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Remote Insurance Utilization Review Jobs in Raleigh, NC

DAV Energy Solutions, Inc

Electrical Engineer (Fully Remote)

NC · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The successful candidate may also be expected help perform commissioning design review activities ... Dental Insurance * Paid Time Off Optional Benefits * Accident Coverage * Vision Insurance * Short ...

Tihinsurance

Senior Treasury Analyst

Raleigh, NC · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

English (Required) Work Shift: 1st Shift (United States of America) Please review the following ... This role is remote, but we would prefer someone in Charlotte, Dallas, Birmingham, New York ...

New

Self Help

Network Administrator

Durham, NC · Remote

... Remote services/monitoring, Backup maintenance, EndPoint Hardware/Software, Wireless infrastructures, Vendor management. HeavySecurity emphasis. Collect/review network utilization reports: Debug ...

Adecco

Clinical Trials Manager- Remote

Chapel Hill, NC · Remote

$62 - $64.73/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Review monitoring reports, oversee CRF collection and query resolution, and implement recovery ... life insurance, short-term disability, additional voluntary benefits, EAP program, commuter ...

New

Valeris

Remote Registered Nurse (RN) Case Manager

Raleigh, NC · Remote

$50K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... patient's insurance payer to determine coverage benefits, anticipated out-of-pocket costs ... Nurseline triage, Call Center Utilization Management, Call Center Case Management, a plus. * Case ...

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Showing results 41-60

All JobsInsurance Utilization Review JobsRemote Insurance Utilization Review JobsRemote Insurance Utilization Review Jobs in Raleigh, NC

Remote Insurance Utilization Review information

See Raleigh, NC salary details

$20

$41

$67

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

As of Aug 16, 2026, the average hourly pay for remote insurance utilization review in Raleigh, NC is $41.10, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $47.21 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 Raleigh, NC?

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

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

The top searched job categories for Remote Insurance Utilization Review jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Remote Insurance Utilization Review jobs?

Cities near Raleigh, NC 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 Raleigh, NC as of August 2026, with employment types broken down into 92% Full Time, and 8% Contract. Highlights an 100% Remote job distribution, with an average salary of $85,491 per year, or $41.1 per hour.

Electrical Engineer (Fully Remote)

DAV Energy Solutions, Inc

NC • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 14 days ago

Job description

Job Type
Full-time
Description
Job Description:
Fully Remote
DAVENERGY Solutions is a rapidly growing, profitable company, headquartered in San Diego, CA. Our employees are the key to maintaining our competitive edge. To attract and retain the best industry talent Davenergy Solutions shares its success with its employees and is committed to providing a professional work environment where learning, growth and recognition are highly valued. If you are seeking an opportunity to work in a progressive organization that will offer you diversified challenges and an excellent opportunity for advancement please review our current employment opportunities. For more information about Davenergy Solutions and open positions please visit our website at www.davenergy.com.
Position Description:
We are seeking a full-time Professional Electrical Engineer to join our dynamic and growing engineering consulting practice. We are looking for motivated candidates who can grow with this department. The selected applicant will conduct engineering/electrical feasibility analysis, electrical studies, arc flash analysis, and electrical design services on a variety of building types. Experience performing mechanical/electrical design, existing facility engineering analysis/studies, and Construction Period Serves a requirement for applying to this position.
This position will require you to perform field inspections of government, commercial, industrial, multifamily residential, manufacturing, and institutional properties. You will collect relevant information to help perform existing condition assessments, electrical one-line documentation, arc flash studies, provide engineering recommendations for critical power upgrades, and electrical design. The ideal candidate will be adaptive to working with all property types, and knowledgeable about a variety of electrical distribution systems.
The successful candidate may also be expected help perform commissioning design review activities, construction verification, and field functional testing. Depending on project capacity, this candidate may also be expected to assist in electrical/mechanical design.
Requirements
Experience Requirements:
  • Critical power and infrastructure testing and assessment
  • A professional degree in electrical engineering
  • An understanding of and experience with a variety of electrical distribution systems
  • Experience with medium voltage and low voltage power distribution
  • Familiarity with NFPA, NEC, NETA, and IECC standards
  • Working knowledge of building systems (HVAC, Plumbing, IT/Com, ect.)
  • Site Survey and Analysis
  • Excellent report writing skills, computer and internet skills
  • Excellent communication and management skills
  • Excellent time management and organizational skills.
  • Ability to complete assignments on-time and within budget

Communication, Language, and Software Skills:
  • Ability to utilize a variety of software programs to monitor, update, and produce work products by applying knowledge of computer literacy.
  • Ability to exercise good interpersonal skills.

Educational Requirements:
  • BS in Engineering or related fields

Registration Requirements:
  • PE Required with Commissioning Certification a Plus.

Physical Requirements
Must be able to see, hear, walk, drive, climb, reach, stoop, bend, and lift up to 50 pounds. Must be prepared to encounter all construction site conditions, including noise, dust, heights, odors, and enclosed spaces, and be physically capable of traversing sites with unstable footing, stairs, rough terrain, adverse weather, ladders, roofs, and other mobility-challenging conditions. Must possess the physical ability to take measurements, perform tests comparing in-place work to contract requirements, and observe work activities throughout the course of construction.
Benefits
  • 401(k)
  • Annual Profit-Sharing contribution to 401(k)
  • 10 Paid Federal Holidays
  • Health Insurance
  • Dental Insurance
  • Paid Time Off

Optional Benefits
  • Accident Coverage
  • Vision Insurance
  • Short Term Disability
  • Term Life Insurance
  • Medical Bridge
  • Critical Illness

Any and all job offers are contingent pending work status eligibility and passing a federal government background check

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