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Remote Insurance Utilization Review Jobs in Hampton, VA

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Remote Insurance Utilization Review information

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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 Hampton, VA is $40.86, according to ZipRecruiter salary data. Most workers in this role earn between $32.31 and $46.92 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 Hampton, VA?

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

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

The top searched job categories for Remote Insurance Utilization Review jobs in Hampton, VA are:

What cities near Hampton, VA are hiring for Remote Insurance Utilization Review jobs?

Cities near Hampton, VA with the most Remote Insurance Utilization Review job openings:

Infographic showing various Remote Insurance Utilization Review job openings in Hampton, VA as of July 2026, with employment types broken down into 1% As Needed, 72% Full Time, 23% Part Time, and 4% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $84,995 per year, or $40.9 per hour.

Remote Life & Health Insurance Agent Licensed or Unlicensed | Training Provided | Flexible Schedule

The Corham Agency | Financial Advisory

Virginia Beach, VA • Remote

$50K - $500K/yr

Other

Medical, Life

Re-posted 6 days ago


Job description

The Corham Agency | Financial Advisory is recruiting remote Insurance Agents to deliver consultative life and health insurance sales and client service for clients in Virginia. Candidates with active life and/or health insurance licenses and those new to the industry are encouraged to apply; comprehensive licensing support, structured onboarding, and ongoing mentorship are provided.

  • 100% remote work with a flexible full-time or part-time schedule
  • Structured onboarding, licensing guidance, and continued mentorship
  • Access to a range of life and health insurance products and carrier relationships
  • Proven sales systems, marketing support, and performance coaching
  • 100% commission compensation structure with uncapped earning potential and performance-based bonuses
  • Clear pathways for advancement into leadership roles and potential agency ownership

Position summary

  • Conduct consultative client conversations to assess life, health, and financial protection needs.
  • Clearly and ethically explain product options and recommend tailored insurance solutions.
  • Guide clients through applications, underwriting, policy placement, onboarding, and renewals.
  • Maintain long-term client relationships through proactive follow-up and periodic outreach.
  • Respond to client inquiries via phone, email, and virtual meetings in a timely, professional manner.
  • Participate in team trainings, coaching sessions, and performance reviews.

Minimum qualifications

  • Strong verbal and written communication skills with a professional interpersonal demeanor.
  • Self-motivated, disciplined, and capable of working independently in a remote environment.
  • Coachable attitude with a willingness to learn sales, service, and compliance processes.
  • Organizational skills and attention to detail; ability to manage multiple client relationships concurrently.
  • Reliable internet connection and phone access for remote work.
  • Licensed life and/or health agents in Virginia are welcome. Unlicensed candidates must be willing to obtain the required Virginia producer licenses; licensing support will be provided.
  • Familiarity with and adherence to Virginia insurance regulations and compliance expectations is required once licensed.

Compensation and professional development

This position operates on a 100% commission basis with uncapped earning potential and performance-based bonuses. The role includes structured sales and marketing support, coaching, and clearly defined advancement pathways toward leadership and potential agency ownership.