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Nurses In Insurance Jobs in Columbus, OH (NOW HIRING)

Pinnacle Treatment Centers

RN

Columbus, OH · On-site

... insurance. • Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP) • ... in an emergency, assisting with nurses in medical emergencies. Preferred • Three (3) year ...

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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.
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What cities near Columbus, OH are hiring for Nurses In Insurance jobs? Cities near Columbus, OH with the most Nurses In Insurance job openings:
Nurses In Insurance jobs near you

Account Manager - State Farm Agent Team Member

Anthony Pelfrey - State Farm Agent

Westerville, OH

$35K - $100K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 10 days ago

Job description

Benefits:
  • 401(k)
  • Bonus based on performance
  • Dental insurance
  • Health insurance
  • Paid time off
  • Training & development
  • Vision insurance

ABOUT OUR AGENCY:
I opened my agency in 2019 and currently lead a team of three. Before becoming an agent with State Farm, I was an aspirant team member preparing for agency ownership. Prior to insurance, I owned and operated a veterinary hospital for 14 years, building it from the ground up, and also ran a consulting firm focused on helping small businesses grow and succeed.
Im married and a proud father of four, and family is extremely important to me. My wife is a psychiatric nurse practitioner, so mental health and maintaining balance are values we take seriously both personally and professionally. I stay very active in the local community through involvement with the Chamber of Commerce and enjoy building strong relationships within the area we serve.
Our office is located in a beautiful 100-year-old home in a historic town, which gives the agency a unique and welcoming atmosphere. We offer flexible scheduling, PTO, health insurance options, licensing reimbursement, and multiple bonus opportunities. Work-life balance is important to me, and I believe in giving people flexibility as long as responsibilities are handled and goals are met.
Our culture is fast-paced, friendly, and relationship-focused. Im looking for someone with a strong work ethic who enjoys working with people, is comfortable meeting customers face-to-face, and can adapt to different personalities and situations. If youre someone who is motivated, personable, and wants to be part of a supportive and growing agency, this could be a great fit for you.
ROLE DESCRIPTION:
As Account Manager - State Farm Agent Team Member for Anthony Pelfrey - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services.
Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team.
RESPONSIBILITIES:
  • Develop and maintain customer relationships to drive retention and growth.
  • Conduct policy reviews and provide recommendations to customers.
  • Oversee the resolution of complex customer issues.
  • Use your knowledge of our insurance products to recommend, explain and sell policies to both cold and warm leads.
QUALIFICATIONS:
  • Experience in insurance sales or account management preferred.
  • Leadership and interpersonal skills.
  • Proven track record of meeting sales targets.
  • Willingness to engage in sales conversations.