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Insurance Nurse Jobs (NOW HIRING)

Rockwell Care

Certified Nurse Assistant (CNA)

Yucaipa, CA · On-site

$20 - $22/hr

Dental insurance * Health insurance * Paid time off * Vision insurance * Nursing Assistant | Caregiver COVID-19 considerations: We have Personal Protective Equipment to protect all our staff and ...

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Insurance Nurse information

See salary details

$23.5K

$59.1K

$97.5K

How much do insurance nurse jobs pay per year?

As of Jul 7, 2026, the average yearly pay for insurance 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 are the key skills and qualifications needed to thrive as an Insurance Nurse, and why are they important?

To thrive as an Insurance Nurse, you need a solid clinical background (often as a Registered Nurse), strong assessment skills, and knowledge of insurance and medical underwriting processes. Familiarity with electronic health record (EHR) systems, medical coding, and claims management software is commonly required. Excellent communication, analytical thinking, and attention to detail are critical soft skills for evaluating medical information and interacting with clients and insurance professionals. These abilities ensure accurate risk assessment, effective case management, and compliance with regulatory standards in the insurance industry.

What is the difference between Insurance Nurse vs Case Manager Nurse?

AspectInsurance NurseCase Manager Nurse
CertificationsRN license, possibly insurance-specific trainingRN license, case management certification often preferred
Work EnvironmentInsurance companies, healthcare insurance departmentsHospitals, clinics, insurance companies, community health
Primary FocusReviewing insurance claims, verifying coverageCoordinating patient care, managing treatment plans

Insurance Nurses primarily focus on reviewing insurance claims and verifying coverage within insurance companies or departments. In contrast, Case Manager Nurses coordinate patient care and develop treatment plans, often working directly with patients and healthcare providers. While both roles require RN licensure, Insurance Nurses typically have specialized training related to insurance processes, whereas Case Manager Nurses often pursue additional case management certifications. Understanding these differences helps clarify career paths and job expectations in the healthcare and insurance industries.

What are insurance nurses?

Insurance nurses, also known as insurance nurse consultants or nurse case managers, are registered nurses who work for insurance companies to assess, review, and manage the medical aspects of insurance claims. They evaluate patient records, coordinate care, and ensure that treatments are medically necessary and cost-effective. Their expertise helps insurance companies make decisions about coverage, benefits, and claims while also supporting patients through care management and education. Insurance nurses often communicate with healthcare providers, patients, and claims adjusters to facilitate the claims process.

How does an Insurance Nurse typically collaborate with underwriters and claims adjusters?

Insurance Nurses play a crucial role in supporting underwriters and claims adjusters by reviewing medical records, evaluating patient histories, and providing expert insights on health-related risks. They frequently communicate their assessments to underwriters to help determine policy eligibility and premiums, and assist claims adjusters by verifying the validity and extent of medical claims. Effective collaboration requires strong communication skills and the ability to translate complex medical information into clear, actionable recommendations, ensuring that both the clinical and administrative aspects of insurance decisions are well-informed.
More about Insurance Nurse jobs
What cities are hiring for Insurance Nurse jobs? Cities with the most Insurance Nurse job openings:
What are the most commonly searched types of Insurance Nurse jobs? The most popular types of Insurance Nurse jobs are:
What states have the most Insurance Nurse jobs? States with the most job openings for Insurance Nurse jobs include:
What job categories do people searching Insurance Nurse jobs look for? The top searched job categories for Insurance Nurse jobs are:
Insurance Nurse jobs near you
Precertification Analyst - VA

Precertification Analyst - VA

CoxHealth

Springfield, MO • On-site

Full-time

Medical, Dental, Vision, Retirement

Posted 10 days ago

CoxHealth rating

6.6

Company rating: 6.6 out of 10

Based on 229 frontline employees who took The Breakroom Quiz

563rd of 877 rated healthcare providers

Job description

Facility:

Remote Missouri: 1423 North Jefferson Avenue, Springfield, Missouri, United States of America, 65802

Department:

1672 PAS Financial Clearance Enterprise

Scheduled Weekly Hours:

40

Hours:

9:00 AM - 5:30 PM

Work Shift:

Day Shift (United States of America)

CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:

  • Named one of Modern Healthcare’s Best Places to work five times.

  • Named one of America’s Greatest Workplaces, Greatest Workplaces in Healthcare (2025, 2026), Greatest Workplaces for Women (2023, 2024), and Greatest Workplaces for Diversity (2024) by Newsweek and Plant-A Insights Group. 

  • Acknowledged by Forbes as one of the Best Employers for New Grads.

  • Healthcare Innovation's Top Companies to Work for in Healthcare (2025).

Benefits

  • Medical, Vision, Dental, Retirement with Employer Match and more (20+ hrs/week)  

  • For a comprehensive list of benefits, please click here: Benefits | CoxHealth

Job Description:

The Precertification Specialist obtains authorizations from Insurance companies for scheduled tests/procedures providing necessary medical information for authorizations. Interprets patient medical records and reviews cases with the insurance nurse reviewer. Accurately enters information into multiple computer programs and insurance websites. 

Education:
▪ Required: High School Diploma or Equivalent
▪ Preferred: Medical Assistant Degree
Experience:
▪ Required: 1 Year VA/TriWest Related Experience
▪ Preferred: 6 months experience with medical terminology
Skills:
▪ Strong analytical/problem solving skills.
▪ Ability to communicate effectively with different levels of management, nursing, physicians, and insurance nurse reviewers.
▪ Excellent time management, Communication skills, organization, prioritizing, decision-making, and planning skills.
▪ Flexibility and ability to work in a multi-tasking environment.
▪ Ability to understand and interpret insurance benefits
▪ Ability to understand multiple computer programs and multiple insurance websites.
Licensure/Certification/Registration:
▪ N/A

What CoxHealth employees say

Pay

Benefits

Hours and flexibility

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