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Remote Insurance Utilization Review Jobs in Alabama

$42.75 - $58.75/hr

... Insurance Group (CSAA IG), a AAA insurer, is one of the leading personal lines property and ... Review test results and support issues resolution in alignment with business stake-holders.

Run quarterly business reviews with practice leadership using their own metrics: answer rates, hold ... Channel structured client feedback to product Location Remote (US) with approximately 25% travel to ...

Run quarterly business reviews with practice leadership using their own metrics: answer rates, hold ... Channel structured client feedback to product Location Remote (US) with approximately 25% travel to ...

Conduct regular check-in calls with value-based messaging, along with Quarterly Business Reviews to ... Medical/Dental/ Vision, STD/LTD, Life Insurance * Flexible PTO and Company-paid holidays * Remote ...

Conduct regular check-in calls with value-based messaging, along with Quarterly Business Reviews to ... Medical/Dental/ Vision, STD/LTD, Life Insurance * Flexible PTO and Company-paid holidays * Remote ...

Conduct regular check-in calls with value-based messaging, along with Quarterly Business Reviews to ... Medical/Dental/ Vision, STD/LTD, Life Insurance * Flexible PTO and Company-paid holidays * Remote ...

If remote from Atlanta or anywhere else, monthly travel to Calvert, Alabama for 2-3 day stay ... Draft, review, and negotiate a wide range of procurement and buy-side agreements, including ...

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Showing results 1-20

Remote Insurance Utilization Review information

What is the difference between Remote Insurance Utilization Review vs Remote Claims Reviewer?

AspectRemote Insurance Utilization ReviewRemote Claims Reviewer
CredentialsTypically requires nursing or healthcare-related certifications, such as RN or licensed healthcare professionalUsually requires insurance or claims processing knowledge, sometimes with certifications like CPC or CPC-H
Work EnvironmentRemote, healthcare or insurance company settings, reviewing medical necessity and appropriateness of servicesRemote, insurance companies or third-party administrators, reviewing claims for accuracy and compliance
Industry UsageCommonly used in healthcare insurance to evaluate medical necessityUsed across insurance sectors to process and validate claims

Remote Insurance Utilization Review focuses on assessing the medical necessity of services, often requiring healthcare credentials. Remote Claims Reviewers handle claims processing and validation, emphasizing insurance knowledge. Both roles are remote and industry-specific but differ in their primary responsibilities and required qualifications.

How does a remote insurance utilization review professional collaborate with healthcare providers and insurance companies?

Remote insurance utilization review professionals regularly interact with healthcare providers to gather patient information, clarify treatment plans, and ensure that clinical documentation supports insurance requirements. They also communicate with insurance companies to advocate for patient care, provide necessary justifications, and resolve coverage issues. While the work is done remotely, collaboration typically occurs via secure email, phone calls, and virtual meetings, requiring strong communication and organizational skills to ensure timely and accurate exchange of information.

What are remote insurance utilization review jobs?

Remote insurance utilization review jobs involve evaluating medical records and treatment plans to determine whether healthcare services are medically necessary and covered by a patient’s insurance plan. Professionals in these roles, often nurses or other healthcare specialists, work from home and communicate with healthcare providers, insurance companies, and patients. Their main goal is to ensure that patients receive appropriate care while also helping insurance companies manage costs and comply with regulations.

What are the key skills and qualifications needed to thrive as a Remote Insurance Utilization Review Specialist, and why are they important?

To thrive as a Remote Insurance Utilization Review Specialist, you need a strong understanding of medical terminology, clinical guidelines, and insurance policies—usually supported by a nursing or health-related degree and relevant licensure. Familiarity with electronic medical record (EMR) systems, insurance claims platforms, and utilization review software is essential. Strong analytical skills, attention to detail, and effective written communication are crucial soft skills for this role. These competencies ensure accurate case evaluations, compliance with regulations, and clear communication between healthcare providers and insurers.
What are the most commonly searched types of Insurance Utilization Review jobs in Alabama? The most popular types of Insurance Utilization Review jobs in Alabama are:
What cities in Alabama are hiring for Remote Insurance Utilization Review jobs? Cities in Alabama with the most Remote Insurance Utilization Review job openings:
Pre-Litigation Associate - Of Counsel (Remote)

Pre-Litigation Associate - Of Counsel (Remote)

Jackson Lewis

Birmingham, AL • Remote

$120K - $216K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago


Job description

Focused on employment and labor law since 1958, Jackson Lewis P.C.'s 1,000+ attorneys located in major cities nationwide consistently identify and respond to new ways workplace law intersects business. We help employers develop proactive strategies, strong policies and business-oriented solutions to cultivate high-functioning workforces that are engaged and stable, and share our clients' goals to emphasize belonging and respect for the contributions of every employee.

The Firm is ranked in the First Tier nationally in the category of Labor and Employment Litigation, as well as in both Employment Law and Labor Law on behalf of Management, in the U.S. News - Best Lawyers "Best Law Firms".

This fully remote position is for an Associate - Of Counsel (Remote) is available nationwide in any state in which Jackson Lewis maintains an office. Applicants must be licensed to practice in California.

Summary of Position:


Pre-Litigation Associate - Of Counsel (Remote) at Jackson Lewis, P.C. are exempt attorneys employed to exercise their legal judgment to handle various duties in connection with the pre- litigation matters including demand letters, requests for records, and agency/administrative charges. Pre-Litigation Associate - Of Counsel (Remote) are a non-Principal track position. This role is available nationwide in any state in which Jackson Lewis maintains an office. The hours requirement for this role will be 1850.

Primary Duties consist of, but are not limited to:

  • Independently handling responding to demand letters, requests for records and agency/administrative charges without the need for more senior attorney level review.

  • Assessment of the claims and providing an analysis to the client and carrier.

  • Direct client and carrier contact in handling those responses.

  • Settlement related activity including attending mediations.

  • Work with the firm's Professional Development team in the delivery of work product to clients.

  • Comply with all client and firm related administrative tasks.

  • Other tasks as assigned by the firm including by a client relationship manager, an Office Managing Partner, Office Litigation Manager and/or Case Staffer.

Qualifications:

  • Must be admitted to the CA state bar and comply with all ethical requirements in the resident state, including being barred if required.

  • Must be in good standing.

  • Must have at least 4 years of experience (to be considered for an Associate role) handling California employment litigation matters including demand letters, requests for records and agency/administrative charges.

  • To be eligible for consideration for an Of Counsel level Remote role, you must generally have at least 9+ of relevant California experience and a demonstrated ability to operate in a first chair capacity

  • Strong organizational skills and attention to detail required to handle large volumes of documents and work associated with each matter.

  • Demonstrated ability to prioritize and balance competing demands and meet deadlines in a fast-paced professional environment.

  • Exceptional communication skills and strong legal research and drafting skills

  • Ability to foster strong collaboration across Legal Support, Operations and Attorney teams.

  • Proficient with Microsoft Office programs (Word, Excel, PowerPoint)

For California, Colorado, Connecticut, DC Region, Illinois, Maine, Maryland, Massachusetts, Minnesota, Nevada, New Jersey, New York, Ohio, Virginia, and Washington State, the expected salary range for this position is between $120,000 and $216,000. The actual compensation will be determined based on experience and other factors permitted by law.

This position is also eligible for annual bonuses.

Jackson Lewis offers a competitive benefits package that includes:

  • Medical, dental, vision, life and disability insurance
  • 401(k) Retirement Plan
  • Flexible Spending and Health Savings Account
  • 12 firm-paid holidays, paid vacation, and 1 hour of sick time for every 30 hours worked
  • Employee assistance program and other firm benefits

This job will be posted on July 6th, 2026, and we anticipate it will remain open for at least 30 days.

#LI-Remote

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status or any other characteristics protected by law. For those applying for a position in the city of Los Angeles, the firm will consider for employment qualified applicants with a criminal history in a manner consistent with applicable federal, state and local law.