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Rn Insurance Claims Jobs in Michigan (NOW HIRING)

MEDLOGIX, LLC

$71K - $87K/yr

... insurance claims process. The result is lower expenses and increased productivity for the auto ... Field Case Nurse Manager- RN (Full time) Geographic region: Work from home & travel to claimant ...

New

W3R

Registered Nurse

Detroit, MI

Responsible for the approval or rejection of claims, admissions approvals, telephone triage, and/or benefit interpretation. May be required to enter or reference data via PC and/or CRT terminal.

MEDLOGIX, LLC

Field Case Manager - RN

Southfield, MI · On-site

$80K/yr

... insurance claims process. The result is lower expenses and increased productivity for the auto ... OVERVIEW: The Field Nurse Case Manager is a work from home and travel position located in the ...

Healthrise

Clinical Denials Specialist

Farmington, MI · On-site

$17.75 - $23.50/hr

Clinical designated nurse, RN credentials (denials/CDI) * Minimum of 2-3 years of experience in healthcare revenue cycle management, medical billing, claims processing, or denial management. Physical ...

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All JobsRn Insurance Claims JobsRn Insurance Claims Jobs in Michigan

Rn Insurance Claims information

See Michigan salary details

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$37

How much do rn insurance claims jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for rn insurance claims in Michigan is $20.48, according to ZipRecruiter salary data. Most workers in this role earn between $15.29 and $22.40 per hour, depending on experience, location, and employer.

What is an RN Insurance Claims?

An RN Insurance Claims job involves using nursing expertise to review medical claims, assess the necessity of treatments, and ensure compliance with insurance policies. These professionals work for insurance companies, healthcare organizations, or third-party administrators to evaluate claims for accuracy and fraud detection. They may also collaborate with healthcare providers and policyholders to clarify medical documentation and coverage decisions. Their goal is to ensure fair and efficient claims processing while controlling costs and maintaining quality care standards.

What are the typical daily responsibilities of an RN Insurance Claims specialist?

As an RN Insurance Claims specialist, your daily tasks typically involve reviewing medical records, evaluating insurance claims for medical necessity, and providing clinical expertise to ensure proper claim processing. You may also consult with physicians, healthcare providers, and claims adjusters to clarify medical information or support appeals. Many roles require working in a team environment with other nurses, claims specialists, and administrative professionals. This position is ideal for detail-oriented nurses who enjoy applying their clinical expertise in a non-bedside setting while playing a key part in the healthcare reimbursement process.

What are the key skills and qualifications needed to thrive in the RN Insurance Claims position?

To thrive as an RN Insurance Claims specialist, you need active RN licensure, strong clinical assessment knowledge, and experience interpreting medical records. Familiarity with insurance claims management software, ICD-10 coding, and electronic health records is highly beneficial. Attention to detail, analytical thinking, and effective communication are key soft skills for this role. These skills ensure accurate claim evaluations, efficient case processing, and clear collaboration between healthcare providers and insurance companies.

What are popular job titles related to Rn Insurance Claims jobs in Michigan?

For Rn Insurance Claims jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Rn Insurance Claims jobs in Michigan look for?

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

Rn Insurance Claims jobs near you
Infographic showing various Rn Insurance Claims job openings in Michigan as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $42,608 per year, or $20.5 per hour.

Field Case Nurse Manager - RN (Northern New Jersey)

MEDLOGIX, LLC

Remote

$71K - $87K/yr

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve.


Job Title: Field Case Nurse Manager- RN (Full time)

Geographic region: Work from home & travel to claimant's physician appointments or homes, depending on assignment (Northern New Jersey area )

Business Hours: Monday to Friday. No weekends, nights or holidays

Salary:  Base + bonus hours as billed


OVERVIEW: 

The Field Nurse Case Manager is a work from home & travel position located in the New Jersey area visiting people injured in automobile and on-the-job accidents and coordinating their care with health care providers and insurance carriers. Earn a competitive salary and excellent benefit package, including a specialized incentive plan for full-time staff. The ideal candidate is detail-oriented with Case Management experience (CCM and/or CRRN preferred) and strong interpersonal skills. Candidates should understand the medical management of a workers’ compensation, automobile and health insurance claims. They should also have knowledge of the hospital setting, including familiarity with hospital administration. Travel is required in surrounding counties and candidates must be licensed drivers.


KNOWLEDGE:

  • Medical management related to Worker’s Compensation, Auto and Health claims.
  • Hospital setting and administration.
  • Microsoft Office Suite programs.
  • Principles and processes for providing customer and personal services, to include customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
  • Structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.


SKILLS:

  • Strong interpersonal skills, communication and presentation skills required.
  • Must be detail oriented.
  • Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
  • Must be able to operate a motor vehicle.
  • Bilingual a plus.


REQUIREMENTS:

  • Case Management experience a plus.
  • ER/Rehab/Home Health nursing a plus.
  • Nursing – 2-3 years.
  • Unencumbered NJ driver’s license.


REQUIRED EDUCATION:

  • Graduate of an accredited school of nursing: Associates Degree or BSN preferred.


EEOC STATEMENT:

Medlogix is an Equal Opportunity Employer. Medlogix does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability, national origin, veteran status or any other basis covered by appropriate law. We will continue to maintain our commitment to making all employment-related decisions based on the merit of each individual.



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