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Nurses In Insurance Jobs in Coram, NY (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.

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.
What job categories do people searching Nurses In Insurance jobs in Coram, NY look for? The top searched job categories for Nurses In Insurance jobs in Coram, NY are:
What cities near Coram, NY are hiring for Nurses In Insurance jobs? Cities near Coram, NY with the most Nurses In Insurance job openings:
Nurses In Insurance jobs near you
Infographic showing various Nurses In Insurance job openings in Coram, NY as of June 2026, with employment types broken down into 68% Full Time, 21% Part Time, and 11% Contract. Highlights an 88% Physical, 1% Hybrid, and 11% Remote job distribution.
Patient Access Services Representative (per diem)

Patient Access Services Representative (per diem)

Northwell Health

Huntington, NY • On-site

$18.25 - $23.25/hr

Other

Posted 18 days ago

Northwell Health rating

7.8

Company rating: 7.8 out of 10

Based on 552 frontline employees who took The Breakroom Quiz

133rd of 877 rated healthcare providers

Job description

Performs a complete verification check on all health insurance coverage. Obtains all financial demographic information from the discharge planner for the organization, as well as outside referrals. Demonstrates and promotes service excellence at all times.

Job Responsibility

  • Obtains all financial demographic information from the discharge planner for the organization, as well as outside referrals.
  • Verifies all required insurance information, including primary payor data.
  • Notifies Nurses of any change in insurance information, as needed.
  • Provides information on all insurance coverage and any patient financial responsibility to discharge planner.
  • Completes all required elements of the insurance verification form.
  • Enters verified insurance information into computer.
  • Acts as a liaison between verifications and reimbursement.
  • Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Job Qualification

  • High School Diploma or equivalent required.
  • 1-3 years of relevant experience, required.

Variable shifts including every other weekend + holidays. 


*Additional Salary Detail 
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

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