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Case Review Specialist Jobs (NOW HIRING)

Description CAREER OPPORTUNITY CASE REVIEW SPECIALIST *We are not currently hiring for this role, but are accepting applications to join our waitlist.* A reputable, fast-growing law firm practicing ...

CAREER OPPORTUNITY CASE REVIEW SPECIALIST *We are not currently hiring for this role, but are accepting applications to join our waitlist.* A reputable, fast-growing law firm practicing employment ...

About the Role The Case Review Specialist ensures that case documentation is provided by the provider for accurate and timely determinations and communicates with clinical and non-clinical staff to ...

About the Role The Case Review Specialist ensures that case documentation is provided by the provider for accurate and timely determinations and communicates with clinical and non-clinical staff to ...

About the Role The Case Review Specialist ensures that case documentation is provided by the provider for accurate and timely determinations and communicates with clinical and non-clinical staff to ...

About the Role The Case Review Representative serves as a one-stop shop and intake of all calls (members and providers). Resolves tier one issues (user resets, provider data management, fax and ...

Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend ... Identify and address over- and underutilization trends * Assist in resolving outstanding case ...

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Case Review Specialist information

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$10

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$31

How much do case review specialist jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for case review specialist in the United States is $20.76, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $23.32 per hour, depending on experience, location, and employer.

What is the difference between Case Review Specialist vs Claims Adjuster?

AspectCase Review SpecialistClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or healthcare certificationsHigh school diploma; often requires insurance licensing or certifications
Work EnvironmentOffice-based, healthcare or insurance settingsOffice or fieldwork, insurance companies, healthcare providers
Industry UsageInsurance, healthcare, legalInsurance, healthcare, auto, property claims
Job FocusReviewing cases for accuracy, compliance, or eligibilityEvaluating insurance claims, determining coverage and settlement

Both roles involve reviewing cases within insurance or healthcare sectors, but a Case Review Specialist primarily assesses case details for compliance and accuracy, while a Claims Adjuster focuses on evaluating and settling insurance claims. The roles often overlap in credentials and work environment, making them common points of comparison for job seekers in this industry.

What are the key skills and qualifications needed to thrive as a case review specialist?

To thrive as a Case Review Specialist, you need strong analytical abilities, attention to detail, and a background in healthcare, insurance, or legal studies, often supported by relevant degrees or certifications. Familiarity with case management software, electronic health records (EHRs), and regulatory compliance systems is typically required. Excellent communication, critical thinking, and organizational skills help you collaborate with stakeholders and manage complex case files effectively. These skills and qualities are crucial for ensuring accurate case evaluations, regulatory adherence, and quality outcomes in a fast-paced environment.

What are some common challenges faced by case review specialists, and how can they be managed effectively?

Case Review Specialists often encounter challenges such as managing high volumes of complex cases and maintaining strict attention to detail under tight deadlines. Balancing thorough case analysis with the need to process cases efficiently requires strong organizational skills and effective time management. Additionally, communicating findings clearly to team members and other departments can be demanding, so developing concise reporting and interpersonal skills is essential. Regular collaboration with colleagues and ongoing training can help Case Review Specialists stay current with policies and best practices, making these challenges more manageable.

What is a case review specialist?

Case Review Specialists are professionals who assess, evaluate, and review various types of cases, such as insurance claims, legal cases, or medical records, to ensure accuracy, compliance, and completeness. They analyze case details, verify documentation, and may provide recommendations for resolution or further action. Case Review Specialists often work in healthcare, insurance, legal, or government settings and play a critical role in maintaining quality and regulatory standards.
More about Case Review Specialist jobs
Infographic showing various Case Review Specialist job openings in the United States as of August 2026, with employment types broken down into 100% Part Time. Highlights an 100% In-person job distribution, with an average salary of $43,188 per year, or $20.8 per hour.

Case Review Specialist

D.LAW INC

Pasadena, CA

$30/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 18 days ago


Job description

Description

CAREER OPPORTUNITYCASE REVIEW SPECIALIST
*We are not currently hiring for this role, but are accepting applications to join our waitlist.*

A reputable, fast-growing law firm practicing employment law is seeking to fill full-time Case Review Specialists in its Pasadena office as detailed below.


Title: Case Review Specialist (on-site, not remote)


Location: Pasadena, CA


Hours: Full-Time / 40 Hours Per Week (Monday through Friday 8:30 am - 5:30 pm)


Starting Pay: $30 per hour


Minimum Requirements: Bachelor's Degree; Office Work Experience.


Experience / Training: Prior law office experience is a plus but not required if the candidate possesses the right analytical and critical thinking skills. Training will be provided.


Benefits: We provide benefits to full-time employees after a 90-day probational period including

health, dental and vision benefits, paid vacation, paid holidays, 401K among other perks.


Responsibilities:

  •  Review and analyze documents / information collected from prospective clients,
  •  Summarize important details from documents,
  •  Use analytical skills to connect important facts to one another,
  •  Research defendants and lawsuits,
  •  Work closely with attorneys to provide case support,
  •  Other similar duties as necessary

General Skills Required: Great analytical skills; great critical thinking skills; great ability to read

and comprehend facts/text; attention to detail; good note-taking skills, professional attitude,

honesty, good written communication, dependable, ability to follow instructions, computer savvy,

good typing skills, multi-tasking.


Computer Skills Preferred: Microsoft Word, Excel, Outlook Email / Calendar / Planner, Adobe

Acrobat, Apple Operating System.


Language Skills: Fluent in English (spoken & written).