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Remote Insurance Utilization Review Jobs in Indiana

Our mission is to reinvent commercial insurance in the mobility space to offer our partners ... Reviews existing work processes to prioritize and execute internal department improvements. * Makes ...

Our mission is to reinvent commercial insurance in the mobility space to offer our partners ... Review work of Consultants and Analysts and oversees the successful completion of projects within ...

Review work of peers and provide training to junior analysts * Develops and analyzes data related ... Develops and analyzes new methodologies for insurance rating and loss reserving Required Experience ...

... utilization and support long-term business outcomes. This is a remote role based in Ann Arbor ... Deliver monthly Executive Business Reviews and Impact Reviews, partnering with customer ...

Ability to review error logs & debugging skills * Adept at writing SQL queries * Familiarity with S ... Excellent fringe benefits including Health, Dental, Vision and Life and Disability insurance

Ability to review error logs & debugging skills * Adept at writing SQL queries * Familiarity with S ... Excellent fringe benefits including Health, Dental, Vision and Life and Disability insurance

Ability to review error logs & debugging skills * Adept at writing SQL queries * Familiarity with S ... Excellent fringe benefits including Health, Dental, Vision and Life and Disability insurance

$39.75 - $54.75/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.

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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 cities in Indiana are hiring for Remote Insurance Utilization Review jobs? Cities in Indiana with the most Remote Insurance Utilization Review job openings:

Process Manager, Commercial Casualty Claims - Remote

CSAA

Remote

Full-time

Retirement

Posted 6 days ago


Job description

External candidates: In order for your application to be correctly processed please sign-in before you apply

Internal candidates: Please go to Workday and click "Find Jobs" link under Career

Thank you for considering opportunities with us!

Job Title

Process Manager, Commercial Casualty Claims - Remote

Requisition Number

R7810 Process Manager, Commercial Casualty Claims - Remote (Open)

Location

California - Home Teleworkers

Additional Locations

Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}

Job Information

We're Mobilitas, a commercial insurance company created by CSAA Insurance Group. Our mission is to reinvent commercial insurance in the mobility space to offer our partners innovative solutions for today's way of doing business. At Mobilitas, we believe in what's possible and we use our inventive skills to meet the demands of modern mobility with exceptional service. We're looking for motivated, innovative individuals who think big, move fast and are dedicated to creating a company from the ground up, without the constraints of a traditional insurance company. We're excited to push the boundaries of commercial insurance and are looking for enthusiastic team members to help us reimagine insurance.

We are actively hiring for a Process Manager, Commercial Casualty Claims - Remote

NOTE: To support collaboration with customers, partners, and internal teams, this role requires approximately 25-50% travel. Actual travel will vary based on business priorities and project needs.

Your Role: Under general direction, implements the enterprise vision, operating plan and strategy for a large department or multiple smaller units. Provides leadership, direction and accountability for department goals and processes. Manages development of annual budget, including human, physical and other company assets. Monitors the overall operations of department for functionality, effectiveness and recommends methods to improve efficiency, service and cost reduction.

Your Work:

  • Manages, often through subordinate supervisors and professionals, all administrative and functional operations of a department.
  • Prepares short and long range planning for administrative services operations and improvements to processes.
  • Establishes and recommends change to policies which affect the department.
  • Develops and monitors operational and budget processes, staff FTE, finance, human resources and space planning.
  • Manages systems and procedures to protect departmental assets.
  • Monitors staff performance and establishes productivity measures on an on-going basis, to achieve short and long term results.
  • Develops goals and objectives for department.
  • Collaborates with division leadership teams to identify, execute and manage transactional work streams to help them accomplish their business objectives.
  • Develops automated solutions to improve efficiencies and accountability.
  • Reviews existing work processes to prioritize and execute internal department improvements.
  • Makes hiring decisions, conducts performance evaluations, recommends salary actions, promotions and transfers and administers disciplinary procedures as necessary.
  • Evaluates and makes recommendations to existing training programs for employees.
  • Manages overall department budget.
  • Reviews and approves monthly expense reports, reconciliation and other resource reporting.

Required Experience, Education and Skills:

  • Bachelor's degree in related area or an equivalent combination of education and experience.
  • 10+ years of experience conducting financial and/or business analysis, business process design or related experience.
  • 5+ years of supervisory or management experience.
  • Project management experience and skills to accurately complete detailed data assignments and to understand and interpret broad operational concepts and their application to the business unit and CSAA.
  • Experience working with operational measures and models, business planning, cost/benefit analysis, project management and senior level analysis.
  • Solid understanding of business process analysis, design and engineering methodologies and practices and ability to manage others to achieve results.
  • Ability to use Visio, MS Project, Excel (including pivot tables) and other desktop applications.

What would make us excited about you:

  • Advanced degree in related area.
  • Strong understanding of the use and development of operational models and other related reporting software.

Please note we are hiring for this role remote anywhere in the United States with the following exceptions: Hawaii and Alaska.

Why Choose a Career at Mobilitas?

At Mobilitas, we are a mission-driven organization proudly committed to empowering our members, our employees, and our communities to thrive.

Recognition: We offer a total compensation package, annual bonus eligibility for most roles, 401(k) with a company match, and so much more! Read more about what we offer and what it is like to be a part of our dynamic team at careers.mobilitasinsurance.com.

Career Growth: We believe in growth for everyone. Here at Mobilitas, leaders and mentors partner with employees to align interests, unlock development opportunities, and support longterm success.

Flexible Workplace: We embrace a remote-first culture through our Flexible Workplace. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including Mobilitas offices. Our flexible workplace empowers you to balance remote work with intentional inperson moments that deepen connection and collaboration.

Inclusion and Belonging: An inclusive and welcoming workplace is the cornerstone of our success. By fostering an environment where people feel valued and heard, we deepen our ability to understand and meet the unique needs of our members. This strengthens innovation and enhances our products and services, giving us a competitive edge in the market.

Sustainability: As climate change leads to more frequent and severe weather events, we are taking bold action to build more resilient communities and reduce our environmental impact.

Submit your application to be considered. We communicate via email, so check your inbox and/or your spam folder to ensure you don't miss important updates from us.

CSAA is committed to providing reasonable accommodations to qualified applicants and employees with disabilities or other limitations. If you would like to request an accommodation to participate in the job application or interview process, please contact jobs@mobilitasinsurance.com

If you apply and are selected to continue in the recruiting process, we will schedule a preliminary call with you to discuss the role and will disclose during that call the available salary/hourly rate range based on your location. Factors used to determine the actual salary offered may include location, experience, or education.

Mobilitas does not provide visa sponsorship for this role. Applicants must have authorization to work indefinitely in the US. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

Mobilitas Insurance Group is an equal opportunity employer.

#LI-CH1

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The national average salary range for this position is $122,850.00-$136,500.00. However, we have a location-based compensation structure. Our salary ranges vary and are calculated based on work location. The starting pay range for this position across all the states we hire in is $122,850.00-$164,000.00. This role also includes an opportunity for a company-wide annual discretionary bonus, through our Annual Incentive Plan (AIP), of up to 17% of eligible pay.This job posting will be unposted on Sat, 1 Aug 2026.