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Nurses In Insurance Jobs in Miami, FL (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 cities near Miami, FL are hiring for Nurses In Insurance jobs? Cities near Miami, FL with the most Nurses In Insurance job openings:
Infographic showing various Nurses In Insurance job openings in Miami, FL as of May 2026, with employment types broken down into 2% Internship, 2% As Needed, 59% Full Time, 15% Part Time, 20% Contract, and 2% Nights. Highlights an 97% Physical, and 3% Remote job distribution.

LIVE IN CASES AVAILABLE APPLY NOW!! Fort Lauderdale Must be a driver.

Working Nurses

Margate, FL โ€ข On-site

$15 - $18/hr

Full-time

Medical, Dental, Vision

Posted 25 days ago


Job description

Benefits:
  • Dental insurance
  • Flexible schedule
  • Opportunity for advancement
  • Vision insurance

WORKING NURSES WANTS CAREGIVERS LIKE YOU!
Working Nurses Homecare is one of the preferred post-acute care partners for hospitals, physicians, and families. We are currently accepting applications for Home Health Aide (HHA) & Certified Nursing Assistant (CNA) positions working HOURLY in PRIVATE DUTY HOMECARE, to expand our super star team within Broward County.
We deliver high-quality care that empowers patients to manage their health at home. YOU HAVE THE OPPORTUNITY TO SELECT THE DAYS AND HOURS YOU WANT TO WORK!!
WE PROUDLY OFFER:
  • Benefits for eligible employees
  • Competitive Pay Rates* & Flexible Scheduling
  • Referral Program $$$
  • Overtime Pay
  • Bi-Weekly Pay (direct deposit available)
  • 24/7 Clinical manager support

Qualified Candidates:
  • HHA Certificate OR CNA License currently ACTIVE in the State of Florida
  • CPR/ BLS Certification
  • Physical and TB Test
  • AHCA Level 2 Background Check

For additional information regarding Working Nurses Homecare LLC, please visit our website at https://workingnurses.com/
Above average pay based on experience. *
Job Type: Full-time, Part-time, Per Diem
Pay: $15.00 - $18.00 per hour
Benefits:
  • Dental insurance
  • Flexible schedule
  • Opportunities for advancement
  • Referral program
  • Vision insurance

Medical Specialty:
  • Home Health

Work Location: In person
Compensation: $15.00 - $18.00 per hour
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
About Us
Working Nurses Home Care is a Medicare Certified Healthcare company that provides quality care in the comfort of the home. Our services can help prevent re-hospitalization, postpone institutionalization, and reduce the need for urgent care. Our professional Nurses can help with wound care, fall injury prevention, medication management, post-surgical care, and so much more!