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Remote Insurance Utilization Review Jobs in Austin, TX

T3 Services Group

Payroll Analyst (Remote)

Austin, TX · Remote

$60K - $65K/yr

Medical, Dental, Vision, and Pet Insurance * 401(k) with 4% company match * PTO, Paid Holidays, and ... Review timecards, sales data, wages, deductions, benefits, and other payroll items for accuracy.

Jobot

Insurance Defense Litigation Attorney

Austin, TX · On-site +1

$150K/yr

... peer review ratings- including AV-preeminent and Best's Directory rankings. We are currently ... Enjoy hybrid flexibility, combining in-office collaboration with remote work convenience Job ...

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Showing results 21-40

All JobsInsurance Utilization Review JobsRemote Insurance Utilization Review JobsRemote Insurance Utilization Review Jobs in Austin, TX

Remote Insurance Utilization Review information

See Austin, TX salary details

$21

$41

$68

How much do remote insurance utilization review jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for remote insurance utilization review in Austin, TX is $41.91, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $48.12 per hour, depending on experience, location, and employer.

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 are popular job titles related to Remote Insurance Utilization Review jobs in Austin, TX?

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

What job categories do people searching Remote Insurance Utilization Review jobs in Austin, TX look for?

The top searched job categories for Remote Insurance Utilization Review jobs in Austin, TX are:

What cities near Austin, TX are hiring for Remote Insurance Utilization Review jobs?

Cities near Austin, TX with the most Remote Insurance Utilization Review job openings:

Remote Insurance Utilization Review jobs near you
Infographic showing various Remote Insurance Utilization Review job openings in Austin, TX as of August 2026, with employment types broken down into 94% Full Time, and 6% Contract. Highlights an 100% Remote job distribution, with an average salary of $87,173 per year, or $41.9 per hour.

Auto Insurance Associate Product Manager

Embark MGA

Austin, TX • Remote

Part-time

Re-posted 12 days ago

Job description

The Associate Product Manager role will focus on achieving favorable results, handling regulatory filings, developing state-specific program enhancements, and effectuating the development of competitive product strategies. The ideal candidate has favorable experience in insurance product management, strong technical/math skills and enjoys working collaboratively across departments. This is a fully remote position. Consulting or PT position is highly desired

Responsibilities:

  • Manage assigned auto insurance state(s), ensuring profitability, compliance, and competitiveness
  • Align product goals with company objectives and strengths, regulatory requirements, and profitability targets.
  • Collaborate with Marketing, Underwriting, Claims, IT, Legal, vendors, etc. to design, price, and implement product features and to support day-to-day operations.
  • Maintain effective regulatory relations, prepare and submit product and rate filings via SERFF and overall communicate successfully with insurance departments.
  • Monitor and evaluate product performance metrics (loss ratios, retention, premium growth, etc.) and recommend and implement approved adjustments to improve results.
  • Conduct competitor and market analysis including securing agent input to identify trends, pricing opportunities, product enhancements, etc. and incorporate into actionable product advancements.
  • Develop strong knowledge of and ensure compliance with state requirements and effectively respond to regulatory inquiries.
  • Contribute and reply to audits, reviews, and regulatory examinations as a subject-matter expert. Review criticisms and areas reviewed in other insurance carrier Market Conduct Exam reports and ensure AFIC is in compliance with all potential exposures.
  • Assists in development of programs including pricing, underwriting, policy language, and filings for new and existing programs.
  • Develop the programming of scalable and flexible data reporting and analysis solutions to fulfill the needs of the team.
  • Document programs, queries, and dashboards for reliable future use; automate useful reports and solutions
  • Analyze market trends, competitor activity, and industry developments
  • Initiate, lead and/or support projects and initiatives that enhance product development, operations, and/or performance.

Requirements

  • Bachelor’s degree in Business, Finance, Insurance, Economics or related field preferred
  • Minimum 2 years of Product Management or related experience, preferably with a focus on automobile insurance (non-standard automobile a plus)
  • Excellent quantitative and communication skills
  • Strong knowledge of data analysis and visualization tools such as SQL and Tableau required
  • Strong analytical and problem-solving skills with attention to detail
  • Working knowledge of insurance rate filings and rules
  • Effective communication and collaboration skills across technical and non-technical teams
  • Proficiency with Microsoft Office Suite; experience with product management tools and regulatory filing systems (e.g., SERFF)