... of insurance, and other related items accurately and on time. * Monitor and review client ... Follow established agency procedures for effective utilization of agency management system. * Take ...
... of insurance, and other related items accurately and on time. * Monitor and review client ... Follow established agency procedures for effective utilization of agency management system. * Take ...
... of insurance, and other related items accurately and on time. * Monitor and review client ... Follow established agency procedures for effective utilization of agency management system. * Take ...
... of insurance, and other related items accurately and on time. * Monitor and review client ... Follow established agency procedures for effective utilization of agency management system. * Take ...
Drive accountability through routine performance scorecards, operational reviews, and metric-based ... Life Insurance * Short/Long Term Disability * Paid maternity/paternity leave * Mental Health Day
Drive accountability through routine performance scorecards, operational reviews, and metric-based ... Life Insurance * Short/Long Term Disability * Paid maternity/paternity leave * Mental Health Day
Insurance Account Representative - State Farm Agent Team Member
Midlothian, VA · Remote
$50K - $75K/yr
Use a customer-focused, needs-based review process to educate customers about insurance options ... Valuable career-building experience This is a remote position.
Quick apply
Insurance Account Representative - State Farm Agent Team Member
Midlothian, VA · Remote
$50K - $75K/yr
Use a customer-focused, needs-based review process to educate customers about insurance options ... Valuable career-building experience This is a remote position.
Supervisor, Population Health Care Management (Hybrid/Remote)
Charlottesville, VA · On-site +1
$76K/yr
... utilization, and address social drivers of health (SDOH). Leads day-to-day operations of care ... Medical, Dental, and Vision Insurance * Paid Time Off, Long-term and Short-term Disability ...
Supervisor, Population Health Care Management (Hybrid/Remote)
Charlottesville, VA · On-site +1
$76K/yr
... utilization, and address social drivers of health (SDOH). Leads day-to-day operations of care ... Medical, Dental, and Vision Insurance * Paid Time Off, Long-term and Short-term Disability ...
Med Mgmt Clinician (contract)
Richmond, VA · On-site +1
Requires a minimum of 4 years of clinical experience and/or utilization review experience ... life insurance, short-term disability, long-term disability, and 401k. The company is fully ...
Med Mgmt Clinician (contract)
Richmond, VA · On-site +1
Requires a minimum of 4 years of clinical experience and/or utilization review experience ... life insurance, short-term disability, long-term disability, and 401k. The company is fully ...
Med Mgmt Clinician (contract)
Richmond, VA · On-site +1
Requires a minimum of 4 years of clinical experience and/or utilization review experience ... life insurance, short-term disability, long-term disability, and 401k. The company is fully ...
Med Mgmt Clinician (contract)
Richmond, VA · On-site +1
Requires a minimum of 4 years of clinical experience and/or utilization review experience ... life insurance, short-term disability, long-term disability, and 401k. The company is fully ...
Knowledge of commercial insurance plans, Medicare, and Medicaid programs is essential. How You Will ... claims review and post-payment auditing to identify potential over-utilization or fraudulent ...
Knowledge of commercial insurance plans, Medicare, and Medicaid programs is essential. How You Will ... claims review and post-payment auditing to identify potential over-utilization or fraudulent ...
Knowledge of commercial insurance plans, Medicare, and Medicaid programs is essential. How You Will ... claims review and post-payment auditing to identify potential over-utilization or fraudulent ...
Knowledge of commercial insurance plans, Medicare, and Medicaid programs is essential. How You Will ... claims review and post-payment auditing to identify potential over-utilization or fraudulent ...
Knowledge of commercial insurance plans, Medicare, and Medicaid programs is essential. How You Will ... claims review and post-payment auditing to identify potential over-utilization or fraudulent ...
Knowledge of commercial insurance plans, Medicare, and Medicaid programs is essential. How You Will ... claims review and post-payment auditing to identify potential over-utilization or fraudulent ...
Commercial Lines Associate Broker (East Coast hybrid or remote)
Reston, VA · On-site +1
$60K - $70K/yr
Review current policies and formulate recommendations for customized risk solutions. * Work with ... utilization. * Develop and maintain a thorough knowledge of the insurance marketplace, and the ...
Commercial Lines Associate Broker (East Coast hybrid or remote)
Reston, VA · On-site +1
$60K - $70K/yr
Review current policies and formulate recommendations for customized risk solutions. * Work with ... utilization. * Develop and maintain a thorough knowledge of the insurance marketplace, and the ...
Commercial Lines Associate Broker (East Coast hybrid or remote)
Reston, VA · On-site +1
$60K - $70K/yr
Review current policies and formulate recommendations for customized risk solutions. * Work with ... utilization. * Develop and maintain a thorough knowledge of the insurance marketplace, and the ...
Commercial Lines Associate Broker (East Coast hybrid or remote)
Reston, VA · On-site +1
$60K - $70K/yr
Review current policies and formulate recommendations for customized risk solutions. * Work with ... utilization. * Develop and maintain a thorough knowledge of the insurance marketplace, and the ...
... for Berkley's insurance operating units. BMMS was first started in 2014 by reimagining the ... The power of our technology takes medical bill-review services and clinical advisory services to a ...
... for Berkley's insurance operating units. BMMS was first started in 2014 by reimagining the ... The power of our technology takes medical bill-review services and clinical advisory services to a ...
... for Berkley's insurance operating units. BMMS was first started in 2014 by reimagining the ... The power of our technology takes medical bill-review services and clinical advisory services to a ...
... for Berkley's insurance operating units. BMMS was first started in 2014 by reimagining the ... The power of our technology takes medical bill-review services and clinical advisory services to a ...
... for Berkley's insurance operating units. BMMS was first started in 2014 by reimagining the ... The power of our technology takes medical bill-review services and clinical advisory services to a ...
... for Berkley's insurance operating units. BMMS was first started in 2014 by reimagining the ... The power of our technology takes medical bill-review services and clinical advisory services to a ...
Remote Claims Processor
Chesapeake, VA · On-site +1
$15/hr
Review emails and Microsoft Teams messages at the start of each shift * Log into internal systems ... In addition, Conduent provides a variety of benefits to employees including health insurance ...
Remote Claims Processor
Chesapeake, VA · On-site +1
$15/hr
Review emails and Microsoft Teams messages at the start of each shift * Log into internal systems ... In addition, Conduent provides a variety of benefits to employees including health insurance ...
Patient Financial Services Representative 4 - Insurance Follow Up
Fairfax, VA · Remote
$17.75 - $19.25/hr
This position is eligible for remote work for candidates residing in the following states - VA, MD ... Ensures that claims are reviewed, corrections are identified/made or resolutions are initiated ...
Patient Financial Services Representative 4 - Insurance Follow Up
Fairfax, VA · Remote
$17.75 - $19.25/hr
This position is eligible for remote work for candidates residing in the following states - VA, MD ... Ensures that claims are reviewed, corrections are identified/made or resolutions are initiated ...
Design Engineer with Security Clearance
Tysons, VA · On-site +1
Tysons, VA (Remote considered for highly qualified candidates) Positions: 2 Type: Full-Time, ... utilization voltage electrical system design. This role offers hands-on involvement throughout the ...
Design Engineer with Security Clearance
Tysons, VA · On-site +1
Tysons, VA (Remote considered for highly qualified candidates) Positions: 2 Type: Full-Time, ... utilization voltage electrical system design. This role offers hands-on involvement throughout the ...
Insurance and Financial Services Position - State Farm Agent Team Member
Virginia Beach, VA · Remote
$60K - $90K/yr
Use a customer-focused, needs-based review process to educate customers about insurance options ... This is a remote position.
Quick apply
Insurance and Financial Services Position - State Farm Agent Team Member
Virginia Beach, VA · Remote
$60K - $90K/yr
Use a customer-focused, needs-based review process to educate customers about insurance options ... This is a remote position.
Remote Claims Processor
Chesapeake, VA · On-site +1
$15/hr
Review emails and Microsoft Teams messages at the start of each shift * Log into internal systems ... In addition, Conduent provides a variety of benefits to employees including health insurance ...
Remote Claims Processor
Chesapeake, VA · On-site +1
$15/hr
Review emails and Microsoft Teams messages at the start of each shift * Log into internal systems ... In addition, Conduent provides a variety of benefits to employees including health insurance ...
Remote Insurance Utilization Review information
What is the difference between Remote Insurance Utilization Review vs Remote Claims Reviewer?
| 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.
How does a remote insurance utilization review professional collaborate with healthcare providers and insurance companies?
What are remote insurance utilization review jobs?
What are the key skills and qualifications needed to thrive as a Remote Insurance Utilization Review Specialist, and why are they important?
- Utilization Review Rn
- Contract Utilization Review Nurse
- Temporary Utilization Review Nurse
- Remote Cvs Utilization Management Nurse
- Overnight Utilization Review Nurse
- Utilization Review Nurse
- Weekday Cvs Utilization Management Nurse
- Flex Schedule Remote Utilization Review Nurse
- Per Diem Chart Review Nurse
- Weekend Physician Advisor Utilization Review
Full-time
Medical, Retirement, PTO
Posted 12 days ago
Job description
Who We Are:
NFP, an Aon company, is a multiple Best Places to Work award winner in Business Insurance who has also earned the WORK180 employer endorsement. We are an organization of consultative advisors and problem solvers. We help companies and individuals around the globe address their most significant risk, workforce, wealth management and retirement challenges through custom solutions and a people-first approach. To learn more, please visit: https://www.NFP.com.
Job Summary:
This is a full-time, exempt, support position assisting the Account Team in the management of the existing BOB with emphasis in full retention responsibility. The primary function of this position is to provide quality service to clients and cross-sell/account-round within the existing book of business. The Account Manager (AM) will be the day-to-day liaison between the insurance company and designated middle-market accounts. You will manage and control relationships with clients in collaboration with Producers and/or Account Executives. Daily servicing of clients will include contract analysis, coverage and exposure analysis, endorsement activity, routine coverage and billing questions, problem-solving, renewal control, preparation of quotes/proposals, binding coverage, and claim reporting and follow-up. You will assist Producer(s) with the above functions as needed. You should have P&C experience and an active P&C license. Have knowledge and experience in select commercial insurance including, but not limited to, commercial auto, property, general liability, umbrella, inland marine, workers compensation, and flood.
This is a full-time position, ideally working hybrid from either our Charlotte, NC office. We will consider a remote option for well-experienced Commercial Lines candidates able to work on an EST schedule. When working from home, you must maintain a private workspace to secure company equipment and correspondence; maintain high-speed internet, be present and responsive online and minimize personal interruptions during your work shift
Job Goals:
- Give the most prompt, accurate, and courteous service that customers have ever received…anywhere.
- Increase revenue by rounding out commercial lines accounts. Negotiate pricing and coverage terms in the client’s best interest.
- Develop relationships that lead to new business sales.
Essential Core Duties and Responsibilities
- Build and maintain constructive and effective relationships with clients by meeting and exceeding expectations.
- Provide consistent, accurate, timely, and pertinent communication to clients.
- Resolve/assist with any service issues/questions.
- Assist clients in making appropriate coverage changes, making each contact a marketing opportunity.
- Inform and educate clients about coverage, exclusions and exposures and document electronic files accordingly.
- Respond to clients’ needs by providing/producing binders, certificates, policies, auto id cards, evidence of insurance, and other related items accurately and on time.
- Monitor and review client satisfaction.
- Electronically document all communication with clients.
- As appropriate, market, negotiate, prepare and analyze alternative renewal options.
- Develop written, graphic, and electronic renewal materials as appropriate.
- Follow established agency procedures for effective utilization of agency management system.
- Take advantage of personal and professional development opportunities such as continuing education, professional designations, and in-house training.
- Adhere to all state laws and regulations regarding insurance agents (licensing, continuing education, etc).
- Assist with or complete other tasks as directed by agency management.
Job Specifications/Requirements:
- Property and casualty insurance license upon hire is required.
- At least 2 years of experience in commercial lines insurance, with an understanding of underwriting, coverage and rate analysis.
- In-depth knowledge of insurance coverages and an ability to communicate this knowledge clearly to clients and underwriters.
- Strong written and verbal communication skills.
- Ability to prioritize and self-manage workload.
- Proficiency in Microsoft Word and Excel.
- EPIC experience is preferred, but will consider other agency management system experience.
- If not experienced with EPIC and seeking a remote role, on-site training may be required in one of our select East Coast offices.
When working from home, you must maintain a private workspace to secure company equipment and correspondence; maintain high-speed internet, be present and responsive online and minimize personal interruptions during your work shift.
What We Offer:
We're proud to offer a competitive salary, PTO & paid holidays, 401(k) with match, exclusive discount programs, health & wellness programs, and more. Our PeopleFirst culture focuses on building and nurturing lifelong relationships with our employees because, at the end of the day, we exist to be there for others. The base salary range for this position is $60,000 – $95,000. The base salary offered will be determined by factors including, but not limited to, experience, credentials, education, certifications, skill level required for the position, the scope of the position, and geographic location. Actual base salary offered will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.
NFP and You... Better Together!
NFP is an inclusive Equal Employment Opportunity employer.