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Call Reviewer Jobs in Raleigh, NC (NOW HIRING)

Duke Health

Cardiac Sonographer - PRN

Durham, NC

Call: 1 evening a week, every 6th weekend, 1 hour call requirement; holidays are rotated as needed ... Review department performance in relation to established goals, implementing changes to effect ...

Duke University

Cardiac Sonographer - PRN

Durham, NC · On-site

Call: 1 evening a week, every 6th weekend, 1 hour call requirement; holidays are rotated as needed ... Review department performance in relation to established goals, implementing changes to effect ...

Duke Health

Cardiac Sonographer - PRN

Durham, NC · On-site

Call: 1 evening a week, every 6th weekend, 1 hour call requirement; holidays are rotated as needed ... Review department performance in relation to established goals, implementing changes to effect ...

Duke University

Cardiac Sonographer - PRN

Durham, NC

Call: 1 evening a week, every 6th weekend, 1 hour call requirement; holidays are rotated as needed ... Review department performance in relation to established goals, implementing changes to effect ...

Mercalis

PEC Operations Manager

Morrisville, NC

... call center operational strategies, to enhance operational efficiency, improve workflows and streamline processes. Communicate with upper management. * Conduct needs assessments, performance reviews ...

Mercalis

PEC Operations Manager

Morrisville, NC · On-site

... call center operational strategies, to enhance operational efficiency, improve workflows and streamline processes. Communicate with upper management. * Conduct needs assessments, performance reviews ...

Mercalis

PEC Operations Manager

Morrisville, NC · On-site

... call center operational strategies, to enhance operational efficiency, improve workflows and streamline processes. Communicate with upper management. * Conduct needs assessments, performance reviews ...

Mercalis

PEC Operations Manager

Morrisville, NC

... call center operational strategies, to enhance operational efficiency, improve workflows and streamline processes. Communicate with upper management. * Conduct needs assessments, performance reviews ...

Mercalis

PEC Operations Manager

Morrisville, NC · On-site

... call center operational strategies, to enhance operational efficiency, improve workflows and streamline processes. Communicate with upper management. * Conduct needs assessments, performance reviews ...

Robert Half

Customer Service Representative

Raleigh, NC · On-site

$20.90 - $24.20/hr

... operational review. • Maintain thorough and timely records while handling both call intake and case updates throughout the day. • Provide clear, attentive customer service to callers while ...

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Call Reviewer information

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$10

$29

$47

How much do call reviewer jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for call reviewer in Raleigh, NC is $29.05, according to ZipRecruiter salary data. Most workers in this role earn between $21.97 and $35.53 per hour, depending on experience, location, and employer.

What is a Call Reviewer job?

A Call Reviewer listens to recorded phone calls to evaluate their quality, accuracy, and compliance with company policies or regulatory standards. They assess factors like customer service, script adherence, and professionalism. The role helps improve communication, identify training needs, and ensure consistency in customer interactions.

What are the key skills and qualifications needed to thrive in the Call Reviewer position, and why are they important?

To thrive as a Call Reviewer, you need strong attention to detail, analytical listening skills, and familiarity with call center operations, often supported by prior experience in customer service or quality assurance. Knowledge of call recording software, CRM systems, and reporting tools is highly valuable, as well as any relevant quality assurance certifications. Excellent communication, impartiality, and the ability to provide constructive feedback are key soft skills for this position. These skills ensure objective and accurate call evaluations, contributing to continuous improvement and high standards within customer support teams.

What are the typical challenges faced by Call Reviewers and how can they be managed?

Call Reviewers often encounter challenges such as maintaining objectivity when evaluating a high volume of calls and providing consistent, actionable feedback across diverse team members. Managing potential biases and staying up-to-date with evolving company standards or scripts can require ongoing attention. Successful Call Reviewers address these challenges by relying on clear evaluation criteria, seeking regular training, and engaging in open communication with supervisors and agents. This approach helps them support the continuous development of call center staff while ensuring fairness and adherence to company quality standards.

What cities near Raleigh, NC are hiring for Call Reviewer jobs? Cities near Raleigh, NC with the most Call Reviewer job openings:
Call Reviewer jobs near you
Utilization Management Representative I

Utilization Management Representative I

Elevance Health

Durham, NC • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 25 days ago

Elevance Health rating

7.8

Company rating: 7.8 out of 10

Based on 331 frontline employees who took The Breakroom Quiz

165th of 260 rated insurance

Job description

Utilization Management Representative I

Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.


The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review.

Hours: Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift hours from 8:30 AM to 5:30 PM Mountain Time. Please adjust for your time zone. Candidates will be required to work rotating weekends and select holidays, and must be flexible and available to work overtime. Weekend shift hours may vary.

How you will make an impact:

  • Managing incoming calls or incoming post services claims work.

  • Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests.

  • Refers cases requiring clinical review to a Nurse reviewer.

  • Responsible for the identification and data entry of referral requests into the UM system in accordance with the plan certificate.

  • Responds to telephone and written inquiries from clients, providers and in-house departments.

  • Conducts clinical screening process.

  • Authorizes initial set of sessions to provider.

  • Checks benefits for facility based treatment.

  • Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.

  • Associates in this role are expected to have the ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers.

  • Additional expectations to include but not limited to: Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment; strong verbal and written communication skills, both with virtual and in-person interactions; attentive to details, critical thinker, and a problem-solver; demonstrates empathy and persistence to resolve caller issues completely; comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts.

  • Associates in this role will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary.

  • Performs other duties as assigned.

Minimum Requirements:

  • Requires HS diploma or GED and a minimum of 1 year of customer service or call-center experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

  • Inbound call center experience strongly preferred.

  • Medical terminology training and experience in medical or insurance field strongly preferred.

  • For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

What Elevance Health employees say

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About Elevance Health

Sourced by ZipRecruiter

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Indianapolis, IN, US

Year founded

2004

Social media

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