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Cigna Utilization Review Remote Jobs in Kentucky

... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...

Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed

Cigna Utilization Review Remote information

What are the key skills and qualifications needed to thrive as a Cigna Utilization Review Remote nurse?

To thrive as a Cigna Utilization Review Remote Nurse, you need a valid RN license, clinical experience (often in case management or utilization review), and a strong understanding of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic medical records (EMRs), and knowledge of Medicare/Medicaid policies or URAC/NCQA standards is typically required. Excellent critical thinking, attention to detail, and effective communication are crucial soft skills for evaluating medical necessity and coordinating with providers. These skills ensure accurate, compliant decisions that support patient care while managing healthcare costs efficiently in a remote environment.

What is the difference between Cigna Utilization Review Remote vs Cigna Medical Reviewer?

AspectCigna Utilization Review RemoteCigna Medical Reviewer
CredentialsRN or licensed healthcare professionalRN or licensed physician
Work EnvironmentRemote, telehealth settingRemote or onsite, clinical setting
Employer & IndustryCigna, health insurance industryCigna, healthcare and insurance industry
Primary FocusReview of insurance utilization for appropriatenessClinical assessment and direct patient care

While both roles involve healthcare review, Cigna Utilization Review Remote focuses on evaluating insurance claims remotely, whereas Cigna Medical Reviewer provides direct clinical assessments, often with more patient interaction. Both require healthcare credentials and are integral to Cigna's healthcare services, but their daily tasks and focus differ.

What are some common challenges faced by Cigna Utilization Review professionals working remotely, and how can these be effectively managed?

Cigna Utilization Review professionals working remotely often encounter challenges such as maintaining clear communication with healthcare providers and team members, managing high caseload volumes, and staying updated on evolving clinical guidelines. To address these challenges, it’s important to leverage Cigna’s robust digital collaboration tools, participate actively in virtual team meetings, and utilize ongoing training resources. Setting a structured daily routine and prioritizing tasks can also help ensure timely and accurate reviews, while maintaining work-life balance in a remote setting.

What is a Cigna Utilization Review Remote?

A Cigna Utilization Review Remote position involves evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to Cigna members—all while working from a remote location. Utilization Review professionals, often nurses or clinicians, review clinical information, make coverage determinations, and coordinate with providers to ensure members receive the right care. This role combines clinical expertise with knowledge of insurance guidelines and regulatory requirements, allowing for flexible work arrangements from home. It plays a critical role in managing healthcare costs and improving patient outcomes.
What cities in Kentucky are hiring for Cigna Utilization Review Remote jobs? Cities in Kentucky with the most Cigna Utilization Review Remote job openings:
Infographic showing various Cigna Utilization Review Remote job openings in Kentucky as of August 2026, with employment types broken down into 92% Full Time, and 8% Contract. Highlights an 100% Remote job distribution.

Technical Support Specialist - HVAC - REMOTE

GE Appliances

Louisville, KY • On-site, Remote

Full-time

Posted 14 days ago


Job description

At GE Appliances, a Haier company, we come together to make "good things, for life." As the fastest-growing appliance company in the U.S., we're powered by creators, thinkers and makers who believe that anything is possible and that there's always a better way. We believe in the power of our people and in giving them the freedom to explore, discover and build good things, together.
The GE Appliances philosophy, backed by three simple commitments defines the way we work, invent, create, do business, and serve our communities: we come together, we always look for a better way, and we create possibilities.
Interested in joining us on our journey?
As a Technical Support Specialist with GE Appliances' Air & Water Ecosystem, you'll be responsible for delivering first-contact technical support to contractors, end users, and distributor partners across Air & Water product lines (e.g., residential HVAC, light commercial systems, VRF). This role provides timely troubleshooting assistance, interprets system data, and guides customers through structured resolution steps using established tools and technical resources. The position requires independent problem-solving, effective communication, and accurate case documentation to support efficient issue resolution and high-quality customer experience, while escalating more complex issues to advanced technical teams as needed.
Position
Technical Support Specialist - HVAC - REMOTE
Location
USA, Louisville, KY
How You'll Create Possibilities
Essential Duties & Responsibilities
  • Provide timely, accurate, and professional technical support via phone and email to contractors, end users, and distributor partners for a range of products (e.g. residential HVAC, light commercial systems, VRF), ensuring high-quality customer experience.

  • Diagnose and troubleshoot product issues across product systems through structured resolution steps.

  • Interpret system feedback and operating data (e.g., error codes, fault histories, control board indicators, and reported performance conditions) to support accurate issue identification.

  • Utilize GE Appliances/Haier tools and platforms (e.g., TD-03, SmartHQ, or equivalent) to review system data and identify potential performance issues to support troubleshooting.

  • Provide technical documentation and guidance, including wiring diagrams, submittals, capacity tables, installation instructions, and control configuration support.

  • Assist customers with installation, startup, and operational questions within a remote support environment, ensuring adherence to product specifications and best practices.

  • Escalate complex or unresolved issues to Product Specialists or Engineering teams, providing clear and thorough documentation of troubleshooting steps and findings.

  • Collaborate cross-functionally with Service, Engineering, Manufacturing, and Parts teams to support issue resolution and information sharing.

  • Maintain accurate and detailed case records, including reported symptoms, diagnostic steps performed, data reviewed, and final resolution or escalation path.

  • Demonstrate self-directed problem-solving by leveraging technical documentation, knowledge bases, and internal tools prior to escalation.

  • Ensure case documentation supports cross-functional visibility and efficient escalation.

What You'll Bring to Our Team
Position Competencies (Required Knowledge, Skills, & Abilities)
  • Independent Task Execution: Demonstrates the ability to work independently under general supervision to manage inbound technical support cases, prioritize workload, and support timely and accurate resolution of customer issues.

  • Technical Problem Solving: Applies practical knowledge of HVAC systems to diagnose and resolve customer issues, utilizing structured troubleshooting methods, system data, and available tools to address moderately difficult, non-complex problems.

  • Customer-Focused Communication: Effectively communicates technical information to contractors, distributors, and end users, translating complex concepts into clear, actionable guidance to support issue resolution and customer understanding.

  • Applied Technical Knowledge: Utilizes working knowledge of residential and light commercial HVAC systems, including system components, controls, and diagnostics, to support installation, startup, and operational inquiries.

  • Systems and Data Utilization: Leverages case management systems and diagnostic tools to document cases, review system data, and support data-informed troubleshooting and resolution processes.

  • Time and Priority Management: Effectively manages multiple tasks and competing priorities in a fast-paced environment, ensuring responsiveness and adherence to service level expectations.

  • Collaboration and Escalation: Recognizes when issues exceed scope and appropriately escalates to advanced technical teams, providing clear and structured documentation to support efficient resolution.

  • Adaptability and Continuous Learning: Demonstrates flexibility in adapting to new products, tools, and processes, while actively building technical knowledge and improving troubleshooting effectiveness over time.

  • Systems Skills: Case management systems (e.g., Salesforce or equivalent); Microsoft Office (Excel, Word, Outlook); Standard business systems and data entry tools

  • Language Skills: Bi-lingual fluency in English/Spanish or English/French (only required if hired as bi-lingual support)

Preferred Competencies
  • Advanced Technical Exposure: Demonstrates familiarity with light commercial HVAC systems, VRF technologies, and inverter-driven equipment, enabling more efficient troubleshooting and customer support.

  • Diagnostic Tools Proficiency: Applies experience using manufacturer-specific diagnostic tools and connected platforms (e.g., TD-03, SmartHQ) to interpret system data and identify performance issues.

  • Technical Support Environment Experience: Brings experience from a technical call center or customer support setting, with the ability to manage high call volumes while maintaining service quality.

  • Multilingual Communication: Utilizes bilingual language skills (e.g., English/Spanish or English/French) to effectively support a broader customer base.

  • Technical Documentation: Demonstrates the ability to clearly document troubleshooting steps, system data, and resolutions in a structured manner to support case tracking and knowledge sharing.

  • Systems Skills: GE Appliances/Haier diagnostic platforms (e.g., TD-03, SmartHQ); HVAC diagnostic or connected equipment platforms ; Case documentation and reporting tools

Educational and Experiential Background
  • High School Diploma or equivalent required

  • Minimum of 3 years of experience in HVAC installation, service, or technical support (residential and/or light commercial preferred)

  • Experience using computer systems and standard business applications

Preferred Education/Experience
  • Technical degree, certification, or related HVAC training

  • Experience supporting light commercial HVAC equipment (e.g., rooftop units, packaged systems)

  • Familiarity with VRF systems, inverter-driven technologies, and advanced controls

  • Experience using manufacturer diagnostic tools or connected platforms for troubleshooting and system analysis

  • Prior experience in a technical call center or customer support environment

Working Conditions & Travel Requirements
  • Working conditions are typical for an office environment.

  • Occasional weekend/evening work may be required.

  • 0% ongoing travel; occasional conferencing and/or external training attendance may be required.

Our Culture
Our work is centered on our People and Culture as reflected in our Zero Distance philosophy and we recognize the importance of reaffirming our commitment to inclusion and diversity (I&D). This underscores our commitment to fostering an environment where every individual feels valued, connected, and empowered to contribute, while positioning our organization to adapt seamlessly to the evolving needs of our workforce and communities.
This reflects our dedication to creating solutions that: Empower colleagues by fostering an environment where all voices are heard, valued, and encouraged to contribute. Strengthen communities where we live and work. Reinforce a culture of belonging, purpose, and engagement. Reflect the diversity of the communities we serve through our workforce, products, and practices.
By further embedding Zero Distance into our People and Culture framework, we will continue to build a deeply connected organization. We are cultivating a culture of engagement, belonging, and connection, because while attracting new talent remains a priority, retention is a cornerstone of our strategy.
GE Appliances is a trust-based organization. It is important we offer our employees the flexibility they need to do their best work while balancing the needs of the business and individuals. When you join GE Appliances, you will have the opportunity to work with your leader to create a flexible work arrangement that balances the needs of the individual, team, and organization.
GE Appliances is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.
GE Appliances participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S
If you are an individual with a disability and need assistance or an accommodation to use our website or to apply, please send an e-mail to ask.recruiting@geappliances.com