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Insurance Utilization Review Jobs in Texas (NOW HIRING)

Corvel

Utilization Review Intake Specialist

Dallas, TX · Remote

$16.74 - $26.92/hr

The Utilization Review (UR) Intake Specialist provides staff support services including typing ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...

WNS Global Services

Nurse, Concurrent Review

Houston, TX · On-site +1

... utilization review requirements • Knowledge of insurance terminology • Experience working with state and federal regulatory and compliance standards, preferred • Proficient technical skills in ...

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Insurance Utilization Review information

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$39

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How much do insurance utilization review jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for insurance utilization review in Texas is $39.39, according to ZipRecruiter salary data. Most workers in this role earn between $31.15 and $45.24 per hour, depending on experience, location, and employer.

What is an insurance utilization review?

An Insurance Utilization Review job involves evaluating medical treatments and services to determine if they are necessary, appropriate, and covered by a patient's insurance plan. Professionals in this role review medical records, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They work closely with healthcare providers, insurance companies, and patients to facilitate approvals or appeals. The goal is to balance quality patient care with cost containment in the healthcare system.

What are the key skills and qualifications needed to thrive in insurance utilization review?

To thrive in Insurance Utilization Review, you generally need a strong background in healthcare or nursing, an understanding of medical terminology, and analytical thinking skills, often supported by an RN license or relevant clinical experience. Familiarity with utilization management software, coding systems like ICD-10, and knowledge of regulatory requirements (such as Medicare or Medicaid) are important. Strong communication, attention to detail, and problem-solving abilities help professionals excel when interacting with providers and insurers. These skills are essential to ensure appropriate care is authorized while maintaining regulatory compliance and cost-effectiveness.

What are the most common challenges faced by insurance utilization review professionals?

One common challenge in Insurance Utilization Review is balancing the need for cost-effective care with the clinical needs of patients, which often requires careful analysis and decision-making. Professionals in this role frequently navigate complex medical records, strict policy guidelines, and collaborate with healthcare providers who may advocate strongly for particular treatments. Managing challenging conversations while maintaining professionalism and ensuring timely determinations are also a regular part of the role. Developing expertise in these areas can make the job both demanding and rewarding, while building a strong foundation for career growth within healthcare administration.

How do I get into an insurance utilization review?

To become an insurance utilization review specialist, candidates typically need a background in healthcare, nursing, or a related field, along with knowledge of insurance policies and medical terminology. Certification such as the Certified Professional in Healthcare Quality (CPHQ) or similar credentials can enhance job prospects. Relevant skills include attention to detail, analytical thinking, and familiarity with medical records and insurance software systems.

Is insurance utilization review a stressful job?

Insurance utilization review can be stressful due to the need for accuracy, attention to detail, and meeting strict deadlines. Reviewers often handle complex cases and must balance policy guidelines with patient needs, which can contribute to job pressure. However, the level of stress varies depending on workload, work environment, and individual coping skills.

What are the most commonly searched types of Insurance Utilization Review jobs in Texas?

The most popular types of Insurance Utilization Review jobs in Texas are:

What are popular job titles related to Insurance Utilization Review jobs in Texas?

For Insurance Utilization Review jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Insurance Utilization Review jobs in Texas look for?

The top searched job categories for Insurance Utilization Review jobs in Texas are:

What cities in Texas are hiring for Insurance Utilization Review jobs?

Cities in Texas with the most Insurance Utilization Review job openings:

Insurance Utilization Review jobs near you
Infographic showing various Insurance Utilization Review job openings in Texas as of August 2026, with employment types broken down into 95% Full Time, and 5% Part Time. Highlights an 89% In-person, and 11% Remote job distribution, with an average salary of $81,936 per year, or $39.4 per hour.

Utilization Review Intake Specialist

Corvel

Dallas, TX • Remote

$16.74 - $26.92/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 29 days ago

CorVel rating

7.9

Company rating: 7.9 out of 10

Based on 51 frontline employees who took The Breakroom Quiz

86th of 151 rated financial services

Job description

The Utilization Review (UR) Intake Specialist provides staff support services including typing reports and correspondence, file handling and forms completion in addition to answering incoming telephone calls, supporting the goals of the Utilization Review / Case Management department, and of CorVel.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Takes calls relating to precertification requests
  • Verifies that all patient, provider and facility information entered in system is accurate and up to date
  • Enters notes and service requests in CareMC system
  • Communicates with stakeholders in a timely and professional manner
  • Additional duties as assigned

KNOWLEDGE & SKILLS:

  • Ability to handle multiple priorities in a high-volume, fast-paced, team-oriented environment
  • Excellent written and verbal communication skills
  • Ability to meet designated deadlines
  • Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets
  • Strong interpersonal, time management and organizational skills
  • Ability to remain poised in stressful situations and communicate diplomatically via all methods of communication
  • Ability to work both independently and within a team environment

EDUCATION & EXPERIENCE:

  • High School diploma or equivalent required
  • A.A. degree or equivalent preferred

PAY RANGE: 

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location.  Pay rates are established taking into account the following factors:  federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.  Our ranges may be modified at any time. 

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.  The level may impact the salary range and these adjustments would be clarified during the offer process. 

Pay Range: $16.74 - $26.92 per hour 

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management 

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CORVEL

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.   CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients.  We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities.  Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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