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Nurses In Insurance Jobs in Boston, MA (NOW HIRING)

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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.

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.
What are popular job titles related to Nurses In Insurance jobs in Boston, MA? For Nurses In Insurance jobs in Boston, MA, the most frequently searched job titles are:
What job categories do people searching Nurses In Insurance jobs in Boston, MA look for? The top searched job categories for Nurses In Insurance jobs in Boston, MA are:
What cities near Boston, MA are hiring for Nurses In Insurance jobs? Cities near Boston, MA with the most Nurses In Insurance job openings:
Nurses In Insurance jobs near you
Infographic showing various Nurses In Insurance job openings in Boston, MA as of May 2026, with employment types broken down into 68% Full Time, and 32% Part Time. Highlights an 89% In-person, and 11% Remote job distribution.
Senior Actuarial Data Analyst

Senior Actuarial Data Analyst

Arbella Insurance Group

Quincy, MA • On-site

$88K - $110K/yr

Full-time

Posted 4 days ago

Arbella Insurance rating

9.0

Company rating: 9.0 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

35th of 260 rated insurance

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, industry-leading 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:
• On-site gym and fitness classes and one-on-one personal training
• On-site nurse, nutritional counseling, and mental health resources
• Full-service cafeterias
• Free shuttle service to Quincy Adams T Station
• 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!
The Senior Actuarial Data Analyst works under minimal supervision to support business data initiatives and serves as a subject matter expert for regulatory data initiatives. They must have excellent analytical skills to interpret and translate internal and external data needs across the organization. They may lead various sized efforts and support team members throughout the project lifecycle. They will be responsible for documenting business and functional requirements and creating data mappings for downstream applications. This position will also be instrumental in responding to audits, data calls, and helping ensure compliance with regulatory agencies such as ISO, CAR, NCCI and WCRIB.
Key Responsibilities:
  • Work closely with stakeholders to define, document, and validate business requirements related to regulatory and internal reporting.
  • Provide input on project planning, resource estimates, and effort sizing.
  • Translate requirements into comprehensive technical and functional documentation for development teams.
  • Collaborate with technical teams to design and implement solutions within a structured SDLC environment.
  • Perform detailed data analysis and mapping, ensuring the accuracy and completeness of data transformation logic.
  • Develop and execute robust test strategies including functional, regression, and integration testing.
  • Conduct root-cause analysis of reporting issues and support resolution efforts.
  • Support production reporting, balancing, and delivery timelines while responding to internal or external data inquiries.
  • Contribute to process improvements and tools that enhance data integrity and regulatory reporting performance.
  • Assist with regulatory audits, internal controls reviews, and compliance assessments.
  • Guide and mentor junior analysts.

Key Requirements:
  • Bachelor's degree in a related area and 5 or more years of professional experience in data analysis or regulatory reporting.
  • Experience using Agile, Lean or similar methodologies and supporting tools such as JIRA and Confluence is a plus.
  • Solid technical writing foundation.
  • Understands the big picture of the business model and can analyze with focus and purpose to transform quality data into an asset.
  • Requires a strong work ethic and a skillset geared toward data management.
  • Ability to identify ahead of time possible consequences and impacts of any changes to processes, storage, applications or reports.
  • Solid understanding of data querying and relational database.
  • Experience building and validating transformation logic and data mapping documentation.
  • Ability to build SQL queries to support data analysis and testing activities
  • Strong verbal and written communication abilities for working with both technical and non-technical audiences.
  • Exceptional attention to detail and commitment to delivering high-quality outputs.
  • Ability to self-direct and manage priorities across multiple concurrent assignments.
  • Experience guiding team efforts or leading segments of projects.
  • Collaborative mindset with a focus on cross-functional success.
  • Working knowledge of the Property and Casualty insurance industry.
  • Experience with regulatory or statutory reporting in insurance or financial services.
  • Demonstrate ability to challenge legacy processes and propose innovative solutions.
  • Strong analytical, critical thinking, and problem-solving skills.
  • Excellent verbal and written communication skills.

Our current reasonable and good faith estimate of the annual salary or hourly wage range for this position is approximately $88,000-$110,000 based on a variety of factors including, but not limited to, relevant skills and experience, educational background and certifications, performance and qualifications, market demand for the role and other organizational needs.
Please note: The advertised pay range is not a guarantee or promise of a specific wage
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