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Rn Insurance Claims Remote Jobs (NOW HIRING)

AmSurg LLC

Director, Claims

Addison, TX · Remote

Remote (Preferably Dallas, TX or Nashville, TN but candidates can reside anywhere in the United States). ESSENTIAL RESPONSIBILITIES: * Oversight of the reporting of all claims to the insurance ...

Amsurg

Director, Claims

Addison, TX · Remote

Remote (Preferably Dallas, TX or Nashville, TN but candidates can reside anywhere in the United States). ESSENTIAL RESPONSIBILITIES: * Oversight of the reporting of all claims to the insurance ...

CSAA

Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 Commercial Insurance Consultant, Claims Insights- Remote (Open) Location California - Home Teleworkers ...

Amsurg

Director, Claims

Remote (Preferably Dallas, TX or Nashville, TN but candidates can reside anywhere in the United States). ESSENTIAL RESPONSIBILITIES: * Oversight of the reporting of all claims to the insurance ...

CSAA

Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 Commercial Insurance Consultant, Claims Insights- Remote (Open) Location California - Home Teleworkers ...

CSAA

Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 Commercial Insurance Consultant, Claims Insights- Remote (Open) Location California - Home Teleworkers ...

CSAA

Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 Commercial Insurance Consultant, Claims Insights- Remote (Open) Location California - Home Teleworkers ...

CSAA

Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 Commercial Insurance Consultant, Claims Insights- Remote (Open) Location California - Home Teleworkers ...

CSAA

Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 Commercial Insurance Consultant, Claims Insights- Remote (Open) Location California - Home Teleworkers ...

CSAA

Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 Commercial Insurance Consultant, Claims Insights- Remote (Open) Location California - Home Teleworkers ...

CSAA

Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 Commercial Insurance Consultant, Claims Insights- Remote (Open) Location California - Home Teleworkers ...

CSAA

Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 Commercial Insurance Consultant, Claims Insights- Remote (Open) Location California - Home Teleworkers ...

CSAA

Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 Commercial Insurance Consultant, Claims Insights- Remote (Open) Location California - Home Teleworkers ...

CSAA

Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 Commercial Insurance Consultant, Claims Insights- Remote (Open) Location California - Home Teleworkers ...

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Rn Insurance Claims Remote information

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How much do rn insurance claims remote jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for rn insurance claims remote in the United States is $23.50, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $25.72 per hour, depending on experience, location, and employer.

What is an RN Insurance Claims Remote?

RN Insurance Claims Remote jobs are positions where registered nurses (RNs) work from home or another remote location to evaluate, process, and review insurance claims related to medical care. These nurses use their clinical expertise to assess the validity of claims, ensure proper documentation, and determine the necessity and appropriateness of medical treatments. They may also communicate with healthcare providers, patients, and insurance companies to gather information and clarify medical details. This role typically requires an active RN license, strong analytical skills, and experience in case management or utilization review.

What are the key skills and qualifications needed to thrive as an RN Insurance Claims Remote?

To thrive as an RN Insurance Claims Remote, you need a current RN license, strong clinical knowledge, and experience in medical case review or utilization management. Familiarity with claims management software, ICD-10/CPT coding, and electronic health records (EHRs) is typically required, along with certifications like CCM (Certified Case Manager) being a plus. Exceptional attention to detail, analytical thinking, and effective written communication skills help you excel in evaluating claims and collaborating with stakeholders. These skills ensure accurate claims assessment, regulatory compliance, and efficient processing in a remote insurance environment.

What are some common challenges RNs face when working remotely in insurance claims, and how can they be addressed?

RNs working remotely in insurance claims often encounter challenges such as navigating complex medical records without in-person context, managing high caseloads, and ensuring clear communication with both internal teams and external providers. Staying organized, utilizing standardized documentation practices, and leveraging secure digital communication tools can help address these difficulties. Regular virtual check-ins with colleagues and ongoing training also support effective collaboration and professional growth in a remote environment.

What is the difference between Rn Insurance Claims Remote vs Rn Insurance Adjuster?

AspectRn Insurance Claims RemoteRn Insurance Adjuster
CredentialsRN license, insurance knowledgeRN license, insurance certification (e.g., AIC, CPCU)
Work EnvironmentRemote, home-basedField or office-based, sometimes remote
Industry UsageInsurance claims processing, customer serviceClaims assessment, damage evaluation
Common Search IntentRemote claims jobs, insurance claims rolesInsurance adjusting, claims evaluation

While both roles involve insurance and require RN licensure, Rn Insurance Claims Remote focuses on processing claims remotely, often involving customer communication. Rn Insurance Adjuster typically involves evaluating damages in the field or office, with a stronger emphasis on damage assessment and adjusting claims.

More about Rn Insurance Claims Remote jobs

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Cities with the most Rn Insurance Claims Remote job openings:

What are the most commonly searched types of Rn Insurance Claims jobs?

The most popular types of Rn Insurance Claims jobs are:

What states have the most Rn Insurance Claims Remote jobs?

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The top searched job categories for Rn Insurance Claims Remote jobs are:

Rn Insurance Claims Remote jobs near you
Infographic showing various Rn Insurance Claims Remote job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $48,885 per year, or $23.5 per hour.

LTC Claims Pending Specialist - Remote USA.

Northwestern Mutual Life Insurance Company

Remote

$91K/yr

Full-time

Re-posted yesterday

Northwestern Mutual rating

8.0

Company rating: 8.0 out of 10

Based on 75 frontline employees who took The Breakroom Quiz

166th of 311 rated insurance

Job description

Primary Duties and Responsibilities

  • Determines the applicability of benefits claimed by interpreting contract provisions, state regulations, and uses claim knowledge in interpreting and analyzing facts to reach claim decisions on new and continuing claims, consistent with Northwestern Long Term Care's claim philosophy.
  • Orders and reviews appropriate medical, investigative, service provider, and other information needed to determine the eligibility of long-term care claims including reimbursement of eligible expenses.
  • Conduct interviews to gather pertinent claim information from the insured or their representative.
  • Answer incoming calls from the field and insureds or their representatives to explain claims status, hypothetical claim situations, and contract provisions.
  • Communicate effectively verbally and in writing with Insureds and their representatives, Field Force, medical practitioners, and related service providers, attorneys, other insurance companies, and divisional resources, is involves negotiation and conflict resolution.
  • Preserves Northwestern Long Term Care's image and reputation in the approval or denial of benefits despite difficult and delicate circumstances.
  • May be called upon for project and committee work as a Subject Matter Expert (SME), including the development of process improvements.
  • Work cohesively with team members to meet the goals of the team and division.
  • Qualifications
  • Registered Nurse or Social Work license preferred
  • Healthcare background OR minimum 3+ years of long-term care insurance experience highly desirable
  • A bachelor's degree or equivalent combination of education and work experience will be considered
  • Experience with insurance claims is desirable
  • Strong written and verbal communication skills required
  • Strong technology skills required
  • Ability to analyze medical records and draw out necessary information for claims processing
  • Demonstrates initiative and strong support of team goals and results
  • High degree of analytical skills, personal organization, and time management
  • Strong client focus and customer service skills
  • Ability to manage ambiguity and maintain a positive outlook in the face of change
  • Ability to identify process improvement opportunities.

PLEASE NOTE THE HOURS OF OPERATION FOR THIS ROLE WILL BE 8:30 AM TO 5:00 PM CST. YOU MUST BE ABLE TO WORK THESE CORE HOURS.

Compensation Range:

Pay Range - Start:

$60,880.00

Pay Range - End:

$91,320.00

Geographic Specific Pay Structure:

Structure 110:

Structure 115:


We believe in fairness and transparency. It's why we share the salary range for most of our roles. However, final salaries are based on a number of factors, including the skills and experience of the candidate; the current market; location of the candidate; and other factors uncovered in the hiring process. The standard pay structure is listed but if you're living in California, New York City or other eligible location, geographic specific pay structures, compensation and benefits could be applicable, click here to learn more.


Grow your career with a best-in-class company that puts our clients' interests at the center of all we do. Get started now!


Northwestern Mutual is an equal opportunity employer that welcomes talented individuals of all backgrounds. We are committed to creating and maintaining an environment in which each employee can contribute creative ideas, seek challenges, assume leadership and continue to focus on meeting and exceeding business and personal objectives.


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About Northwestern Mutual

Sourced by ZipRecruiter

Northwestern Mutual has been helping families and businesses achieve financial security for over 160 years through a distinctive planning approach that integrates risk management with wealth accumulation, preservation, and distribution. With more than $290 billion in assets, $30 billion in revenues and more than $1.9 trillion worth of life insurance protection in force, Northwestern Mutual delivers financial security to more than 4.6 million clients. People are the power behind Northwestern Mutual, and diversity makes us better. We are committed to reflecting and serving the marketplace. We do so by attracting and improving the engagement of those who bring their outstanding perspectives, ideas, and beliefs.

Industry

Finance and insurance

Company size

5,001 - 10,000 Employees

Headquarters location

Milwaukee, WI, US

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