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Remote Insurance Utilization Review Jobs in Visalia, CA

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Remote Insurance Utilization Review information

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$42

$70

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 Visalia, CA is $42.99, according to ZipRecruiter salary data. Most workers in this role earn between $33.99 and $49.38 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 Visalia, CA?

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

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

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

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

Cities near Visalia, 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 Visalia, CA as of August 2026, with employment types broken down into 94% Full Time, and 6% Contract. Highlights an 100% Remote job distribution, with an average salary of $89,413 per year, or $43 per hour.

Remote Insurance Sales Agent

Holly Albao: Allstate Insurance

Visalia, CA • Remote

$80K - $120K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 10 days ago

Job description

Benefits:
  • 401(k)
  • Bonus based on performance
  • Competitive salary
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance


Property & Casualty Insurance Specialist: Work Remotely with a Leading Local Allstate Agency

About the Role: Do you have experience in Property and Casualty Insurance? Interested in working from the comfort of your own home? This position might be the right opportunity for you!
We're searching for energetic and dedicated individuals with a positive mindset to become part of some of the top-performing Local Allstate Agencies across the nation.
Experience and Credentials:
  • Required: Active Property and Casualty License.
  • Preferred:Experience in insurance agency sales.
  • 1+ years in the insurance industry.
What We Are Looking For:
  • Positive Outlook & Disposition.
  • Coachable and Eager to Learn.
  • Willingness to Learn New Programs and Processes.
  • Reliable.
  • Experience in insurance sales.
Responsibilities:
  • Maintain high activity levels, handling phone calls, texts, and emails.
  • Manage the new business onboarding process.
  • Schedule insurance reviews and financial appointments.
  • Identify new business opportunities via telephone, referrals, and various lead sources provided.
  • Identify cross-sell opportunities.
Work Schedule: Monday to Friday. A consistent 40-hour workweek. 

Benefits:
  • Competitive Compensation: Base pay plus bonuses, ranging from $80,000 to $120,000 annually.
  • Leadership and growth opportunities.
  • Comprehensive 401(K).
  • Paid sick days.
  • Medical, dental, and vision insurance.
  • Disability coverage.
  • Generous paid time off, weekends off, and paid holidays.
Work Location: Fully remote.
How to Apply: Click on 'Apply'. For direct inquiries, you can text (936) 279-2470. Please mention your name so that we can easily find your Application and resume.

This is a remote position.