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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 ...

NorthShore

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

Murfreesboro, 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 ...

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 ...

HCA Healthcare

Insurance Manager

Lebanon, 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 ...

HCA Healthcare

Insurance Manager

Franklin, 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 ...

Smith Crossing

RN PM Supervisor

Orland Park, IL · On-site

$42/hr

Supports nurses in clinical assessments and documentation of services * Assists with scheduling and ... Health, dental, vision and life insurance as well as Flexible Spending Account * Generous paid time ...

Riverside Health System Non-Providers

LPN

Newport, VA · On-site

$24.50 - $33.50/hr

Has working knowledge of Medicare, Medicaid and insurance requirements, agency Policies and ... Assists the physicians/registered nurses in the care of clients in their homes through provision of ...

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Riverside

LPN

Newport, VA · On-site

$24.50 - $33.50/hr

Has working knowledge of Medicare, Medicaid and insurance requirements, agency Policies and ... Assists the physicians/registered nurses in the care of clients in their homes through provision of ...

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All JobsNurses In Insurance Jobs

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 much do insurance RNs make?

Insurance RNs typically earn between $60,000 and $85,000 annually, depending on experience, location, and certifications. They often work in claims review, risk assessment, or case management, utilizing their nursing skills in an insurance setting.

How to make 150,000 as a nurse?

Nurses can earn $150,000 by gaining advanced certifications, such as Nurse Practitioner or Nurse Anesthetist, working in high-demand specialties, or in roles with overtime and shift differentials. Working in urban areas, hospitals, or private practices with higher pay scales can also increase earnings, especially with experience and additional responsibilities.

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 regulations, often using clinical knowledge and documentation skills. Certification as a registered nurse (RN) is usually required for this role.

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 licensed practical nurse (LPN) or registered nurse (RN).

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
What cities are hiring for Nurses In Insurance jobs? Cities with the most Nurses In Insurance job openings:
What states have the most Nurses In Insurance jobs? States with the most job openings for Nurses In Insurance jobs include:
What job categories do people searching Nurses In Insurance jobs look for? The top searched job categories for Nurses In Insurance jobs are:
Nurses In Insurance jobs near you
Infographic showing various Nurses In Insurance job openings in the United States as of June 2026, with employment types broken down into 13% As Needed, 38% Full Time, 13% Part Time, and 36% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.
Insurance Representative II

Insurance Representative II

NorthShore

Warrenville, IL • On-site

$20.69 - $30/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago

Job description

Hourly Pay Range:
$20.69 - $30.00 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.
Position Highlights:
  • Position: Insurance Rep II
  • Location: Warrenville, IL
  • Full Time
  • Hours: Monday-Friday, [hours and flexible work schedules]

A Brief Overview:
The Insurance Representative II is a key member of the hospital's financial services team, responsible for managing insurance claims and resolving billing and payment issues. This position plays a critical role in ensuring the hospital's financial success by optimizing the insurance claim process, maximizing reimbursements, and providing top-notch support to patients and insurance providers.
What you will do:
  • Review and process insurance claims for accuracy, completeness, and compliance with relevant insurance policies and healthcare regulations.
  • Monitor and follow up on pending insurance claims, including appeals and resubmissions, to expedite reimbursement and minimize claim denials.
  • Verify patient insurance coverage, including policy details, eligibility, and benefit information, to ensure accurate claim submissions.
  • Investigate and resolve claim denials and disputes, providing necessary documentation and communication with insurance companies for claim approval.
  • Assist patients in understanding their insurance claims, explaining coverage and reimbursement processes, and addressing any questions or concerns.
  • Provide support to patients in understanding and managing their healthcare expenses, including explaining payment options, financial assistance programs, and payment plans.
  • Maintain accurate and detailed records of all interactions, claim processing, and patient communications, ensuring compliance with hospital standards and regulatory requirements.
  • Stay updated on changes in insurance regulations, ensuring that claim processes align with legal and compliance standards, including HIPAA.
  • Generate reports and maintain metrics related to insurance claim status, reimbursement rates, and resolution times.
  • Gather and document patient feedback and suggestions, reporting relevant trends or issues to the appropriate department for process improvement.

What you will need:
  • Education: Associates Degree Health Administration Required Or Associates Degree Finance Required
  • Experience: 2 Years of experience in insurance claims management and billing, preferably in a healthcare or hospital setting.

Benefits:
  • Career Pathways to Promote Professional Growth and Development
  • Various Medical, Dental, and Vision options
  • Tuition Reimbursement
  • Free Parking at designated locations
  • Wellness Program Savings Plan
  • Health Savings Account Options
  • Retirement Options with Company Match
  • Paid Time Off
  • Community Involvement Opportunities

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org.
When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.
Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best".
Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.

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