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Remote Insurance Utilization Review Jobs in Hartford, CT

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Learn more by going to At Loyal Insurance , we operate ahead of the curve in remote final expense ... Helping families review coverage options that fit their needs * Following a simple, structured ...

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Paralegal

Hartford, CT · Remote

$65K - $99K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Role We are seeking an experienced remote Insurance Defense Paralegal to support Connecticut ... Review and summarize medical records and billing (chronologies) * Draft and manage discovery ...

Remote Tax Manager

Stafford, CT · Remote

$150K - $170K/yr

  • Medical

  • Retirement

  • PTO

Review financials to identify missed planning opportunities and advise on entity structuring and ... Retirement & Health: 401(k) with company match and health insurance with a company contribution.

Associate Attorney - Insurance Coverage

Rocky Hill, CT · On-site +1

$100K - $150K/yr

  • Medical

  • PTO

Can be hybrid or remote schedule - must live in the Hartford area for court appearances! This Jobot ... Reviewing complex insurance contracts and assessing related legal issues. * Communicating with ...

Client Partner, Insurance Solutions

Hartford, CT · Remote

$124K - $210K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

All remote positions are based in the United States, and candidates must reside within the U.S. to ... Lead regular Executive Business Reviews (EBRs) and account health check-ins while establishing ...

Client Partner, Insurance Solutions

Hartford, CT · On-site +1

$124K - $210K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

All remote positions are based in the United States, and candidates must reside within the U.S. to ... Lead regular Executive Business Reviews (EBRs) and account health check-ins while establishing ...

Casting Specialist - REMOTE

West Hartford, CT · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Design reviews with Engineering and Suppliers * Cast source selection and capabilities to ... Disability and life insurance * Incentives and performance-based rewards * Exciting growth and ...

This role can have a Hybrid or Remote work schedule. Candidates who live near one of our office ... Review and thoughtfully evaluate portfoliolevel architectural choices, evaluation approaches ...

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Remote Insurance Utilization Review information

See Hartford, CT salary details

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$42

$69

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

As of Aug 18, 2026, the average hourly pay for remote insurance utilization review in Hartford, CT is $42.65, according to ZipRecruiter salary data. Most workers in this role earn between $33.70 and $48.99 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 job categories do people searching Remote Insurance Utilization Review jobs in Hartford, CT look for?

The top searched job categories for Remote Insurance Utilization Review jobs in Hartford, CT are:

What cities near Hartford, CT are hiring for Remote Insurance Utilization Review jobs?

Cities near Hartford, CT with the most Remote Insurance Utilization Review job openings:

Board Certified Behavior Analyst (BCBA) - Remote

All Care Therapies

Hartford, CT • Remote

$43 - $56/hr

Part-time

Posted 11 days ago


Job description



All Care Therapies is a leading provider of Physical, Occupational, Speech, and ABA therapy services, delivering care through virtual, in-home, and clinic-based settings across California, Texas, and Nevada. We serve individuals of all ages, combining innovative technology with a collaborative, patient-centered approach. Our dedicated clinicians provide flexible, high-quality care that meets patients where they are, supporting recovery, enhancing communication, and driving meaningful, long-term outcomes.


Job Description


The Board Certified Behavior Analyst (BCBA) is a licensed clinical professional responsible for designing, implementing, supervising, and evaluating Applied Behavior Analysis (ABA) therapy programs for patients across the lifespan. The BCBA at ACT works in alignment with our mission to deliver individualized, compassionate care and maintains clinical excellence in accordance with the BACB's ethical and professional standards.

This role may be performed via tele health, in a clinic environment, in the patient's home, or on-site at a school or care facility — providing maximum flexibility to match the BCBA's preferred work style with ACT's patient population needs.


Qualifications


Clinical Practice

  • Conduct comprehensive functional behavior assessments (FBA) and skill assessments (e.g., VB-MAPP, ABLLS-R, PEAK) to identify treatment priorities.
  • Develop individualized ABA treatment plans with measurable goals based on assessment findings, patient needs, and family priorities.
  • Design, implement, and modify behavior intervention plans (BIPs) using evidence-based ABA methodologies.
  • Deliver direct ABA therapy services to patients as clinically indicated and within the scope of the BCBA's practice.
  • Monitor patient progress through consistent data collection and analysis; adjust treatment plans accordingly.
  • Collaborate with interdisciplinary team members including SLPs, OTs, PTs, physicians, and educators to coordinate holistic care.

Supervision & Team Leadership

  • Supervise and mentor Registered Behavior Technicians (RBTs) and BCaBA candidates in accordance with BACB supervision requirements.
  • Provide ongoing training, performance feedback, and professional development support to supervisees.
  • Conduct regular session observations and ensure fidelity to treatment plans across all service settings.

Documentation & Compliance

  • Complete all clinical documentation accurately and within required timeframes, including session notes, progress reports, treatment plans, and authorization requests.
  • Maintain compliance with all applicable federal, state, and payer-specific regulations, including HIPAA and Medicaid/insurance billing standards.
  • Participate in utilization review and authorization processes in coordination with ACT's billing and operations teams.

Family & Caregiver Collaboration

  • Provide caregiver training and coaching to support generalization of ABA strategies across home, school, and community settings.
  • Engage families as active partners in treatment planning and progress review.
  • Conduct regular parent/caregiver meetings to review goals, data trends, and next steps.

Requirements:

  • Active BCBA certification in good standing with the BACB
  • Active state licensure where required by the state of practice
  • Master's degree in Applied Behavior Analysis, Psychology, Education, or a related field
  • Minimum 2 years of ABA clinical experience, including direct therapy and supervision
  • Proficiency in ABA assessment tools (FBA, VB-MAPP, ABLLS-R, or equivalent)
  • Experience with electronic health records (EHR) and data collection platforms
  • Excellent written and verbal communication skills
  • Ability to obtain a background clearance per ACT and state requirements

Why Join Us

  • We are a therapist-owned and operated organization
  • Career Advancement - We believe in recognizing high-performing teams
  • Efficient web-based documentation system
  • Growing company in a new model of service delivery
  • Monthly team meetings
  • Supportive collaboration with the Clinical team and Supervisors
  • Training, assessments, and materials provided


Additional information


All your information will be kept confidential according to EEO guidelines.


All Care Therapies is an equal opportunity employer. All aspects of employment, including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.