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Remote Insurance Utilization Review Jobs in Ohio

Review and present carrier quotes, ensuring alignment with client needs and agency standards ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

Review and present carrier quotes, ensuring alignment with client needs and agency standards ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

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 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 the most commonly searched types of Insurance Utilization Review jobs in Ohio? The most popular types of Insurance Utilization Review jobs in Ohio are:
What cities in Ohio are hiring for Remote Insurance Utilization Review jobs? Cities in Ohio with the most Remote Insurance Utilization Review job openings:
Infographic showing various Remote Insurance Utilization Review job openings in Ohio as of July 2026, with employment types broken down into 84% Full Time, and 16% Temporary. Highlights an 100% Remote job distribution.

Residential RE Evaluator 2 - Remote Position

Huntington

Columbus, OH • Remote

$21 - $37.50/hr

Full-time

Medical, Life, Retirement, PTO

Posted 4 days ago


Job description

Description

Summary:

The Residential Real Estate Technical Services (RETS) Department has a current opening for a Residential Real Estate Evaluator 2 who will be responsible for the review of residential appraisals for conventional transactions.

* This is a remote position that can be located anywhere within the United States *
Duties & Responsibilities:

  • Completes a thorough desk review of appraisals to determine compliance with company and investor guidelines.
  • Provides advanced administrative reviews on all Home Lending valuation products to ensure that it adheres to the Appraisal Policy, Credit Policy, federal regulations, appropriate Government Sponsored Enterprise requirements, if any, and the appraisal valuation matrix.
  • Works directly with the Home Lending Loan Center, Appraisal Management Companies, external Appraisers and Retail Branches regarding questions, inquiries and concerns relating to the appraisal product and appraisal review process.
  • Successfully completes collateral reviews of residential properties.
  • Effectively analyzes, interprets, evaluates, and explains assignment results of an appraisal or valuation.
  • Determines if the appraisal adequately addresses a wide variety of issues that affect property values, such as size, location, market conditions, and physical property condition. External research through the FNC system, public records, and/or MLS data may be required to verify and support data and opinions within the appraisal and appraisal review.
  • Ensures consistency with Uniform Standards of Appraisal Practice, bank policies, and generally accepted appraisal standards.
  • Explains policy/procedures to both internal and external customers including appraisers, auditors, sales staff and operations personnel.
  • Works in a high volume environment with minimal supervision, while maintaining production service levels.
  • Adheres to bank policies and procedures and complies with legal and regulatory requirements.
  • Follows effective controls and processes to ensure risks are measured, monitored and controlled and compliance requirements are adhered to on an on-going basis.
  • May mentor, direct and assist lesser experienced Evaluators.
  • Performs other duties as assigned.


Basic Qualifications:

  • High School Diploma or GED
  • 2+ years of demonstrated appraisal review experience


Preferred Qualifications:

  • Bachelor's Degree
  • Have flexibility to work outside of the standard business day, as required
  • Excellent interpersonal skills to effectively interface with different levels in the organization
  • Must be able to work effectively in a team environment
  • Must be able to work effectively in a fast pace environment with low tolerance for error
  • Strong analytical, critical thinking, communication, and organizational skills.
  • Exhibit a high level of personal integrity and judgment/maturity, handle confidential matters with discretion and professionalism, show a high degree of initiative and dependability, and work independently with little supervision.
  • Demonstrate the ability to learn quickly, be accurate and timely, and be able to work with others cooperatively and as part of a team
  • Intermediate Microsoft Word, Excel, and Power Point skills.

#LI-Remote

#LI-ML1


Exempt Status: (Yes= not eligible for overtime pay) (No= eligible for overtime pay)

No

Workplace Type:

Remote

Our Approach to Office Workplace Type

Certain positions outside our branch network may be eligible for a flexible work arrangement. We're combining the best of both worlds: in-office and work from home. Our approach enables our teams to deepen connections, maintain a strong community, and do their best work. Remote roles will also have the opportunity to come together in our offices for moments that matter. Specific work arrangements will be provided by the hiring team.

Huntington will not sponsor applicants for this position for immigration benefits, including but not limited to assisting with obtaining work permission for F-1 students, H-1B professionals, O-1 workers, TN workers, E-3 workers, among other immigration statuses. Applicants must be currently authorized to work in the United States on a full-time basis.

Compensation Range:

$21.00 - $37.50 Hourly

The compensation range represents the anticipated low and high end of the base compensation range for this position. Actual compensation will vary based on various factors including but not limited to location, experience, and education. Colleagues in this position are also eligible to participate in an applicable incentive compensation plan. In addition, Huntington provides a variety of benefits to colleagues, including health insurance coverage, wellness program, life and disability insurance, retirement savings plan, paid leave programs, paid holidays and paid time off (PTO).

Huntington is an Equal Opportunity Employer.

Tobacco-Free Hiring Practice: Visit Huntington's Career Web Site for more details.

Note to Agency Recruiters: Huntington will not pay a fee for any placement resulting from the receipt of an unsolicited resume. All unsolicited resumes sent to any Huntington colleagues, directly or indirectly, will be considered Huntington property. Recruiting agencies must have a valid, written and fully executed Master Service Agreement and Statement of Work for consideration.