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Remote Insurance Utilization Review Jobs in Houston, TX

TEKsystems

Insurance Verification Coordinator

Houston, TX · Remote

$17.50 - $26/hr

Insurance Verification Coordinator (Remote) 100% Remote Pay: $17.50 - $26.00 per hour Schedule ... Review and document copays, deductibles, coinsurance, out-of-pocket amounts, and authorization ...

ALLSTATE Insurance Agency

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Insurance Customer Service Representative

Houston, TX · Remote

$75K - $135K/yr

In Office position is preferable but we are able to remote across the country. Responsibilities ... Conduct policy reviews, customer retention activities, and cross-sell conversations. * Draft and ...

ALLSTATE Insurance Agency

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Insurance Customer Service Representative

Houston, TX · Remote

$75K - $135K/yr

In Office position is preferable but we are able to remote across the country. Responsibilities ... Conduct policy reviews, customer retention activities, and cross-sell conversations. * Draft and ...

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

Remote Insurance Utilization Review information

See Houston, TX salary details

$20

$40

$65

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

As of Aug 10, 2026, the average hourly pay for remote insurance utilization review in Houston, TX is $40.38, according to ZipRecruiter salary data. Most workers in this role earn between $31.92 and $46.39 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 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.
What are popular job titles related to Remote Insurance Utilization Review jobs in Houston, TX? For Remote Insurance Utilization Review jobs in Houston, TX, the most frequently searched job titles are:
What job categories do people searching Remote Insurance Utilization Review jobs in Houston, TX look for? The top searched job categories for Remote Insurance Utilization Review jobs in Houston, TX are:
What cities near Houston, TX are hiring for Remote Insurance Utilization Review jobs? Cities near Houston, 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 Houston, TX as of August 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 100% Remote job distribution, with an average salary of $83,986 per year, or $40.4 per hour.

Remote Life Insurance Agent - Free Inboud Lead Program + Training

Loyal Benefit Group

Houston, TX • Remote

$60K - $85K/yr

Full-time

PTO

Re-posted 8 days ago

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Job description

Job description

At Loyal Insurance, we operate ahead of the curve in remote final expense sales.

Individuals step into the industry with, structured training, support and LIVE SALES Coaching.

We offer a exclusive inbound/live transfer lead program—at NO COST to our agents. It’s changing how insurance agents work effectively, and from the very beginning learn how sell, not just read off a script. No dialing aged leads all day, no praying someone picks up the phone. Present to interested seniors all day!

Loyal's remote program offers the type of flexible opportunity, you're seeking. But, the kind of structure you know you need to succeed.

Ready to earn and learn?

learn more by going to http://start.loyal-insurance.com

Why This Opportunity Works Well

This role is designed for individuals who need:

• Flexible but structure that the right kind of candidate thrives in.
• A remote, work-from-home environment
• A path to promote yourself with NO recruiting needed.
• A supportive system and community where your not in this alone.

What You’ll Be Doing

• Speaking with individuals who have requested life insurance information
• Helping families review coverage options that fit their needs
• Following a simple, structured process (no complex presentations)
• Working remotely using modern digital tools and systems

What We Provide

• No cold calling – FREE INBOUND/LIVE TRANSFER Lead Program.
• Step-by-step training (no prior insurance experience required)
• daily agency training
• Real Time Sales Coaching - we help you learn and close the sales with you.
• Access to top-rated insurance carriers
• Back-office support

Who This Is Ideal For
• Professionals with prior experience in sales, healthcare, education, call center, or customer service
• Individuals who want out of the rat race of dialing old leads and reading stale scripts.
• Those looking for flexible, performance-based income in a modern, evolving industry

Requirements

• Must be able to obtain a life insurance license (we guide you)
• Must reside in the United States
• Must pass a background check

Next Step

Check your email for the info after submitting your application.


Learn more by going to
http://start.loyal-insurance.com

Company Description

Loyal Benefit group is a 10 year old final expense and medicare sales agency. We focus in field sales, teaching agents to sell and service the needs of seniors. We offer a one of a kind job opportunity where agents can start Base + Commissions where you can take the fear out of sales and just sell. We have a “no negativity” policy and pride ourselves out of building an amazing culture. Looking to expand through the east and midwest.