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Insurance Utilization Review Jobs in Springfield, IL

ENFRA Solutions

Senior Project Manager

Springfield, IL · On-site

... Plan review, JHA approvals, on-site tool box talks and conducting site walks with the Lead ... Manages and understands the requirements of the Contract, including bonds, insurance, notifications ...

Vontier

Lead Customer Success Manager

Springfield, IL · On-site

$96K - $124K/yr

Lead strategic business reviews and executive-level customer meetings, providing account insights ... utilization, and support fuel management and environmental operations objectives. * Ensure ...

Henkels & McCoy

Area Manager EX

Farmingdale, IL · On-site

Execute every project in a timely and professional manner, to insure the performance and profit ... Accepts and reviews work for all new or potential customers based on Corporate guidelines for ...

Symbria

Travel Physical Therapist

Springfield, IL · On-site

$1.7K - $2.1K/wk

... insurance, PTO, continuing education, to name a few. Continue to scroll to see our full benefits ... Responsibilities * Review and evaluate physician's referral and patient's medical record to ...

Journeys

Store Manager

Springfield, IL · On-site

Conduct monthly performance reviews * Recognize talented staff and develop them for growth within ... Benefits offered may include medical, vision, and dental insurance, a vacation package, and ...

Journeys

Store Manager

Springfield, IL

Conduct monthly performance reviews * Recognize talented staff and develop them for growth within ... Benefits offered may include medical, vision, and dental insurance, a vacation package, and ...

Journeys

Store Manager

Springfield, IL · On-site

$30K - $55K/yr

Conduct monthly performance reviews * Recognize talented staff and develop them for growth within ... Benefits offered may include medical, vision, and dental insurance, a vacation package, and ...

Genesco

Store Manager

Springfield, IL · On-site

$30K - $55K/yr

Conduct monthly performance reviews * Recognize talented staff and develop them for growth within ... Benefits offered may include medical, vision, and dental insurance, a vacation package, and ...

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Insurance Utilization Review information

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How much do insurance utilization review jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for insurance utilization review in Springfield, IL is $41.91, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $48.12 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 popular job titles related to Insurance Utilization Review jobs in Springfield, IL?

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

What job categories do people searching Insurance Utilization Review jobs in Springfield, IL look for?

The top searched job categories for Insurance Utilization Review jobs in Springfield, IL are:

What cities near Springfield, IL are hiring for Insurance Utilization Review jobs?

Cities near Springfield, IL with the most Insurance Utilization Review job openings:

Insurance Utilization Review jobs near you
Infographic showing various Insurance Utilization Review job openings in Springfield, IL as of August 2026, with employment types broken down into 1% As Needed, 69% Full Time, 25% Part Time, and 5% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $87,164 per year, or $41.9 per hour.

Technical Service Manager

Assumption, IL • On-site

Grain and Protein Technologies
See more jobs at Grain and Protein Technologiesexternal

$111K - $111K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago

Job description

Grain & Protein Technologies is a leading global designer, manufacturer, and marketer of reliable, durable, and innovative equipment solutions for grain, seed, poultry, egg, and swine production. Generating $1.1 billion in annual revenue, the Company serves farmers and agribusiness managers in over 100 countries and currently operates 19 manufacturing facilities across 5 continents, employing more than 3600 people.
The Company goes to market with its strong portfolio of industry leading brands - GSI, Cumberland, AP, Tecno, Cimbria, Aerotech, Reventa, and Euroemme. With its Company Purpose of "Feeding the World Better", Grain & Protein Technologies emphasizes advancing smart technologies and offering innovative technical solutions to make farmers and agribusiness managers more productive and profitable in a sustainable way.
The North America team is seeking a Technical Service Manager for our Assumption, IL facility. The Manager of Technical Service leads the Technical Service team responsible for supporting the GPT dealer network in repairing, installing, maintaining, and operating Grain equipment. This leadership role ensures high-quality technical assistance through remote contact channels, structured training programs, strong cross-functional collaboration, and continuous improvement of service delivery. The Manager is accountable for building a highly skilled, customer-centric team that supports GPT's mission of helping farmers and agribusiness managers become more productive and profitable.
Your Impact
Team Leadership & Development
  • Lead, coach, and develop Technical Service Specialists responsible for remote and field support activities.
  • Establish performance expectations and KPIs centered on responsiveness, technical accuracy, case quality, and customer satisfaction.
  • Create and execute cross-training programs to broaden team competency across Grain equipment
  • Oversee the development of training materials, hands-on learning modules, and classroom instruction strategies.

Operational Excellence
  • Manage day-to-day operations of the Technical Service contact center, ensuring proper utilization of Salesforce, Natterbox, and other support tools.
  • Ensure consistent documentation, case accuracy, and knowledge sharing within Salesforce Case Management.
  • Monitor service trends and escalate recurring product issues to Engineering, Manufacturing, Quality, and Warranty teams.
  • Standardize troubleshooting practices across the service team

Dealer & Customer Support
  • Oversee the delivery of high-quality technical assistance via phone, email, mobile support tools, and on-site visits.
  • Build strong relationships with dealers to understand product challenges and improve service outcomes.
  • Ensure the team supports dealers with accurate part identification, form/fit/function questions, system operations, and product recommendations.

Cross-Functional Collaboration
  • Act as the primary liaison between Technical Service and key stakeholders-Engineering, Quality, Manufacturing, Warranty, and Product Management.
  • Participate in product development reviews to advocate for serviceability, reliability, and ease of maintenance.
  • Support the launch of new products by coordinating service readiness, documentation, and training programs.

Strategic Leadership
  • Drive initiatives that improve service efficiency, customer satisfaction, and product reliability.
  • Analyze service metrics, identify trends, and present improvements and recommendations to leadership.
  • Uphold and advance GPT's culture, values, and mission of "Feeding the World Better."

Your Experience and Qualifications
  • 5+ years of experience in technical service, field service, or mechanical/electrical support roles, preferably in agricultural or industrial equipment.
  • Demonstrated leadership experience managing technical teams.
  • Strong communication, problem-solving, negotiation, and conflict resolution skills.
  • Experience using CRM/case management tools-Salesforce preferred.
  • Broad understanding of all GPT grain products a plus

Your Compensation and Benefits
Expected annual salary for this role will be $100,000 - $125,000 plus eligible for an annual bonus. This is dependent upon job related knowledge, experience, and skills.
Benefits will include the ability to elect health care and wellness plans, dental and vision plans, flexible and virtual work options (where available), 401(k) Savings Plan with company match, paid holidays, paid time off, health savings and flexible spending accounts, reimbursement for continuing education, life insurance, and other supplemental insurance plans.
Your Workplace and Travel
You will be working a hybrid role with four days per week (Monday - Thursday) in office (Fridays are flexible for in office or remote) based in Assumption, IL.

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