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Nurses In Insurance Jobs (NOW HIRING)

NorthShore

Insurance Representative II

Warrenville, IL · On-site

$20.69 - $30/hr

This position plays a critical role in ensuring the hospital's financial success by optimizing the ... for nursing excellence. For more information, visit www.endeavorhealth.org. When you work for ...

Endeavor Health

Insurance Representative II

Skokie, IL · On-site

$20.69 - $30/hr

This position plays a critical role in ensuring the hospital's financial success by optimizing the ... for nursing excellence. For more information, visit www.endeavorhealth.org. When you work for ...

HCA Healthcare

Insurance Manager

Nashville, TN · On-site

Do you want to join an organization that invests in you as an Insurance Manager? At HCA Healthcare, ... Nursing * Additional benefits for fertility and family building, adoption assistance, life ...

Casa Real

Licensed Vocational Nurses, LVN

Santa Fe, NM · On-site

$39 - $44/hr

As a leading provider in the long-term care industry, we believe in fostering a collaborative ... Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off *Free 24/7 virtual health ...

Casa Real

Licensed Vocational Nurses, LVN

Santa Fe, NM · On-site

$39 - $44/hr

As a leading provider in the long-term care industry, we believe in fostering a collaborative ... Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off *Free 24/7 virtual health ...

Casa Real

Licensed Vocational Nurses, LVN

Santa Fe, NM · On-site

$39 - $44/hr

As a leading provider in the long-term care industry, we believe in fostering a collaborative ... Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off *Free 24/7 virtual health ...

Casa Real

Licensed Vocational Nurses, LVN

Santa Fe, NM · On-site

$39 - $44/hr

As a leading provider in the long-term care industry, we believe in fostering a collaborative ... Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off *Free 24/7 virtual health ...

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Nurses In Insurance information

What is the difference between Nurses In Insurance vs Insurance Claims Adjusters?

AspectNurses In InsuranceInsurance Claims Adjusters
Required CredentialsRN license, nursing degreeHigh school diploma or equivalent, licensing may be required
Work EnvironmentInsurance companies, healthcare settings, remote optionsFieldwork, office settings, remote work possible
Industry UsageHealth insurance, disability, life insuranceProperty, casualty, health insurance claims
Job FocusAssessing health-related claims, medical reviewsInvestigating claims, determining coverage validity

While Nurses In Insurance focus on medical assessments and reviews within insurance claims, Insurance Claims Adjusters handle the investigation and evaluation of various insurance claims, including property and casualty. Both roles require understanding insurance policies, but Nurses In Insurance have a healthcare background, whereas Claims Adjusters focus more on claim investigation and settlement processes.

How to make $300,000 as a nurse?

Nurses can earn $300,000 by working in high-paying specialties such as nurse anesthetist, nurse practitioner, or clinical nurse specialist, often requiring advanced certifications and experience. Working overtime, taking on leadership roles, or working in private sectors and specialized facilities can also increase income significantly.

What does a nurse do for an insurance company?

A nurse working for an insurance company typically reviews medical records, assesses claims, and determines coverage eligibility based on medical necessity. They may also provide expert opinions, support claims processing, and ensure compliance with healthcare policies, often using clinical knowledge and documentation skills.

How to make an extra 2000 a month as a nurse?

Nurses can earn an extra $2000 a month by taking on per diem or agency shifts, which often pay higher rates, or by working overtime and weekend shifts. Developing specialized skills in areas like IV therapy, anesthesia, or telehealth can also lead to higher-paying side opportunities. Additionally, some nurses supplement income through telehealth consulting or by offering health education services outside regular hours.

Can nurses work in insurance companies?

Nurses can work in insurance companies in roles such as case managers, claims reviewers, or health consultants. These positions often require clinical knowledge, strong communication skills, and sometimes certifications like a Certified Case Manager (CCM).

What are the key skills and qualifications needed to thrive as a Nurse in Insurance, and why are they important?

To thrive as a Nurse in Insurance, you need a solid nursing background, active RN licensure, and experience in case management or utilization review. Familiarity with insurance claims software, medical coding (ICD-10, CPT), and knowledge of healthcare regulations are typically required. Strong analytical, communication, and negotiation skills help nurses effectively review claims and collaborate with patients, providers, and insurers. These competencies ensure accurate claim assessments, cost-effective care, and compliance with regulatory standards in the insurance industry.

What are nurses in insurance?

Nurses in insurance, often called nurse case managers or insurance nurse consultants, are registered nurses who work for insurance companies to review medical claims, assess patient care needs, and coordinate healthcare services. They use their clinical expertise to evaluate treatment plans, ensure medical necessity, and help contain costs while advocating for appropriate patient care. These nurses play a key role in claims management, utilization review, and sometimes help educate policyholders about health and wellness.

How do nurses in insurance typically collaborate with other professionals within the insurance industry?

Nurses in insurance often work closely with claims adjusters, underwriters, medical directors, and case managers to evaluate medical claims, assess risk, and ensure policyholders receive appropriate care. They review medical records, provide clinical insights, and may communicate directly with healthcare providers to clarify treatment details. This collaborative environment requires strong communication skills and the ability to translate clinical knowledge into insurance-related recommendations, making teamwork an essential part of daily responsibilities.
More about Nurses In Insurance jobs
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Nurses In Insurance jobs near you
Infographic showing various Nurses In Insurance job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, 1% Temporary, and 4% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution.
FT Insurance Verifier

FT Insurance Verifier

United Surgical Partners International Inc (USPI)

Germantown, TN • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

United Surgical Partners International rating

5.7

Company rating: 5.7 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

Job description

Full- Time Insurance Verifier - 100% Onsite Position

 

Gastro One 1310, a leading healthcare provider in Germantown, TN, is seeking a detail-oriented and organized individual to join our team as an Insurance Verification Clerk. In this role, you will play a crucial part in ensuring the smooth and efficient processing of insurance claims by verifying patient insurance information and coordinating with insurance providers.

Responsibilities:

  1. Insurance Verification:
    • Verify patient insurance coverage by contacting insurance companies through phone, online portals, or other established methods.
    • Obtain and document accurate insurance information, including policy numbers, coverage dates, and any pre-authorization requirements.
  2. Communication:
    • Communicate effectively with patients, healthcare providers, and insurance companies to gather and relay necessary information.
    • Collaborate with the billing and coding team to resolve any discrepancies in insurance information.
  3. Documentation:
    • Maintain detailed and accurate records of insurance verifications for each patient.
    • Update electronic health records (EHR) and other relevant databases with verified insurance information.
  4. Problem Resolution:
    • Identify and address any issues or challenges related to insurance verification promptly.
    • Work closely with the billing team to resolve insurance-related problems and ensure timely processing of claims.
  5. Training and Compliance:
    • Stay updated on changes in insurance policies, regulations, and billing codes.
    • Participate in training sessions to enhance skills and knowledge related to insurance verification.

What We Offer


As an organization, one way we care for our communities and each other is by providing a comprehensive benefits package that includes the following, subject to employment status:

  • Medical, dental, vision, and prescription coverage
  • Life and AD&D coverage
  • Availability of short- and long-term disability
  • Flexible financial benefits including FSAs and HSAs
  • 401(k) and access to retirement planning
  • Paid holidays and vacation

Who We Are


At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.

USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.

If you are a dedicated RN who values quality care, teamwork, and making a meaningful difference in patients’ lives, we encourage you to apply and join the Gastro One team.

#USP-123

#LI-KB3


Required Skills
  • High school diploma or equivalent; additional education in healthcare administration is a plus.
  • Insurance verification within a medical setting is required.
  • Must demonstrate longevity in past roles.
  • Familiarity with medical terminology and coding.
  • Strong communication skills and the ability to interact professionally with patients and insurance providers.
  • Excellent organizational skills with attention to detail.
  • Proficiency in using electronic health record systems and other relevant software.

Required Experience

What United Surgical Partners International employees say

Pay

Benefits

Hours and flexibility

Workplace

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