2

Remote Insurance Utilization Review Jobs in Massachusetts

Patient Care Coordinator

Worcester, MA · On-site +1

$17.50 - $23/hr

  • Medical

  • Retirement

Reviews and facilitates the updating of missing /outdated information in the patient record with ... Ability to work collaboratively with interdisciplinary teams consisting of remote and onsite staff ...

Senior Linux Device Programmer

Boston, MA · On-site +1

$170K - $185K/yr

Mentor junior engineers and review code contributions QUALIFICATIONS EDUCATION * Bachelor's degree ... This role can be remote or hybrid. Salary Range $170,000--$185,000 USD Owl Labs is an Equal ...

Manager, Programmatic Media (Remote)

Boston, MA · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... Insurance Benefits - Mental well-being day off - 401K matching Nimble Talent provides equal ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Manager, Programmatic Media (Remote)

Boston, MA · Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... Insurance Benefits - Mental well-being day off - 401K matching Nimble Talent provides equal ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Showing results 41-60

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 is a remote insurance utilization review?

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 skills and qualifications are needed for a remote insurance utilization review specialist?

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 Massachusetts?

For Remote Insurance Utilization Review jobs in Massachusetts, the most frequently searched job titles are:

What job categories do people searching Remote Insurance Utilization Review jobs in Massachusetts look for?

The top searched job categories for Remote Insurance Utilization Review jobs in Massachusetts are:

What cities in Massachusetts are hiring for Remote Insurance Utilization Review jobs?

Cities in Massachusetts with the most Remote Insurance Utilization Review job openings:

Infographic showing various Remote Insurance Utilization Review job openings in Massachusetts as of August 2026, with employment types broken down into 89% Full Time, 7% Part Time, and 4% Contract. Highlights an 100% Remote job distribution.

Insurance Agent (Base salary + Uncapped commissions)

Liberty Information Technology Limited

Springfield, MA • On-site, Remote

Full-time

Medical, Retirement, PTO

Re-posted 29 days ago


Job description

Description

Comparion Insurance Agency is hiring self-motivated, relationship-driven professionals for a rewarding outside sales career. This role offers autonomy and flexibility to build your career, grow your earnings, and make a meaningful impact by helping protect individuals and families with auto, home, life, and specialty insurance.

Backed by a Fortune 100 company, you'll receive hands-on training, resources, and team support to help you succeed - no prior insurance experience required.

Description

What you'll do:

  • Sell auto, home, life, and related insurance products using a consultative, needs-based approach.
  • Build and maintain a book of business through referrals, networking, and community engagement as part of your outside sales efforts.
  • Identify prospective customers using established lead methodologies and relationship-driven outreach.
  • Accurately document customer interactions and handle sensitive information with integrity and confidentiality.
  • Use insurance sales technology, relationship management tools, and multi-carrier platforms to deliver tailored insurance solutions.
  • Participate in training, coaching, and performance incentives to continuously improve sales results.

What We Offer:

  • Unlimited commission and renewal income - potential for earnings growth over time.
  • Full-time employment with benefits from day one, including health insurance, generous 401(k) match, and paid time off.
  • Paid training, licensing support, and ongoing development.
  • Autonomy to embrace your entrepreneurial spirit and structure your time your way.
  • Flexible work structure (hybrid office, field, and remote based on what your day requires).
  • Supportive team culture with mentorship and long-term career paths.
Qualifications

Who We're Looking For:

Day One Skills & Traits

  • Self-motivated and accountable - you take ownership of your work and results.
  • Reliable and responsive - you follow through and do what you say you'll do.
  • Professional and trustworthy - you handle customer information with care and integrity.
  • Relationship-focused - you enjoy helping others and building long-term trust.
  • Outgoing - you're comfortable talking with people and explaining options clearly.
  • Tech savvy - you're able to learn and use technology and digital tools with ease.
  • Calm under pressure - you stay composed in a fast-paced, customer-focused environment.

Preferred Qualifications

  • Experience in customer-facing roles like retail, hospitality, service, operations, logistics, banking, account management, or sales.
  • Basic understanding of sales conversations, including handling common customer questions or objections.
  • Experience managing multiple accounts, clients, or priorities simultaneously.
  • Exposure to consultative selling, negotiation, or regulated industries.

You will be required to obtain relevant licenses upon being hired.

 

Build a career for yourself, not by yourself. Launch a rewarding insurance sales career today.

Employees should review all role requirements and apply only for positions for which they are eligible. Hiring processes may vary by country, including differences in procedures, requirements, and timelines.  For country-specific details, please consult your local recruiting / HR team.

About Us

Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.

In 2022, Comparion Insurance Agency was created to transition former Liberty Mutual exclusive agents to an agency that delivers a unique value proposition to carriers with over 2,000 agents in approximately 180 cities in 44 states. We offer customers 50 insurance companies with product breadth including auto, home, life, pet, renters, umbrella, jewelry and much more. We use our scale to deliver a first-rate customer experience through consultative insurance experts located in their communities.

Our Leadership team has over 200 years of cumulative insurance experience. At Comparion, we have a philosophy of staying close to our customers and agents, so sales leadership is located throughout the country in our larger storefronts. Comparion is owned and backed by Liberty Mutual Group, a Fortune 100 company, founded in 1912

Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.  Fair Chance Notices

  • California
  • Los Angeles Incorporated
  • Los Angeles Unincorporated
  • Philadelphia
  • San Francisco
Employment Type: FULL_TIME