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Remote Insurance Utilization Review Jobs in Nebraska

Claims Examiner I or II

Omaha, NE · On-site +1

$17 - $25/hr

Job Title : Claims Examiner I or II This position could be hybrid or possibly fully remote ... annuity insurance certificates and cancer product. * Reviews applications and claim forms ...

$26.88 - $35.82/hr

... reviewing closing documents; disbursing funds. * Determines closing requirements by studying and ... Orders title reports for issuing title insurance, resolving title defects; satisfying existing ...

$26.88 - $35.82/hr

Review and analyze public records such as leases, subleases, deeds, liens, and easements to ... At least 3 years of directly related commercial title insurance experience in title searching ...

... remote and urban locations to create a sustainable future and so much more. Simply put, Valmont is ... Account Analytics & Behavior Insights: Assist in reviewing account activity, purchase patterns ...

The position is NOT open to remote work at this time. Key Accountabilities * PROJECT MANAGEMENT ... Conducts post implementation reviews to evaluate the effectiveness of deployed processes and ...

New

This position is eligible for company benefits including medical, dental, and vision insurance with ... reviewed by NTT DATA recruiters. Remote Working and Technology Requirements To work remote ...

This position is eligible for company benefits including medical, dental, and vision insurance with ... reviewed by NTT DATA recruiters. Remote Working and Technology Requirements To work remote ...

$64K - $85K/yr

First American's Direct division provides comprehensive title insurance protection and professional ... First American intends to conduct a review of an applicant's criminal history in connection with a ...

New

Review and understand complex test plans and designs to validate the quality of new and existing ... We embrace a remote-first culture through our Flexible Workplace. Most employees hold Home-Flex ...

New

Showing results 21-40

Remote Insurance Utilization Review 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.

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 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.

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

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

Pre-Litigation Associate - Of Counsel (Remote)

Jackson Lewis

Omaha, NE • Remote

$120K - $216K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago


Jackson Lewis rating

8.5

Company rating: 8.5 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

13th of 34 rated law firms


Job description

Focused on employment and labor law since 1958, Jackson Lewis P.C.'s 1,000+ attorneys located in major cities nationwide consistently identify and respond to new ways workplace law intersects business. We help employers develop proactive strategies, strong policies and business-oriented solutions to cultivate high-functioning workforces that are engaged and stable, and share our clients' goals to emphasize belonging and respect for the contributions of every employee.

The Firm is ranked in the First Tier nationally in the category of Labor and Employment Litigation, as well as in both Employment Law and Labor Law on behalf of Management, in the U.S. News - Best Lawyers "Best Law Firms".

This fully remote position is for an Associate - Of Counsel (Remote) is available nationwide in any state in which Jackson Lewis maintains an office. Applicants must be licensed to practice in California.

Summary of Position:


Pre-Litigation Associate - Of Counsel (Remote) at Jackson Lewis, P.C. are exempt attorneys employed to exercise their legal judgment to handle various duties in connection with the pre- litigation matters including demand letters, requests for records, and agency/administrative charges. Pre-Litigation Associate - Of Counsel (Remote) are a non-Principal track position. This role is available nationwide in any state in which Jackson Lewis maintains an office. The hours requirement for this role will be 1850.

Primary Duties consist of, but are not limited to:

  • Independently handling responding to demand letters, requests for records and agency/administrative charges without the need for more senior attorney level review.

  • Assessment of the claims and providing an analysis to the client and carrier.

  • Direct client and carrier contact in handling those responses.

  • Settlement related activity including attending mediations.

  • Work with the firm's Professional Development team in the delivery of work product to clients.

  • Comply with all client and firm related administrative tasks.

  • Other tasks as assigned by the firm including by a client relationship manager, an Office Managing Partner, Office Litigation Manager and/or Case Staffer.

Qualifications:

  • Must be admitted to the CA state bar and comply with all ethical requirements in the resident state, including being barred if required.

  • Must be in good standing.

  • Must have at least 4 years of experience (to be considered for an Associate role) handling California employment litigation matters including demand letters, requests for records and agency/administrative charges.

  • To be eligible for consideration for an Of Counsel level Remote role, you must generally have at least 9+ of relevant California experience and a demonstrated ability to operate in a first chair capacity

  • Strong organizational skills and attention to detail required to handle large volumes of documents and work associated with each matter.

  • Demonstrated ability to prioritize and balance competing demands and meet deadlines in a fast-paced professional environment.

  • Exceptional communication skills and strong legal research and drafting skills

  • Ability to foster strong collaboration across Legal Support, Operations and Attorney teams.

  • Proficient with Microsoft Office programs (Word, Excel, PowerPoint)

For California, Colorado, Connecticut, DC Region, Illinois, Maine, Maryland, Massachusetts, Minnesota, Nevada, New Jersey, New York, Ohio, Virginia, and Washington State, the expected salary range for this position is between $120,000 and $216,000. The actual compensation will be determined based on experience and other factors permitted by law.

This position is also eligible for annual bonuses.

Jackson Lewis offers a competitive benefits package that includes:

  • Medical, dental, vision, life and disability insurance
  • 401(k) Retirement Plan
  • Flexible Spending and Health Savings Account
  • 12 firm-paid holidays, paid vacation, and 1 hour of sick time for every 30 hours worked
  • Employee assistance program and other firm benefits

This job will be posted on July 6th, 2026, and we anticipate it will remain open for at least 30 days.

#LI-Remote

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status or any other characteristics protected by law. For those applying for a position in the city of Los Angeles, the firm will consider for employment qualified applicants with a criminal history in a manner consistent with applicable federal, state and local law.


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