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Remote Insurance Utilization Review Jobs in Indiana

CSAA

Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements ... CSAA Insurance Group is an equal opportunity employer. #li-ml1 . The national average salary range ...

CSAA

Job Title Commercial Insurance Analytics Consultant - Remote Requisition Number R7735 Commercial ... Reviews and guides work performed by less senior analysts , delegating components of analysis ...

BetterHelp

Psychiatrist - Remote

Indianapolis, IN · Remote

$119 - $242/hr

At the same time, only 30% of therapists accept insurance. UpLift acts as the bridge between ... utilization of add-on codes (such as 90833) when clinically appropriate and properly documented

BetterHelp

Psychiatrist - (Remote)

Indianapolis, IN · Remote

$120 - $164/hr

At the same time, only 30% of therapists accept insurance. UpLift acts as the bridge between ... utilization of add-on codes (such as 90833) when clinically appropriate and properly documented

A.C. Coy

Cobol/IDMS Developer (Remote)

Indianapolis, IN · On-site +1

$48 - $65/hr

... and utilization of electronic data processing systems for product and commercial software ... Review project requests describing database users' needs to estimate time and cost required to ...

A.C. Coy

Cobol/IDMS Developer (Remote)

Indianapolis, IN · Remote

$48 - $65/hr

... and utilization of electronic data processing systems for product and commercial software ... Review project requests describing database users' needs to estimate time and cost required to ...

A.C. Coy

Cobol/IDMS Developer (Remote)

Indianapolis, IN · Remote

$48 - $65/hr

... and utilization of electronic data processing systems for product and commercial software ... Review project requests describing database users' needs to estimate time and cost required to ...

Spieldenner Financial Group

Sales (Remote)

Indianapolis, IN · On-site +1

$10K - $20K/wk

... review their needs. Prepare Personalized Solutions (4-5 hrs/week) Analyze client information to ... Manage Follow-Up (2 hrs/week) Coordinate with insurance carriers and support clients through the ...

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All JobsRemote Insurance Utilization Review JobsRemote Insurance Utilization Review Jobs in Indiana

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 Indiana? For Remote Insurance Utilization Review jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Remote Insurance Utilization Review jobs in Indiana look for? The top searched job categories for Remote Insurance Utilization Review jobs in Indiana are:
What cities in Indiana are hiring for Remote Insurance Utilization Review jobs? Cities in Indiana with the most Remote Insurance Utilization Review job openings:
Remote Insurance Utilization Review jobs near you

Insurance Sales Representative (Remote)

Spieldenner Financial Group

Bloomington, IN • On-site, Remote

Contractor

Posted 6 days ago

Job description

We are a fast-growing financial services organization focused on helping families protect what matters most.
We prioritize fast pay, low startup costs, and hands-on training, so you can focus on learning the role and building income from day one.
What You'll Be Doing
Client Outreach (6-8 hrs/week)
Connect with individuals who have already requested information and schedule a time to review their coverage needs.
Preparation & Research (4-5 hrs/week)
Review client information and prepare personalized coverage options based on their financial situation.
Client Meetings (2 days/week)
Meet with clients virtually or in person (your choice) to walk through options and help them apply for coverage.
Light Admin (2 hrs/week)
Follow up on applications and communicate with insurance carriers as needed.
Who This Role Fits Best
  • Coachable and willing to learn
  • Self-motivated and goal-oriented
  • Comfortable working independently
  • Looking for flexibility and performance-based income
  • No prior experience required (training provided)
What You'll Gain
  • Flexible schedule (full-time or part-time)
  • Remote work with optional in-person meetings
  • Structured onboarding and ongoing training
  • Access to systems, tools, and support to help you succeed
  • Performance-based income with uncapped potential
What This Role Is About
We work directly with families to help them:
  • Understand their financial risks
  • Protect their income and household
  • Choose coverage that fits their needs and budget

You'll be trained to guide conversations, present options clearly, and support clients through the application process.
Important Compensation Disclosure
This position is a commission-only based sales position. The average commission on a mortgage protection product is approximately $600 per family you protect. Our expectation is that a full-time agent will sell 5 to 10 mortgage protection plans per week. In addition to mortgage protection, we also offer financial products designed to help individuals plan for retirement or protect existing retirement accounts. Training is provided.
No agent's success, earnings, or production results should be viewed as typical, average, or expected. Not all agents achieve the same or similar results, and no particular results are guaranteed. Your level of success will depend on factors including your effort, ability to follow training and systems, engagement with leads, and client needs in your area.

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