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Case Reviewer Jobs (NOW HIRING)

Constellis

Case Reviewer

VA · On-site +1

POSITION SUMMARY The Case Reviewer scrutinizes reports of investigations submitted by the Field Investigators to ensure accuracy, completeness, and timely submission to customer. COMPENSATON Actual ...

Constellis

Case Reviewer

VA · On-site +1

POSITION SUMMARY The Case Reviewer scrutinizes reports of investigations submitted by the Field Investigators to ensure accuracy, completeness, and timely submission to customer. COMPENSATON Actual ...

Integrated Management Strategies LLC

Case Reviewer

As a Case Reviewer, you will play a critical role in our Utilization Management department. You will be responsible for performing utilization review and medical management of prior authorizations ...

LHH US

Medical Malpractice Case Reviewer

Boston, MA · Hybrid

$90K - $120K/yr

LHH Recruitment Solutions, in partnership with a prominent law firm in Boston, is seeking an experienced Case Reviewer/Medical Analyst to join their team. This opportunity offers the chance for ...

CACI International, Inc.

DHS Experienced Case Reviewer

$20.50 - $26.25/hr

DHS Experienced Case Reviewer Job Category: Investigation Time Type: Full time Minimum Clearance Required to Start: Top Secret Employee Type: Regular Percentage of Travel Required: Up to 10% Type of ...

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How much do case reviewer jobs pay per hour?

As of Aug 29, 2026, the average hourly pay for case reviewer in the United States is $47.53, according to ZipRecruiter salary data. Most workers in this role earn between $35.34 and $57.45 per hour, depending on experience, location, and employer.

What is a case reviewer?

A Case Reviewer is responsible for evaluating case files, documents, and related information to ensure accuracy, compliance, and completeness. They analyze evidence, verify facts, and provide detailed assessments based on established guidelines or legal standards. Case Reviewers often work in legal, medical, insurance, or government sectors and must have strong attention to detail and analytical skills. Their role helps ensure fair and accurate decision-making in various professional settings.

What are the typical daily responsibilities of a case reviewer?

As a Case Reviewer, your day-to-day work commonly involves reviewing case files, supporting documents, and related evidence to assess compliance with relevant guidelines or policies. You may be required to write detailed reports, summarize findings, and make recommendations based on established criteria. Collaboration is frequent, as you often interact with other reviewers, supervisors, and subject matter experts to discuss complex cases or clarify information. This role demands a high level of organization and consistency, as accuracy and fairness are critical when determining outcomes that impact clients, patients, or other stakeholders.

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

To thrive as a Case Reviewer, you need strong analytical abilities, attention to detail, and a background in the relevant industry, often supported by a degree in law, healthcare, or a specialized field. Familiarity with case management software, electronic records systems, or regulatory databases is usually important, and certifications may be required for specialized roles. Excellent written communication, impartiality, and time management are soft skills that set top performers apart. Mastery of these skills ensures accurate, timely case evaluations and effective collaboration with stakeholders for informed decision-making.

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Case Reviewer jobs near you
Infographic showing various Case Reviewer job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 15% Part Time, and 2% Contract. Highlights an 76% Physical, 3% Hybrid, and 21% Remote job distribution, with an average salary of $98,869 per year, or $47.5 per hour.

Case Reviewer

Constellis

VA • On-site, Remote

Full-time

Re-posted 18 hours ago

Constellis rating

7.2

Company rating: 7.2 out of 10

Based on 45 frontline employees who took The Breakroom Quiz

38th of 118 rated security

Job description

POSITION SUMMARY
The Case Reviewer scrutinizes reports of investigations submitted by the Field Investigators to ensure accuracy, completeness, and timely submission to customer.
COMPENSATON
Actual compensation will be determined based on factors including relevant experience, education, and contract requirements.
RESPONSIBILITIES
  • Conduct thorough first level review of cases;
  • Provide advice and guidance to investigators on investigative and formatting requirements;
  • Review case work and provide timely feedback regarding quality and completeness via phone and/or messaging;
  • Monitor pending cases to ensure compliance with delivery due dates and track submission of investigative leads;
  • Maintain quality that meets customer contract and OMNIPLEX'S performance expectations.
  • Identify trends in errors and communicate (phone and message) to Field Investigators;
  • Prioritize cases where noteworthy or derogatory information is developed;
  • Monitor pending cases, review and revise reports of investigation;
  • Check for quality and take necessary actions to complete case to include calling and/or messaging investigators;
  • Notate Investigator Quality Performance remarks;
  • Schedule additional leads as discovered in investigation;
  • Provide daily support and assistance to PMs, managers/Investigative Supervisors and Investigators regarding quality issues;
  • Other duties as assigned;
  • Preferred prior case review experience;
  • Work is typically based in a busy office environment and subject to frequent interruptions. Business work hours are Monday-Friday from 8:00 am to 4:30 pm eastern standard time, however some extended hours may be required;

QUALIFICATIONS
  • Must be a U.S. Citizen and at least 18 years of age;
  • Bachelor's Degree from four-year college or university; minimum five (5) years experience in background investigations and knowledge of the background investigation process; or equivalent combination of education and experience.
  • High reasoning skills, including ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in oral, written, diagram, or schedule form.
  • Intermediate math skills, including ability to calculate figures and amounts
  • High language skills, including ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to present information in an effective manner to senior management.
  • Strong communication skills to include the ability to clearly present concerns, instructions and guidance both verbally and in writing.
  • High computer skills and ability to work in a MS Windows based operating environment, including proficiency with Microsoft Office (Word, Excel, PowerPoint), Internet and E-mail.
  • Must be U.S. citizen and able to successfully undergo background investigation to obtain U.S. Government security clearance.
  • Active or ability to obtain and maintain a federal security clearance as required by the contract.

BENEFITS
Constellis offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflect its commitment to creating a diverse and supportive workplace.
Equal Opportunity Employer
Race/Color/Sex/Sexual Orientation/Gender Identity/Disability/Vet

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