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Insurance Claims Nurse Salary

Last modified: Jul 25, 2023

There is no denying that nurses play a critical role in today's insurance industry. Consequently, you can consider becoming an insurance nurse if you are interested in simultaneously operating in the healthcare and insurance industries.   

You can become an insurance nurse by supplementing your nursing degree with some education and experience in statistics. This way, you can ensure that your healthcare knowledge can fine-tune your field's insurance processes and policies. According to ZipRecruiter, the annual insurance claims nurse salary is $65,808.

Insurance nurses often work as analysts, assisting in designing and analyzing benefits packages. Furthermore, some nurses may also be front-line providers in charge of insurance physicals.    

Insurance Nurse Job Description

The question “what do insurance nurses do?” is a common one among many people. Insurance nurses operate in a wide range of roles, depending on their specialization. For instance, you can become a case manager, nurse educator, health coach consultant, or quality management nurse consultant. 

The insurance company nurse job description involves being employed in the insurance industry and following strict rules to determine whether patients satisfy the conditions for insurance reimbursement. You will also be responsible for pre-certifying people for hospitalizations and procedures that are medically necessary.  

Also, the insurance nurse case manager's job description involves evaluating and implementing health care plans for patients. As such, you will be tasked with offering effective medical care at the lowest cost possible. 

In addition, you will also be a liaison between patients and their doctors, families, and health care providers. Some of your other duties as an insurance nurse case manager include accurately documenting and submitting medical records, making clinical decisions for standard patient care, and educating patients and their families about various health care plans and alternatives.

Insurance nurses go by many names in their industry. For example, suppose you wish to find a job with an insurer as a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). In that case, you can become a Quality Management Nurse Associate, Appeals Nurse Associate, and Health Coach. 

However, if you are a Registered Nurse (RN) with clinical experience, you can become a Quality Management Nurse Consultant, Nurse Educator, Health Coach Consultant, or Case Manager.

How to Become an Insurance Nurse

You are undoubtedly not alone if you are wondering how to become a nurse for an insurance company. The qualifications you need for an RN insurance assessment job are an Associate or Bachelor's degree, excellent observational awareness, and great technical skills. 

It is vital to note that you must pass the NCLEX exam for a license to practice in your state if you want to become a registered nurse. Additionally, prior experience with insurance claims and other systems like Medicare or Medicaid is typically essential. You will likely also need to be no stranger to electronic medical records and digital medicine tools to qualify for the role.

There are many RN insurance assessment jobs to consider, including working as an insurance assessor, medicare wellness specialist, long-term care assessor, and UAS RN. Your duties will typically include medical treatment and claims review, health care assessment, patient engagement, and community education. 

However, your responsibilities can vary depending on your specific role. For example, you may be in charge of helping patients understand their health care plans or treatment options and assessing the forms of treatments they require or qualify for. In addition, you may be tasked with reviewing loss claims for the insurance company. 

How Much Does an Insurance Company Nurse Make?

ZipRecruiter estimates that $65,808 is the correct answer to the question "how much do insurance company nurses make?" A $65,808 annual salary means they earn about $31.64 per hour, $1,266 weekly, and $5,484 monthly.

There are reportedly 10 cities where an insurance nurse's salary is notably above the national average. Sunnyvale, CA, tops the list with an annual average salary of $83,148. The top ten cities for insurance nurse jobs are:

Sunnyvale, CA– $83,148

Santa Rosa, CA– $80,374

Cambridge, MA– $77,939

Vacaville, CA– $76,441

New York City, NY– $75,589

Fairfield, CA– $75,515

San Mateo, CA– $75,079

Lynn, MA– $74,426

Anchorage, AK– $74,310

Baltimore, MD– $73,170

Sunnyvale, CA, has a notably active insurance nurse job market because many companies hire for the role. However, all these cities present equally great opportunities for economic advancement to insurance nurses willing to relocate.

Furthermore, some insurance nurse jobs pay more annually than your average insurance nurse salary. For instance, the nurses working for insurance companies’ salaries and those in Director, Learning, and Development roles are typically higher. 

These jobs pay between 37.7% and 58.5% more than the standard insurance claims nurse salary of $65,808. Consequently, you can work toward getting hired for one of these insurance nurse-related roles to make more money than the average insurance nurse. 

The top five best-paying insurance nurse related jobs in the US are: 

Director L&D– $104,328

Life Insurance Manager– $94,597

Registered Nurse OR– $93,683

Night Shift Pediatric Dentist– $93,309

Part Time Travel RN– $90,623

These salaries should cover various living expenses, including nurse insurance. According to experts, $100–$150 per month is the correct answer to the question “how much do nurses pay for health insurance?”

In Conclusion

In conclusion, you can become an insurance nurse if you fancy working in the healthcare and insurance sectors simultaneously. However, you will need to first acquire a Bachelor's or Associate's degree to qualify for this role. 

Keep in mind that you will need proper training and some experience in statistics and systems like Medicare or Medicaid for this role. In December 2021, an insurance claim nurse's salary was about $65,808 annually. However, there are many other related jobs you can take up in the field to earn higher. You can also consider moving to specific areas that pay more for your skills.

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