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Insurance Company Nurse Jobs (NOW HIRING)

Vareximaging

Chemical Engineer

Salt Lake City, UT · On-site

Short & Long-Term Disability and Life Insurance * Competitive Pay * Flexible Schedules * Variety of Shift Options * Free Safety Shoes * Friendly Work Environment * On-site Cafeteria, Company Nurse ...

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Insurance Company Nurse information

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$23.5K

$59.1K

$97.5K

How much do insurance company nurse jobs pay per year?

As of Sep 7, 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.

Claim Service Specialist - Springfield, MA - Hybrid

Arbella Service Company

West Springfield, MA • Hybrid

$27.09/hr

Full-time

Re-posted 9 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.

What will you do?

Claim Service Specialists are advocates for our customers. They talk directly with people who have recently experienced a loss, inspect the damage, and investigate all documentation to ensure each detail is recorded accurately and fairly.

Claim Service Specialists are responsible for thoroughly checking claim case facts, determining coverage, liability and reserves, and accurately reporting on each settlement. They are effective and talented negotiators - navigating settlements with individuals, attorneys, and other insurance carriers with poise and professionalism. They prepare and maintain well-written files and keep their teams up-to-date on current claims.

New to insurance? All you need is great customer service and communication skills - we'll train you on the rest!

What will you need?

  • A true commitment to customer service excellence through positive, effective and diplomatic oral and written communication skills
  • Highly effective time management skills
  • Strong attention to detail, accuracy, fairness and impeccable organization
  • A passion for helping others
  • Some customer service work experience preferred

High levels of performance will be recognized and rewarded!

You are valued.

At Arbella, we know that our success depends on you. We recognize that in order to have the best people, we need to invest in them. Throughout your career at Arbella, you'll have opportunities for professional and personal growth. We are proud that our greatest asset is our people, and we treat them that way.

We value work-life balance, so our work schedule is 36.25 hours per week. All Arbella employees are eligible for a profit share bonus program, exceptional benefit and wellness programs, career development, flexible schedules and much more! Check out some of the amazing benefits and programs we offer to all employees.

Full time schedules are available with a hybrid work arrangement. Arbella offers work from home flexibility up to 2 days per week once the employee is fully trained and performing successfully. Apply today!!

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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