ZipRecruiter

Log In

2

Remote Insurance Utilization Review Jobs in Delaware

AO Garcia Agency

Seeking Veterans to Serve Veterans

Bear, DE · Remote

$19.50 - $24/hr

Flexible Schedule with Weekly Pay 100% Remote Position Weekly Trainings lead by Top Leaders ... insurance agency) We may use artificial intelligence (AI) tools to support parts of the hiring ...

ITW

National Sales Manager

DE · Remote

The role is a remote position; location base will be reviewed as this position covers all regions ... Enhance data utilization capabilities and enable stronger data led decision making in setting ...

next page

Showing results 1-20

All JobsRemote Insurance Utilization Review JobsRemote Insurance Utilization Review Jobs in Delaware

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 Delaware? For Remote Insurance Utilization Review jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Remote Insurance Utilization Review jobs in Delaware look for? The top searched job categories for Remote Insurance Utilization Review jobs in Delaware are:
What cities in Delaware are hiring for Remote Insurance Utilization Review jobs? Cities in Delaware 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 Delaware as of June 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% Remote job distribution.

Seeking Veterans to Serve Veterans

AO Garcia Agency

Bear, DE • Remote

$19.50 - $24/hr

Other

Posted 3 days ago

Job description

Seeking: enthusiastic, hard-working, friendly individuals to come support a huge network of veterans.

This position relies on outstanding people skills and the desire to uphold our mission "to protect every child and serve all working people and leave no veteran behind"
This 100% remote position allows you to earn an incredible living while letting you choose the working hours that are convenient for YOU and your family.

Preferred Skills:
Excellent communication skills, including active listening and problem-solving
Ability to learn, adapt, and adjust on the go
Works well with others and individually
Possesses a strong work ethic and drive to succeed

What you can expect:
Flexible Schedule with Weekly Pay
100% Remote Position
Weekly Trainings lead by Top Leaders
Industry-leading resources and technology


* All interviews will be conducted via Zoom video conferencing.
(Global Elite Empire Consultants is a third-party recruiter, not an insurance agency)
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
apply for this job

Apply