1

Insurance Reviewer Jobs in Philadelphia, PA (NOW HIRING)

Reviews appraisals and reports including desktop valuations from a wide variety of bank channels ... Basic term and optional term life insurance * Short-term and long-term disability * Pregnancy ...

Reviews appraisals and reports including desktop valuations from a wide variety of bank channels ... Basic term and optional term life insurance * Short-term and long-term disability * Pregnancy ...

Utilization Reviewer 2

Wayne, PA · On-site

$52K - $76K/yr

Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...

Utilization Reviewer 2

Wayne, PA · On-site

$52K - $76K/yr

Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...

Be Seen First

Insurance Underwriter

Exton, PA · On-site

$45K - $250K/yr

... financial review and competitive analysis. · Demonstrate technical and artistic / creative ... NO REMOTE WORK AVAILABLE Company Description Prime Insurance Company is a committed and trusted ...

Urgent

Insurance Assistant

Marlton, NJ · On-site

$23.50 - $24.50/hr

The Insurance Assistant supports the service team in delivering exceptional client service by ... review of internal compliance and client disclosure requirements, policies, endorsements and ...

Performs various tasks within the insurance team including the monitoring of insurance claims ... Review of Loan Agreements, third-party reports, and other various loan documents. * Review all ...

New

next page

Showing results 1-20

Insurance Reviewer information

See Philadelphia, PA salary details

$10

$30

$48

How much do insurance reviewer jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for insurance reviewer in Philadelphia, PA is $30.16, according to ZipRecruiter salary data. Most workers in this role earn between $22.79 and $36.88 per hour, depending on experience, location, and employer.

What does an insurance reviewer do?

An Insurance Reviewer is responsible for evaluating insurance claims, policies, and related documents to ensure compliance with company and regulatory guidelines. They review submitted claims to determine their validity, check for completeness and accuracy, and may communicate with policyholders or healthcare providers for additional information. Insurance Reviewers help prevent fraud, reduce errors, and ensure that claims are processed fairly and efficiently. Their work is crucial in maintaining the integrity and cost-effectiveness of an insurance company's operations.

What are the key skills and qualifications needed to thrive as an insurance reviewer, and why are they important?

To thrive as an Insurance Reviewer, you need strong analytical skills, attention to detail, and a solid understanding of insurance policies and regulations, often supported by relevant experience or a degree in business or finance. Familiarity with claims management systems, insurance software, and sometimes certifications like AINS (Associate in General Insurance) are typically required. Excellent communication, problem-solving abilities, and organizational skills help you manage cases efficiently and interact with clients or colleagues. These competencies ensure accurate claim assessments, compliance with industry standards, and high-quality customer service.

What are some common challenges faced by insurance reviewers and how can they be addressed?

Insurance Reviewers often encounter challenges such as interpreting complex policy language, managing high volumes of documentation, and staying updated with frequently changing regulations. To address these, many reviewers develop strong organizational skills, utilize specialized software to streamline document management, and participate in ongoing training or professional development. Collaborating closely with underwriters, claims adjusters, and legal teams also helps ensure accurate and timely policy assessments, reducing the risk of errors.

What are popular job titles related to Insurance Reviewer jobs in Philadelphia, PA?

For Insurance Reviewer jobs in Philadelphia, PA, the most frequently searched job titles are:

What job categories do people searching Insurance Reviewer jobs in Philadelphia, PA look for?

The top searched job categories for Insurance Reviewer jobs in Philadelphia, PA are:

Infographic showing various Insurance Reviewer job openings in Philadelphia, PA as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 19% Part Time, and 5% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $62,724 per year, or $30.2 per hour.

Premium Audit Reviewer - Hybrid

NJM Insurance Group

Trenton, NJ • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 28 days ago


Job description

New Jersey Manufacturers Insurance Company (NJM) was founded in 1913 by a group of manufacturers seeking to provide cost-effective, safety conscious and financially secure workers' compensation insurance for their workers. From inception the Company has operated as a mutual, with a focus on the needs of its policyholders.
Today, NJM Insurance Group, is a leading mid-sized U.S. property and casualty insurance company with 90 consecutive years of A+ financial strength ratings by AM BEST. Due to exceptional employee experience, NJM has been included on the latest Forbes List of Best Employers in New Jersey for the fourth year in a row. The NJM reputation for being a top provider of outstanding customer service was reaffirmed by the most recent J.D. Power Auto Insurance Claims Survey.
Over the last five years, the Company has focused on a strategic plan that calls for it to become a regional property & casualty insurer and has transitioned away from its affinity-based membership model. To that end, the Company has added an independent agency model for new lines of middle and large commercial and has more than doubled its product offerings. NJM now offers its various products to businesses across New Jersey, Pennsylvania, New York, Maryland, Delaware, and Connecticut.
NJM's Commercial Lines department conducts business for policyholders and preferred agencies within the Mid-Atlantic region, specifically NJ, PA, NY, MD, DE, CT. Products include Commercial Auto, G/L, Workers Comp, BOP, Excess/Umbrella, and Package. The Commercial Lines function encompasses Underwriting, Sales, Operations, Premium Audit, Product Management, Product Development, Loss Prevention and Business Process Unit.
The Premium Audit Reviewer is responsible for the quality and timely review of all premium audits, including complex, out-of-state and key accounts for commercial insurance policies, in accordance with company, industry and government rules and regulations. This role involves a close working relationship with Premium Auditors, Underwriters, Agents, and Policyholders.
This is a Hybrid Role and will require you to work in the West Trenton Office 3 days per week.
Essential Duties and Responsibilities: Essential functions of this job are listed below in order of priority. Reasonable accommodations may be made to enable individuals to perform the essential duties. Regular and predictable onsite attendance is an essential function of the job.
Enter responsibilities here.
• Verifies accuracy of the audit, enter data received, and refers them to management as needed
• Prepare voluntary mail audits by verifying received data, which may include a review of financial records,
to determine final premium
• Handles 6 states and key account exposures
• Communicates and interacts with incoming and outgoing calls with internal and external customers
• May be assigned other duties relating to the Premium Audit Department that will promote their growth
and knowledge within the department
• Provide office support such as mail distribution and maintaining office supplies for inside and outside staff
• Ability to edit and reject audits in Policy Center
• Ability to edit audit worksheets in Sharepoint as needed
• Track the receipt of incoming audits from Independent Fee Companies
• Verifies accuracy of incoming bills from Independent Fee Companies and submits check requests for
payment
• Assigns audits to Independent Fee Companies as needed in Policy Center, along with t gathering pertinent
policy information to be emailed for handling
• Transfer audits between Auditors as needed
• Responds to CRIB letters as needed
• Monitors multiple department mailboxes for special handling
• Compute premium discount percentages for rated with policies
• Ability to utilize 5 manuals as reference guides
• Prepare and issue monthly work to outside Auditors
• Review SSRS reports for Mail Audits to be estimated daily
• Complete policy changes for additional classes as needed on final audits
• Identity possible SIU cases
• Attendance: Regular and predictable attendance is an essential function of this position
• May act as a liaison between Premium Audit and contracted independent auditing companies
• May participate in system testing for PolicyCenter enhancements
Required Qualifications: Knowledge, skills & abilities, experience, minimum & desired education, certification and/or license requirements.
• High School diploma
• Mathematical proficiency is required
• Excellent communication (verbal and written) and interpersonal skills
• Ability to work in a team and independently
• Excellent organizational skills, ability to multi-task, and must be detail oriented
• Experience and proficiency with Microsoft Office [Word, Excel, and Outlook] required
Preferred Qualifications:
  • Experience with PolicyCenter, ClaimCenter, BillingCenter) is preferred
  • Professional certifications such as an AINS or AIS

Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.
NJM reserves the right at any time to amend, add or delete any aspect of the job description for this position based on business needs.
Compensation: Salary is commensurate with experience and credentials.
Pay Range: $42,577-$49,488
Eligible full-time employees receive a competitive Total Rewards package, including but not limited to a 401(k) with employer match up to 8% and additional service-based contributions, Health, Dental, and Vision insurance, Life and Disability coverage, generous PTO, Paid Sick Leave, and paid parental leave in addition to state-mandated leave. Employees may also be eligible for discretionary bonuses.
Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.