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Remote Insurance Utilization Review Jobs in Connecticut

Orion Placement

Insurance Coverage Attorney

Bridgeport, CT · On-site +1

$100K - $198K/yr

... a remote role. Candidates may be located anywhere in Connecticut; however, residence near Rocky ... Review complex insurance contracts and evaluate coverage, regulatory, and litigation-related legal ...

Accounting Fly

Remote Tax Manager

Stafford, CT · Remote

$150K - $170K/yr

Review financials to identify missed planning opportunities and advise on entity structuring and ... Retirement & Health: 401(k) with company match and health insurance with a company contribution.

ReSource Pro

Director Client Development

Hartford, CT · On-site +1

$120K - $205K/yr

... the insurance industry? Come Join ReSource Pro! Your Role... ReSource Pro is seeking a Director ... All remote positions are based in the United States, and candidates must reside within the U.S. to ...

The Hartford

AVP Applied AI

Hartford, CT · On-site +1

This role can have a Hybrid or Remote work schedule. Candidates who live near one of our office ... Review and thoughtfully evaluate portfoliolevel architectural choices, evaluation approaches ...

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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 popular job titles related to Remote Insurance Utilization Review jobs in Connecticut? For Remote Insurance Utilization Review jobs in Connecticut, the most frequently searched job titles are:
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What cities in Connecticut are hiring for Remote Insurance Utilization Review jobs? Cities in Connecticut with the most Remote Insurance Utilization Review job openings:
Remote Insurance Utilization Review jobs near you
Infographic showing various Remote Insurance Utilization Review job openings in Connecticut as of July 2026, with employment types broken down into 84% Full Time, and 16% Temporary. Highlights an 100% Remote job distribution.
Remote Utilization Review Therapist - Master's

Remote Utilization Review Therapist - Master's

(CHR) Community Health Resources, Inc.

Windsor, CT • Remote

Full-time

Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

(CHR) Community Health Resources, Inc. is seeking a Utilization Review Therapist to manage authorization activities pertaining to IOP and Residential programs. This full-time, remote role requires a Master's degree in behavioral health and relevant experience in treatment and documentation. The ideal candidate will ensure that all admissions meet medical necessity and collaborate closely with the service director to meet expectations. Generous benefits include paid time off, retirement contributions, and tuition reimbursement. #J-18808-Ljbffr

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