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Nurses In Insurance Jobs in Merton, WI (NOW HIRING)

Alliance Services, Inc

RN OR

Menomonee Falls, WI · On-site

$2.6K/day

... nurses in delivering quality, patient-centered care across a range of inpatient needs. Location ... Monthly reimbursement for health insurance * Maximum non-tax stipends available including lodging ...

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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 Merton, WI look for? The top searched job categories for Nurses In Insurance jobs in Merton, WI are:
What cities near Merton, WI are hiring for Nurses In Insurance jobs? Cities near Merton, WI with the most Nurses In Insurance job openings:
Nurses In Insurance jobs near you
Infographic showing various Nurses In Insurance job openings in Merton, WI as of June 2026, with employment types broken down into 66% Full Time, 21% Part Time, and 13% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.
Clinic RN - Flu Shot Clinics - 20 hours/week

Clinic RN - Flu Shot Clinics - 20 hours/week

ProHealth Care, Inc.

Waukesha, WI • On-site

Full-time, Part-time

Retirement, PTO

Posted 3 days ago

ProHealth Care rating

7.3

Company rating: 7.3 out of 10

Based on 64 frontline employees who took The Breakroom Quiz

295th of 877 rated healthcare providers

Job description

What You Will Do:
The Clinic RN in the Medical Group utilizes the nursing process to deliver appropriate nursing care and procedures in the clinic setting. The Clinic RN performs nursing acts delegated by a physician, physician assistant or nurse practitioner. This individual oversees and acts as a professional clinical resource for the Medical Assistant/Clinic LPNs and other ancillary professionals. Act as the resource for data gathering and assessment, triage walk-in and call-in patients to the appropriate health care provider.
What You Will Need:
  • Registered Nurse in the State of Wisconsin
  • Associate's Degree in Nursing (ADN)
  • Minimum of 2 years of clinical experience in primary care clinic environment or 3-5 years clinical hospital, home care, or community health experience
  • Basic Life Support (BLS) card through the American Heart Associate (AHA), or ability to obtain certification upon hire

Why Join ProHealth Care:
We have nearly 5,000 dedicated clinical and non-clinical employees and physicians who work together every day to serve the health and well-being of our community. At ProHealth Care everyone contributes to the care our patients receive. And, everyone is treated with kindness and respect in our welcoming environment.
This Position Will Offer You:
  • Engaging and community focused culture
  • Competitive Salaries
  • Opportunity for professional career growth
  • Robust benefits for full-time and regular part-time roles, including Generous PTO; Choices in insurance; HSA; Tuition reimbursement; immediate 401K match; discounted tickets to various entertainment, social, and sporting events

ProHealth Care is an equal opportunity employer and is committed to an inclusive work environment and values the perspectives of our people. We maintain a drug-free workplace and perform pre-employment substance abuse testing. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

What ProHealth Care employees say

Pay

Benefits

Hours and flexibility

Workplace

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About ProHealth Care

Sourced by ZipRecruiter

ProHealth Care has been the health care leader in Waukesha County and surrounding areas providing outstanding care across a full spectrum of services. The people of ProHealth Care strive to continuously improve the health and well-being of the community by combining skill, compassion and innovation. ProHealth Care supports a Just Culture, one that encourages an open learning environment and maintaining safe systems. The ProHealth family includes Waukesha Memorial Hospital, Oconomowoc Memorial Hospital, the Rehabilitation Hospital of Wisconsin, ProHealth Medical Group clinics, AngelsGrace Hospice, ProHealth Home Care & Hospice, West Wood Health & Fitness Center and Regency Senior Communities.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Oconomowoc, WI, US

Year founded

1914

Social media

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