CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The ...
RN express is looking for talented, caring Registered Nurses to work full- time or part- time. If ... Reliable transportation with valid and current auto liability insurance. Additional Information All ...
RN express is looking for talented, caring Registered Nurses to work full- time or part- time. If ... Reliable transportation with valid and current auto liability insurance. Additional Information All ...
Evening On Call Triage, Registered Nurse
$175 - $262.50/hr
Current New York State registered professional nursing license * At least one year of experience ... Valid drivers license and auto insurance. * Self-directed and organized with ability to work ...
Evening On Call Triage, Registered Nurse
$175 - $262.50/hr
Current New York State registered professional nursing license * At least one year of experience ... Valid drivers license and auto insurance. * Self-directed and organized with ability to work ...
CRNA - Other - Make $185,000/year - $195,000/year
Delray Beach, FL · On-site
$185K - $195K/yr
Certified Registered Nurse Anesthetist (CRNA) - Boca Raton, FL New Graduates Welcome! Job Type ... Malpractice insurance (Claims-made with tail coverage) · Comprehensive health insurance · ...
CRNA - Other - Make $185,000/year - $195,000/year
Delray Beach, FL · On-site
$185K - $195K/yr
Certified Registered Nurse Anesthetist (CRNA) - Boca Raton, FL New Graduates Welcome! Job Type ... Malpractice insurance (Claims-made with tail coverage) · Comprehensive health insurance · ...
Northern Virginia CRNA Jobs * Clinical Role: * Do you know someone that might be a good fit for ... Life insurance * Claims made malpractice insurance provided (as long as you work at least 2 days a ...
Northern Virginia CRNA Jobs * Clinical Role: * Do you know someone that might be a good fit for ... Life insurance * Claims made malpractice insurance provided (as long as you work at least 2 days a ...
Claims Specialist
Albuquerque, NM · On-site
... insurance claims under applicable law, corporate policy and best practice. Quality claim handling ... management strategies with nurse case managers and all other expert assignments. * Upon ...
Claims Specialist
Albuquerque, NM · On-site
... insurance claims under applicable law, corporate policy and best practice. Quality claim handling ... management strategies with nurse case managers and all other expert assignments. * Upon ...
Claims Specialist
Albuquerque, NM · On-site
... insurance claims under applicable law, corporate policy and best practice. Quality claim handling ... management strategies with nurse case managers and all other expert assignments. * Upon ...
Claims Specialist
Albuquerque, NM · On-site
... insurance claims under applicable law, corporate policy and best practice. Quality claim handling ... management strategies with nurse case managers and all other expert assignments. * Upon ...
Evening On Call Triage, Registered Nurse
$175 - $262.50/hr
Current New York State registered professional nursing license * At least one year of experience ... Valid driver's license and auto insurance. * Self-directed and organized with ability to work ...
Evening On Call Triage, Registered Nurse
$175 - $262.50/hr
Current New York State registered professional nursing license * At least one year of experience ... Valid driver's license and auto insurance. * Self-directed and organized with ability to work ...
ER Registered Nurse
Tulsa, OK · On-site
$62K - $96K/yr
The Registered Nurse I assesses, plans, implements, and evaluates nursing care, utilizing the ... Life and disability insurance (basic life + AD&D included; optional extra coverage available)
ER Registered Nurse
Tulsa, OK · On-site
$62K - $96K/yr
The Registered Nurse I assesses, plans, implements, and evaluates nursing care, utilizing the ... Life and disability insurance (basic life + AD&D included; optional extra coverage available)
Evening On Call Triage, Registered Nurse
Syracuse, NY · On-site
$175 - $262.50/hr
Current New York State registered professional nursing license * At least one year of experience ... Valid driver's license and auto insurance. * Self-directed and organized with ability to work ...
Evening On Call Triage, Registered Nurse
Syracuse, NY · On-site
$175 - $262.50/hr
Current New York State registered professional nursing license * At least one year of experience ... Valid driver's license and auto insurance. * Self-directed and organized with ability to work ...
RN, Quality Assurance Coordinator
$75K - $87K/yr
The RN (Registered Nurse) Quality Assurance Coordinator is responsible for assisting in overall ... Has a working knowledge of Medicare/Medicaid and private insurance * Ability to learn and apply ...
RN, Quality Assurance Coordinator
$75K - $87K/yr
The RN (Registered Nurse) Quality Assurance Coordinator is responsible for assisting in overall ... Has a working knowledge of Medicare/Medicaid and private insurance * Ability to learn and apply ...
Registered Nurse, Pediatrics
$75K - $87K/yr
Pediatric Homecare RN • Make a Difference, One Child at a Time • Your Nursing Matters Here ... Valid driver's license, auto insurance, and reliable vehicle * Self-directed, organized, and ...
Registered Nurse, Pediatrics
$75K - $87K/yr
Pediatric Homecare RN • Make a Difference, One Child at a Time • Your Nursing Matters Here ... Valid driver's license, auto insurance, and reliable vehicle * Self-directed, organized, and ...
ER Registered Nurse - $85K to $160K
Everett, WA · On-site
$85K - $160K/yr
Description: The Care Manager RN provides professional, comprehensive, patient-centered care ... Health & Insurance • Medical insurance • Dental insurance • Vision insurance • Life ...
ER Registered Nurse - $85K to $160K
Everett, WA · On-site
$85K - $160K/yr
Description: The Care Manager RN provides professional, comprehensive, patient-centered care ... Health & Insurance • Medical insurance • Dental insurance • Vision insurance • Life ...
Claims Manager
$150K - $175K/yr
Who You Are: * 5+ years in insurance claims adjusting or management, including workers ... nurse case managers; * Communicate frequently with internal stakeholders and third parties ...
Claims Manager
$150K - $175K/yr
Who You Are: * 5+ years in insurance claims adjusting or management, including workers ... nurse case managers; * Communicate frequently with internal stakeholders and third parties ...
RN, Quality Assurance Coordinator
Syracuse, NY · On-site
$75K - $87K/yr
The RN (Registered Nurse) Quality Assurance Coordinator is responsible for assisting in overall ... Has a working knowledge of Medicare/Medicaid and private insurance * Ability to learn and apply ...
RN, Quality Assurance Coordinator
Syracuse, NY · On-site
$75K - $87K/yr
The RN (Registered Nurse) Quality Assurance Coordinator is responsible for assisting in overall ... Has a working knowledge of Medicare/Medicaid and private insurance * Ability to learn and apply ...
RN, Quality Assurance Coordinator
$75K - $87K/yr
The RN (Registered Nurse) Quality Assurance Coordinator is responsible for assisting in overall ... Has a working knowledge of Medicare/Medicaid and private insurance * Ability to learn and apply ...
RN, Quality Assurance Coordinator
$75K - $87K/yr
The RN (Registered Nurse) Quality Assurance Coordinator is responsible for assisting in overall ... Has a working knowledge of Medicare/Medicaid and private insurance * Ability to learn and apply ...
ER Registered Nurse
$65K - $90K/yr
Active RN license (must be currently active). * Less than 1 year of experience required; new grads ... Disability Insurance * Referral Program, Loyalty Program, Competitive Pay Rates
ER Registered Nurse
$65K - $90K/yr
Active RN license (must be currently active). * Less than 1 year of experience required; new grads ... Disability Insurance * Referral Program, Loyalty Program, Competitive Pay Rates
Registered Nurse Residency Program
Syracuse, NY · On-site
$72K - $83K/yr
Homecare RN • A Supportive Start to a Meaningful Career! Meaningful Care Beyond the Hospital ... Valid driver's license, auto insurance, and reliable vehicle * Self-directed, organized, and ...
Registered Nurse Residency Program
Syracuse, NY · On-site
$72K - $83K/yr
Homecare RN • A Supportive Start to a Meaningful Career! Meaningful Care Beyond the Hospital ... Valid driver's license, auto insurance, and reliable vehicle * Self-directed, organized, and ...
... insurance claims or related relevant experience. Experience in handling specialty lines claims is preferred. Four-year college degree is required but R.N. or J.D. preferred. Substantial knowledge of ...
... insurance claims or related relevant experience. Experience in handling specialty lines claims is preferred. Four-year college degree is required but R.N. or J.D. preferred. Substantial knowledge of ...
Registered Nurse (RN)
Yakima, WA · On-site
... Claims, and former energy workers who want to remain independent and live in their own homes. We ... Supplemental insurance available * One-on-one patient care * Flexible Scheduling Ideal Candidates ...
Registered Nurse (RN)
Yakima, WA · On-site
... Claims, and former energy workers who want to remain independent and live in their own homes. We ... Supplemental insurance available * One-on-one patient care * Flexible Scheduling Ideal Candidates ...
Rn Insurance Claims information
See salary details
$12.74 - $15.49
8% of jobs
$17.33 is the 25th percentile. Wages below this are outliers.
$15.49 - $18.25
25% of jobs
The median wage is $20.35 / hr.
$18.25 - $21
22% of jobs
$21 - $23.75
15% of jobs
$25.01 is the 75th percentile. Wages above this are outliers.
$23.75 - $26.51
11% of jobs
$26.51 - $29.26
5% of jobs
$29.26 - $32.01
3% of jobs
$32.01 - $34.77
3% of jobs
$34.77 - $37.52
3% of jobs
$37.52 - $40.28
3% of jobs
$40.28 - $43.03
1% of jobs
$12
$23
$43
How much do rn insurance claims jobs pay per hour?
What are the key skills and qualifications needed to thrive in the Rn Insurance Claims position, and why are they important?
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 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 is an RN Insurance Claims job?
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.

Full-time
Posted 16 days ago
Job description
You have a clear vision of where your career can go. And we have the leadership to help you get there.At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
CNA is one of the premier providers of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial Lines claim group. The individual in this position will handle a mix of primary and excess E&O claims in our Financial Lines group arising under policies issued to our life agent, broker-dealer, and investment advisor, banking and insurance customers. These claims can be complex in nature and valued in the multimillion dollar range. Insurance litigation and/or coverage analysis experience is preferred. The qualified candidate must be able to produce high quality written work product and meaningfully collaborate with and provide insight to our business partners on claims and policy wording questions. The individual in this role will operate within specific limits of authority to negotiate and settle claims and attend mediations. Critical to success in this role is the ability to be highly organized, independently motivated and responsive/communicative.This individual contributor position works under moderate direction, and within defined authority limits, to manage Financial Lines claims with moderate to high complexity and exposure for a specialized line of business. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s).
Location: Chicago, IL or New York City, NY preferred, but candidates near any CNA location will be considered.
JOB DESCRIPTION:
Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines:
- Manages an inventory of high complexity and exposure Financial Lines claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
- Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information.
- Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.
- Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as financial records, contracts or other documents, and working with defense counsel, experts, or other parties, as necessary to verify the facts of the claim.
- Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims.
- Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
- Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner.
- Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation.
- Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements.
- Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct summaries to senior management.
- Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
- Mentors, guides, develops and delivers training to less experienced Claim Professionals.
May perform additional duties as assigned.
Reporting Relationship
- Typically Director or above
Skills, Knowledge & Abilities
- Advanced technical and product specific expertise, claims resolution skill and knowledge of insurance and claims principles, practices and procedures. This position requires demonstrated ability to handle litigated matters, including selection and direction of counsel, and formulation and execution of resolution strategies and strategic coordination with counsel, insureds, brokers and other insurers under duty to defend and reimbursement policies.
- Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
- Strong communication, negotiation and presentation skills both verbal and written, including the ability to communicate business and technical information clearly.
- Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems.
- Strong work ethic, with demonstrated time management and organizational skills.
- Ability to work in a fast-paced environment at high levels of productivity.
- Demonstrated ability to negotiate complex settlements.
- Experience interpreting complex commercial insurance policies and coverage.
- Ability to manage multiple and shifting priorities in a fast-paced and challenging environment.
- Knowledge of Microsoft Office Suite and ability to learn business-related software.
- Demonstrated ability to value diverse opinions and ideas.
Education & Experience
- Bachelor's Degree or equivalent experience. Juris Doctorate is preferred.
- Typically a minimum six years of relevant experience, preferably in Professional Liability claim handling or a minimum of six years in a law firm handling Professional Liability matters
- Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable
- Prior negotiation experience
- Professional designations preferred (e.g. CPCU)
#LI-Hybrid #LI-CP1
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $72,000 to $141,000 annually.Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visitcnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contactleaveadministration@cna.com.