... reviews, and adherence to applicable insurance laws and requirements. · Collaborate with claims ... remote environment and requires regular collaboration with internal teams, external partners ...
New
Quick apply
... reviews, and adherence to applicable insurance laws and requirements. · Collaborate with claims ... remote environment and requires regular collaboration with internal teams, external partners ...
New
Quick apply
... reviews, and adherence to applicable insurance laws and requirements. · Collaborate with claims ... remote environment and requires regular collaboration with internal teams, external partners ...
New
Solid understanding of healthcare claims structures, terminology, utilization, and financial ... Health, dental, and vision insurance. * 401(k) w/ 4% match. * Ample opportunity for career ...
Solid understanding of healthcare claims structures, terminology, utilization, and financial ... Health, dental, and vision insurance. * 401(k) w/ 4% match. * Ample opportunity for career ...
Las Vegas, NV · Remote
This remote-based civilian position is an outstanding chance to make a meaningful contribution to ... Review member cases for appropriateness and quality of care; document findings in CareRadius and ...
Las Vegas, NV · Remote
This remote-based civilian position is an outstanding chance to make a meaningful contribution to ... Review member cases for appropriateness and quality of care; document findings in CareRadius and ...
Las Vegas, NV · Remote
This remote-based civilian position is an outstanding chance to make a meaningful contribution to ... Review member cases for appropriateness and quality of care; document findings in CareRadius and ...
Las Vegas, NV · Remote
This remote-based civilian position is an outstanding chance to make a meaningful contribution to ... Review member cases for appropriateness and quality of care; document findings in CareRadius and ...
Reno, NV · Remote
$18.75 - $25/hr
... and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure ... Knowledge of government and commercial insurance plans requirements. * Understands and applies ...
Reno, NV · Remote
$18.75 - $25/hr
... and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure ... Knowledge of government and commercial insurance plans requirements. * Understands and applies ...
Reno, NV · Remote
$18.75 - $25/hr
... and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure ... Knowledge of government and commercial insurance plans requirements. * Understands and applies ...
Reno, NV · Remote
$18.75 - $25/hr
... and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure ... Knowledge of government and commercial insurance plans requirements. * Understands and applies ...
$50K - $150K/yr
... chart review, mentorship, and independent prescribing decisions when legally permitted and ... We provide full malpractice insurance coverage. * PMHNP acquisition: Legion recruits and vets the ...
$50K - $150K/yr
... chart review, mentorship, and independent prescribing decisions when legally permitted and ... We provide full malpractice insurance coverage. * PMHNP acquisition: Legion recruits and vets the ...
Sparks, NV · Remote
$115K - $120K/yr
Review client progress and revise treatment when necessary * Maintain accurate clinical records ... Health insurance * 401(k) with 3% employer match Your experience may be a great match for this role.
Sparks, NV · Remote
$115K - $120K/yr
Review client progress and revise treatment when necessary * Maintain accurate clinical records ... Health insurance * 401(k) with 3% employer match Your experience may be a great match for this role.
Sparks, NV · Remote
$115K - $120K/yr
Review client progress and revise treatment when necessary * Maintain accurate clinical records ... Health insurance * 401(k) with 3% employer match Your experience may be a great match for this role.
Sparks, NV · Remote
$115K - $120K/yr
Review client progress and revise treatment when necessary * Maintain accurate clinical records ... Health insurance * 401(k) with 3% employer match Your experience may be a great match for this role.
Reno, NV · Remote
$18.75 - $25/hr
... and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure ... Knowledge of government and commercial insurance plans requirements. * Understands and applies ...
Quick apply
Reno, NV · Remote
$18.75 - $25/hr
... and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure ... Knowledge of government and commercial insurance plans requirements. * Understands and applies ...
Reno, NV · Remote
$18.75 - $25/hr
... and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure ... Knowledge of government and commercial insurance plans requirements. * Understands and applies ...
Reno, NV · Remote
$18.75 - $25/hr
... and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure ... Knowledge of government and commercial insurance plans requirements. * Understands and applies ...
Las Vegas, NV · Remote
$21/hr
... and internal review to meet compliance with corresponding benefit plans as defined by the ... Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term ...
Las Vegas, NV · Remote
$21/hr
... and internal review to meet compliance with corresponding benefit plans as defined by the ... Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term ...
Las Vegas, NV · Remote
$65K - $125K/yr
Participating in ongoing coaching, training, and call reviews to continuously improve performance ... insurance agents, or small business owners * Compensation expectations align with On-Target ...
Las Vegas, NV · Remote
$65K - $125K/yr
Participating in ongoing coaching, training, and call reviews to continuously improve performance ... insurance agents, or small business owners * Compensation expectations align with On-Target ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
Las Vegas, NV · On-site +1
$132K - $198K/yr
The Hartford currently has an in-house REMOTE opportunity for a Senior Staff Attorney to litigate ... briefs in reviewing courts on behalf of clients • Provide opinions to Managing Attorney ...
Las Vegas, NV · On-site +1
$132K - $198K/yr
The Hartford currently has an in-house REMOTE opportunity for a Senior Staff Attorney to litigate ... briefs in reviewing courts on behalf of clients • Provide opinions to Managing Attorney ...
| Aspect | Remote Insurance Utilization Review | Remote Claims Reviewer |
|---|---|---|
| Credentials | Typically requires nursing or healthcare-related certifications, such as RN or licensed healthcare professional | Usually requires insurance or claims processing knowledge, sometimes with certifications like CPC or CPC-H |
| Work Environment | Remote, healthcare or insurance company settings, reviewing medical necessity and appropriateness of services | Remote, insurance companies or third-party administrators, reviewing claims for accuracy and compliance |
| Industry Usage | Commonly used in healthcare insurance to evaluate medical necessity | Used 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.
For Remote Insurance Utilization Review jobs in Nevada, the most frequently searched job titles are:
The top searched job categories for Remote Insurance Utilization Review jobs in Nevada are:
Cities in Nevada with the most Remote Insurance Utilization Review job openings:

Full-time
Posted yesterday
New
Insurance Product Manager – Property & Casualty
Position Summary: The Insurance Product Manager – Property & Casualty is responsible for developing, managing, and optimizing P&C insurance products to support profitable growth, competitive market positioning, regulatory compliance, and customer needs. This role partners closely with underwriting, actuarial, claims, sales, marketing, legal, compliance, operations, and technology teams to manage the product lifecycle from concept through launch, performance monitoring, and ongoing enhancement.
Key Responsibilities
· Develop and manage P&C insurance products throughout the full product lifecycle, including market research, product design, implementation, monitoring, and continuous improvement.
· Analyze market trends, competitive offerings, customer needs, loss experience, premium growth, profitability, and regulatory changes to identify product opportunities and risks.
· Partner with actuarial and underwriting teams to evaluate pricing, rating plans, underwriting guidelines, coverage forms, eligibility criteria, and product profitability.
· Lead product enhancement initiatives, including changes to coverage, policy language, pricing structure, forms, rules, and operational processes.
· Prepare business cases, financial analyses, product recommendations, and implementation plans for new products or product modifications.
· Coordinate with legal and compliance teams to support state filings, regulatory reviews, and adherence to applicable insurance laws and requirements.
· Collaborate with claims, operations, technology, and distribution partners to ensure products are operationally effective and aligned with customer and business expectations.
· Support go-to-market planning by partnering with sales, marketing, and training teams to develop product materials, sales tools, and internal education resources.
· Monitor product performance against key metrics, including loss ratio, retention, premium volume, rate adequacy, expense trends, customer adoption, and competitive position.
· Communicate product strategy, performance insights, and recommendations to leadership and cross-functional stakeholders.
Required Qualifications
· Bachelor’s degree in business, finance, insurance, risk management, economics, actuarial science, or a related field.
· Five or more years of experience in property and casualty insurance, product management, underwriting, product analysis, business analysis, or a related insurance role.
· Strong understanding of P&C insurance products, coverages, rating concepts, underwriting practices, policy forms, and regulatory requirements.
· Experience analyzing financial performance, loss ratios, pricing impacts, market trends, and product profitability.
· Ability to manage cross-functional projects, influence stakeholders, and drive execution across multiple business areas.
· Strong analytical, problem-solving, communication, presentation, and organizational skills.
· Proficiency with Microsoft Office applications, particularly Excel; experience with data analysis tools or reporting platforms preferred.
Preferred Qualifications
· Experience with auto, commercial lines, specialty property, or other P&C product lines.
· Experience supporting state filings, regulatory interpretation, rate changes, form changes, or product launches.
· Knowledge of actuarial pricing, reinsurance, risk segmentation, predictive modeling, or portfolio management.
· Professional insurance designation such as CPCU, AINS, ARM, API, or similar credential.
· Experience working with policy administration systems, rating engines, business intelligence tools, SQL, or data visualization platforms.
Key Competencies
· Strategic thinking and business acumen
· Financial and analytical rigor
· Knowledge of insurance risk and profitability drivers
· Cross-functional collaboration and stakeholder management
· Clear written and verbal communication
· Project management and execution discipline
· Customer, agent, and market orientation
· Adaptability in a changing regulatory and competitive environment
Work Environment
This position typically operates in a professional office, hybrid, or remote environment and requires regular collaboration with internal teams, external partners, vendors, and distribution channels. Occasional travel may be required for business meetings, industry events, or partner visits.
Equal Employment Opportunity
The company is an equal opportunity employer and considers qualified applicants without regard to legally protected characteristics. Employment decisions are based on qualifications, merit, business needs, and applicable law.