Nurse jobs?

Cities with the most Insurance Company Nurse job openings:

What states have the most Insurance Company Nurse jobs?

States with the most job openings for Insurance Company Nurse jobs include:

What job categories do people searching Insurance Company Nurse jobs look for?

The top searched job categories for Insurance Company Nurse jobs are:

Insurance Company Nurse jobs near you
Infographic showing various Insurance Company Nurse job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 70% Full Time, 24% Part Time, 4% Contract, and 1% Nights. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $59,095 per year, or $28.4 per hour.

Claims Service Specialist I - Hybrid

Bearingstar Insurance

Quincy, MA

$27.09/hr

Full-time

Re-posted 29 days ago

Job description

Why Arbella?
At Arbella, we're focused on people. We work hard to attract and retain the best. That means providing a great work environment, encouraging work/life balance, offering flexible work arrangements, and competitive salaries and benefits packages. We invest in our employees and encourage them to grow so that we, too, can grow as a company.
Other perks include:
Company nurse, nutritional counseling, and mental health resources
Tuition assistance programs
Opportunities to get involved: Arbella Activities Committee, Diversity and
Inclusion Council, and more
A company committed to community: volunteer opportunities, employee-
led community efforts, and the Arbella Insurance Foundation
Robust training, mentorship, and professional/personal development
programs
Colleagues who genuinely care about each other
Arbella is committed to building a workplace that's diverse, inclusive, and equitable for everyone. We've created a culture that supports a diverse workplace where all are valued for their talents and are empowered to reach their full potential.
It's no wonder our employees have voted Arbella one of the Boston Business Journal's "Best Places to Work" every year since 2009!
Join a Best Place to Work Company!
Claim your future with Arbella! If you're looking for a dynamic opportunity to help customers through their toughest challenges, you're in the right place.

Key Responsibilities

  • Timely completion of all case activities, maximizing customer service and minimizing net loss payout.

  • Contacts all insureds, claimants and witnesses that may have information relating to the loss, either in person, by telephone or in writing.

  • Inputs and retrieves information using the automated claims system, requests checks, form letters and other correspondence through the automated claim system.

  • Evaluates case facts determining coverage, liability and reserves, and reports on settlement; maintains a reminder system.

  • With guidance, negotiates settlements with individuals, attorneys, and other insurance carriers within their granted settlement authority level.

  • Will keep management informed of activities and problems with in assigned area of responsibility.

  • Pursues subrogation and may arrange for salvage to obtain the maximum recovery.

  • Provides information to all interested parties, including the local agents, by answering routine questions regarding the status of the claim.

  • Maintain claim files and document claim file activities in accordance with established procedures.

  • Will successfully complete all required in-house training.

  • Performs other related duties as required or requested.

  • Manage and track all claims referred to Subrogation counsel.

  • Daily navigation and management of E-Subro Hub.

  • Prepare well written contentions for arbitration filings when liability and damages are in dispute.

Requirements

  • Success will be measured based on individual results compared to all established department standards in Customer Service, Teamwork, Loss and Expense Management as well as Continuous Improvement.

Our current reasonable and good faith estimate of the annual salary or hourly wage range for this position is approximately $49,010 ($26.00 an hour) - $51,008 ($27.09 an hour) based on a variety of factors including, but not limited to, relevant skills and experience,.

Please note: The advertised pay range is not a guarantee or promise of a specific wage.

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