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Remote Insurance Utilization Review Jobs in Chicago, IL

Managed Care Staffers

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Health Insurance Customer Care Specialist

Chicago, IL · Remote

$24/hr

Remote Temporary (Possibly Temp to Hire) F/T Medicare Benefits Customer Care Specialist Needed $24 ... review and consideration. Company Description We are employment specialists who have worked in ...

Archgroup

AVP, Construction

Chicago, IL · On-site +1

$150K - $190K/yr

Solicits and reviews new and renewal account information required to evaluate a risk. * Identifies ... Assesses insurance and related financial risk and structures appropriate loss sensitive program to ...

Archgroup

AVP, Construction

Chicago, IL · On-site +1

$150K - $190K/yr

Solicits and reviews new and renewal account information required to evaluate a risk. * Identifies ... Assesses insurance and related financial risk and structures appropriate loss sensitive program to ...

AO Globe Life

Remote- Entry Level Manager

Chicago, IL · On-site +1

Oversee customer accounts, verify coverage eligibility, and review healthcare options. * Process ... Comprehensive health insurance * Professional development opportunities * Performance-based bonuses ...

AO Globe Life

Remote- Entry Level Manager

Chicago, IL · On-site +1

Oversee customer accounts, verify coverage eligibility, and review healthcare options. * Process ... Comprehensive health insurance * Professional development opportunities * Performance-based bonuses ...

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Showing results 21-40

All JobsInsurance Utilization Review JobsRemote Insurance Utilization Review JobsRemote Insurance Utilization Review Jobs in Chicago, IL

Remote Insurance Utilization Review information

See Chicago, IL salary details

$22

$43

$71

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

As of Jul 26, 2026, the average hourly pay for remote insurance utilization review in Chicago, IL is $43.56, according to ZipRecruiter salary data. Most workers in this role earn between $34.42 and $50.00 per hour, depending on experience, location, and employer.

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 Chicago, IL? The most popular types of Insurance Utilization Review jobs in Chicago, IL are:
What are popular job titles related to Remote Insurance Utilization Review jobs in Chicago, IL? For Remote Insurance Utilization Review jobs in Chicago, IL, the most frequently searched job titles are:
What job categories do people searching Remote Insurance Utilization Review jobs in Chicago, IL look for? The top searched job categories for Remote Insurance Utilization Review jobs in Chicago, IL are:
What cities near Chicago, IL are hiring for Remote Insurance Utilization Review jobs? Cities near Chicago, IL 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 Chicago, IL as of July 2026, with employment types broken down into 83% Full Time, and 17% Temporary. Highlights an 100% Remote job distribution, with an average salary of $90,598 per year, or $43.6 per hour.
Regional Account Manager - Midwest

Regional Account Manager - Midwest

Ethos Risk Services

Des Plaines, IL • Remote

$55K - $90K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 10 days ago

Job description

ABOUT US:

Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients. We are at the forefront of innovation in our space, and our success is driven by a dynamic team passionate about delivering exceptional services to our customers.

JOB SUMMARY:

Our Ethos Sales Team is seeking a full-time Regional Account Manager to support and grow our client partnerships across the Midwest territories. This remote position includes occasional travel and is ideal for candidates based in states in the Midwest area.

This position will play a pivotal role in driving Ethos's growth by acquiring new clients and expanding existing relationships within the medical management and investigative services sector. This individual will leverage their consultative sales skills to present Ethos' suite of solutions, guide clients through the sales process, and ensure seamless service delivery.

KEY RESPONSIBILITIES:

  • Client Meetings: Meet and exceed outreach goals by conducting 2-3 client meetings per week (50% virtual, 50% in person), including up to 25% local travel and occasional overnight travel (2-3 trips per quarter).
  • Engage and Grow: Pursue new clients and deepen relationships with existing accounts by leveraging a consultative sales approach.
  • Sales Cycle Management: Manage the full sales cycle from lead to close, including preparing proposals and negotiating contracts.
  • CRM Excellence: Keep Salesforce updated with all sales activities, meetings, and progress toward goals.
  • Market Representation: Attend networking events, conferences, and trade shows to represent Ethos and grow brand visibility.
  • Collaboration: Partner with internal teams to ensure smooth client onboarding and successful sales handoffs.

QUALIFICATIONS:

Education: Bachelor's degree in Business, Insurance, Marketing, or related field (preferred)

Experience:

  • Prior B2B sales experience , preferably within insurance, risk management, healthcare, or professional services (required).
  • Familiarity with claims-related stakeholders, including adjusters, case managers, employers, and carriers (preferred).
  • Understanding of workers' compensation, disability, auto, and liability claims processes (preferred).
  • Experience with nurse case management, IME, utilization review, or medical bill review services strongly (preferred).

Skills:

  • Excellent communication, negotiation, and presentation skills.
  • Strong interpersonal skills with the ability to persuade and influence clients.
  • Proficiency in Microsoft Office Suite and CRM tools (Salesforce preferred).

WHAT WE OFFER:

  • Salary & Uncapped Earning Potential: Our top 25% of Regional Account Managers earn $100k+. First-year total compensation includes base salary + 12 months' guaranteed commissions averaging $55k to $90k total compensation.
  • Benefits: Paid Time Off, Sick Days, Comprehensive Coverage (Medical, Dental, Vision, Disability, Retirement Plan, etc.)
  • Growth: Industry-leading company that has grown 20x in recent years with opportunities to grow within the team or in different roles!

Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic protected by law.


A background check will be conducted, in accordance to the local state law and regulations.


Job Posted by ApplicantPro