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Remote Insurance Utilization Review Jobs in Fresno, CA

APR

Commercial Lines Account Manager

Fresno, CA · On-site +1

$65K - $85K/yr

... Review policies, endorsements, loss runs, MVRs, and underwriting reports for accuracy and ... remote Competitive compensation based on experience Benefits package may include health insurance ...

Deloitte

Epic Denials Management Operator

Fresno, CA · Remote

$17.75 - $23.75/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Review hospital account records and payer remittance records, communicate with relevant Client RCM ...

micro1 AI

Technology Transactions Counsel

Fresno, CA · On-site +1

$350K - $410K/hr

Remote (opportunity to work from our SF office) The Role We are looking for a high-potential ... Draft, review, and negotiate a broad range of commercial agreements, with a particular focus on ...

micro1 AI

Technology Transactions Counsel

Clovis, CA · On-site +1

$350K - $410K/hr

Remote (opportunity to work from our SF office) The Role We are looking for a high-potential ... Draft, review, and negotiate a broad range of commercial agreements, with a particular focus on ...

InsCipher

Tax Associate

Fresno, CA · Remote

$21 - $26/hr

Conduct compliance and quality review on documents, state legislation, codes and procedures ... insurance related experience * Intermediate skills in Excel or other spreadsheet software * Self ...

Mortenson

Safety Manager I

Cantua Creek, CA · Remote

$100K - $150K/yr

Review safety submittals and attend preconstruction and preparatory meetings with subcontractors ... Employer paid Life, AD&D, and disability insurance * No-Cost mental health tool and concierge with ...

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Showing results 21-40

All JobsInsurance Utilization Review JobsRemote Insurance Utilization Review JobsRemote Insurance Utilization Review Jobs in Fresno, CA

Remote Insurance Utilization Review information

See Fresno, CA salary details

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

As of Sep 3, 2026, the average hourly pay for remote insurance utilization review in Fresno, CA is $41.98, according to ZipRecruiter salary data. Most workers in this role earn between $33.17 and $48.22 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 Fresno, CA?

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

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

The top searched job categories for Remote Insurance Utilization Review jobs in Fresno, CA are:

What cities near Fresno, CA are hiring for Remote Insurance Utilization Review jobs?

Cities near Fresno, CA 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 Fresno, CA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $87,323 per year, or $42 per hour.

Commercial Lines Account Manager

APR

Fresno, CA • On-site, Remote

$65K - $85K/yr

Full-time

Medical, Retirement, PTO

Re-posted 20 days ago

Job description

Job Title: Commercial Lines Account Manager
Location: Flexible – In-Office, Hybrid, or Remote (Fresno, CA - Based)
Compensation: $65,000-85,000 plus comprehensive benefits
About
Independent insurance agency committed to delivering thoughtful, relationship-driven risk management solutions to commercial clients is seeking an experienced Commercial Lines Account Manager to support and manage a diverse commercial book of business. Agency strongly values collaboration, accountability, and long-term partnerships—with clients, carriers, and each other.

Position Summary
The Commercial Lines Account Manager is responsible for servicing and retaining commercial clients by managing renewals, marketing new and renewal business, coordinating with carriers, and ensuring accurate, well-structured coverage programs. This role offers flexibility in work location and is ideal for a detail-oriented professional who thrives in a fast-paced, client-focused environment.
Key Responsibilities
-Manage a book of commercial lines accounts, serving as the primary point of contact for clients
-Lead the renewal process, including exposure analysis, marketing, quoting, and proposal preparation
-Review policies, endorsements, loss runs, MVRs, and underwriting reports for accuracy and completeness
-Communicate effectively with carriers to negotiate terms, pricing, and coverage enhancements
-Provide day-to-day client service, including certificates, policy changes, and coverage questions
-Ensure compliance with agency standards, documentation requirements, and regulatory guidelines
-Collaborate with producers and internal teams to support account growth and retention

Qualifications
-3+ years of commercial lines account management experience preferred
-Experience working in an independent agency environment strongly desired
-Solid understanding of commercial insurance coverages and underwriting concepts
-Strong organizational, communication, and problem-solving skills
-Ability to manage multiple priorities and deadlines with minimal supervision
-Proficiency with agency management systems (e.g., AMS360, EPIC, or similar)
-Active Property & Casualty license
What We Offer
Flexible work arrangements: in-office, hybrid, or fully remote
Competitive compensation based on experience
Benefits package may include health insurance, paid time off, and retirement options
Supportive team culture with opportunities for professional growth
Stable, long-term role within a growing independent agency