Warranty Claims Investigator Amrize LtdWarranty Claims InvestigatorNashville, TNRemote workforce position with regular travel in the field performing in-depth investigations to complete analysis of roofing systems exhibiting issues, requiring extensive knowledge of all construction practices as they relate to Elevate/GenFlex roofing systems. Quick and thorough completion of all paperwork including photographs related to each claim to properly document Amrize Building Envelope position for presentation and future reference including possible litigation.
Claims Representative (Workers Compensation) Dollar General CorpClaims Representative (Workers Compensation)Goodlettsville, TNRemoteProactively and timely coordinate and communicate with doctor, injured employee and store personnel for light duty or full duty return to work, payment of appropriate benefits, and properly utilize in-house and field nurse resources for medical and disability management. Whether you are looking to launch a new career in one of our many convenient Store locations, Distribution Centers, Store Support Center or with our Private Fleet Team, we are proud to provide a wide range of career opportunities.
Senior Claims Representative (Workers Compensation) Dollar General CorpSenior Claims Representative (Workers Compensation)Goodlettsville, TNRemoteTimely conduct interviews with injured employees, customers, store personnel and medical care providers within 24 hours of receiving reported incident to evaluate facts regarding compensability of a claim under the state requirements. Whether you are looking to launch a new career in one of our many convenient Store locations, Distribution Centers, Store Support Center or with our Private Fleet Team, we are proud to provide a wide range of career opportunities.
CLAIMS REPRESENTATIVE SR Dollar GeneralCLAIMS REPRESENTATIVE SRGOODLETTSVILLE, Tennessee$70,000–$76,000 / yearFull timeJob Details: Timely conduct interviews with injured employees, customers, store personnel and medical care providers within 24 hours of receiving reported incident to evaluate facts regarding compensability of a claim under the state requirements. Whether you are looking to launch a new career in one of our many convenient Store locations, Distribution Centers, Store Support Center or with our Private Fleet Team, we are proud to provide a wide range of career opportunities.
Workers Compensation Claims Representative Dollar General CorpWorkers Compensation Claims RepresentativeGoodlettsville, TNThis role partners with injured employees, store personnel, medical providers, attorneys, case managers, and other service providers to support return-to-work efforts, manage benefits, control claim costs, develop strategic resolution plans, and maintain compliance with applicable workers' compensation regulations and licensing requirements. Proactively coordinate and communicate with physicians, injured employees, and store personnel regarding light-duty or full-duty return-to-work opportunities, payment of appropriate benefits, and utilization of in-house and field nurse resources for medical and disability management.
CLAIMS REPRESENTATIVE Dollar GeneralCLAIMS REPRESENTATIVEGOODLETTSVILLE, Tennessee$60,000–$67,000 / yearFull timeThis role partners with injured employees, store personnel, medical providers, attorneys, case managers, and other service providers to support return-to-work efforts, manage benefits, control claim costs, develop strategic resolution plans, and maintain compliance with applicable workers’ compensation regulations and licensing requirements. • Proactively coordinate and communicate with physicians, injured employees, and store personnel regarding light-duty or full-duty return-to-work opportunities, payment of appropriate benefits, and utilization of in-house and field nurse resources for medical and disability management.
NewClaims Trainee BlueCross BlueShield of TennesseeClaims TraineeChattanooga, TennesseeRemoteWe’re looking for a detail-oriented, service-minded professional who thrives in a structured environment and takes pride in getting the details right—someone who understands, interprets, and applies “on-line” guidelines to make claims decisions and has the ability to effectively utilize time to meet established production and accuracy goals. Success in this role means claim handling steps are completed accurately and efficiently, issues are escalated and resolved promptly, documentation is consistently audit-ready, communication is professional and timely throughout the process, and you’re able to pass required assessments as part of the role expectations.
Fleet Claims Specialist, Middle Mile Property Damage Amazon.com IncFleet Claims Specialist, Middle Mile Property DamageNashville, TNAn ideal candidate brings a background in fleet maintenance and automotive claims handling, with experience managing professional relationships with multiple stakeholders, holding responsible individuals accountable for asset damages and repair costs, and achieving organizational targets. Interact with carriers and customers to obtain facts, explain claims processes, and provide high quality service to achieve a positive customer experience.
Division Claims Coordinator HCA Healthcare IncDivision Claims CoordinatorNashville, TNRemoteYou must possess excellent communications skills and an understanding of hospital operations in order to coordinate activities with defense counsel, all levels of hospital administration, HCI personnel and the Division Claims Administrator to provide information to defense counsel and schedule hospital personnel for interviews, depositions, mediations, etc. Some examples include, but not limited to; Delineation of Privileges of Physicians, Employment Files, Credentialing Files, Surgical Schedules, Facility Maintenance documents, Surveillance footage, Radiology Imaging, Census Data, etc.
Investigator Ethos Risk ServicesInvestigatorChattanooga, TNPart timePrevious Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients.
Surveillance Investigator Allied UniversalSurveillance InvestigatorJackson, TennesseeThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Part-Time Surveillance Investigator The Robison GroupPart-Time Surveillance InvestigatorMemphis, TennesseeThrough our operating brands, HVACi, StrikeCheck, National Fire Experts, Donan Engineering, BSC Forensics, Component Testing Laboratories, The Robison Group, VRC Investigations, TechLoss, Mecanica Scientific Services, and HMI we are respected as the industry leader for our scale and our track record of conducting expert, specialized, and accurate investigations. Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations, multi-line insurance claims, criminal and civil background checks, and other investigative tasks.
Part Time Surveillance Investigator The Robison GroupPart Time Surveillance InvestigatorNashville, TennesseeThrough our operating brands, HVACi, StrikeCheck, National Fire Experts, Donan Engineering, BSC Forensics, Component Testing Laboratories, The Robison Group, VRC Investigations, TechLoss, Mecanica Scientific Services, and HMI we are respected as the industry leader for our scale and our track record of conducting expert, specialized, and accurate investigations. Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations, multi-line insurance claims, criminal and civil background checks, and other investigative tasks.
Surveillance Investigator The Robison GroupSurveillance InvestigatorNashville, TNThrough our operating brands, HVACi, StrikeCheck, National Fire Experts, Donan Engineering, BSC Forensics, Component Testing Laboratories, The Robison Group, VRC Investigations, TechLoss, Mecanica Scientific Services, and HMI we are respected as the industry leader for our scale and our track record of conducting expert, specialized, and accurate investigations. Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations, multi-line insurance claims, criminal and civil background checks, and other investigative tasks.
NewHealthcare Fraud Investigator Council CapitalHealthcare Fraud InvestigatorNashville, TennesseeWhat sets us apart is the Council Model —a proven framework that surrounds founders and leadership teams with a powerful combination of support: our CEO Council of seasoned operators, our Strategic Healthcare Investors who bring real-world insight and access, and our internal Value Creation Team , focused on enabling growth through talent, systems, and strategy. Our payment integrity platform pairs analytics with expert review to surface fraud, waste, and abuse across Medicare, Medicaid, Commercial, and FEP lines of business, returning significant value to the clients we serve.
Auditor/Investigator II Qlarant Quality Solutions IncAuditor/Investigator IITNCollects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Essential Functions: Conducts routine and impartial audits/investigations from start to closure into customer claims, ensuring accurate and fair assessments of claims validity.
Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Nashville, TNRemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
Investigator US Department of Health and Human ServicesInvestigatorNashville, TN$125,776–$163,514 / yearInvestigating suspected violators include highly organized activities interwoven with legitimate business activities and seemingly respectable organizations, such as providers of health care services and equipment, hospitals and nursing homes, and home health agencies in various locations nationwide. Veterans Preference documentation - If you are a veteran, you must submit a copy of your DD Form 214, Certificate of Release or Discharge from Active Duty (Member Copy - 4) and, if applicable, and Application for 10-Point Veterans Preference and an official document dated 1991 or later, from the Department of Veterans Affairs or from a branch of the Armed Forces that supports your claim.
Surveillance Investigator VRC InvestigationsSurveillance InvestigatorMemphis, TennesseeVRC provides their investigators with necessary equipment and comparable pay, to include drive time, above normal commute mileage reimbursement, company paid licensing fees in most states and allowance for non-reimbursed business expenses. We currently have career opportunities for experienced, self-determined, and highly motivated SURVEILLANCE INVESTIGATORS that would like to join our team of professionals in our efforts to deter and combat insurance fraud.
Surveillance Investigator (Part-Time) VRC InvestigationsSurveillance Investigator (Part-Time)Knoxville, TennesseeVRC provides their investigators with necessary equipment and comparable pay, to include drive time, above normal commute mileage reimbursement, company paid licensing fees in most states and allowance for non-reimbursed business expenses. We currently have career opportunities for experienced, self-determined, and highly motivated Part-Time SURVEILLANCE INVESTIGATORS that would like to join our team of professionals in our efforts to deter and combat insurance fraud.
NewInvestigator - Network Services - Full Time CoventBridge GroupInvestigator - Network Services - Full TimeKnoxville, Tennessee$25–$28 / hourFull timeCoventBridge Integrity Systems delivers investigative services, technology, and expertise that help healthcare and government organizations protect critical programs, strengthen oversight, and address fraud, waste, abuse, and operational risk. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact: Human Resources; 888-932-7364; humanresources@coventbridge.com.
Security Shift Supervisor - Commercial Building - Full Time Allied UniversalSecurity Shift Supervisor - Commercial Building - Full TimeNashville, TNDriving Positions: must possess a valid Driver's License with at least one year of driving experience, a clean driving record (no major violations within last 36 months, no more than 1 accident in last 24 months, no more than one minor moving violation in last 24 months), a minimum level of insurance as required by Company policy, and the ability to safely operate a vehicle required. Allied Universal SkillBridge Program Allied Universal partners with the U.S. Department of Defense (DoD) SkillBridge Program to support transitioning service members with up to 180 days of on-the-job training during their final months of active duty, while they continue to receive full DoD pay and benefits.
Landscape Labor Allied UniversalLandscape LaborMurfreesboro, TNAllied Universal SkillBridge Program Allied Universal® partners with the U.S. Department of Defense (DoD) SkillBridge Program to support transitioning service members with up to 180 days of on-the-job training during their final months of active duty, while they continue to receive full DoD pay and benefits. Dog Detection Spotlight - Kyle and Maverick As part of Allied Universal Enhanced Protection Services fleet of detection canine teams, Kyle and Maverick are trained and certified to screen cargo under the U.S. Transportation Security Administrations (TSA) Third-Party Canine (3PK9) Program.
Janitor Allied UniversalJanitorFranklin, TNAllied Universal SkillBridge Program Allied Universal partners with the U.S. Department of Defense (DoD) SkillBridge Program to support transitioning service members with up to 180 days of on-the-job training during their final months of active duty, while they continue to receive full DoD pay and benefits. Dog Detection Spotlight - Kyle and Maverick As part of Allied Universal Enhanced Protection Services' fleet of detection canine teams, Kyle and Maverick are trained and certified to screen cargo under the U.S. Transportation Security Administration's (TSA) Third-Party Canine (3PK9) Program.
NewSurveillance Case Coordinator Allied UniversalSurveillance Case CoordinatorNashville, TennesseeUse sound management of their assigned case inventory utilizing discretion and independent judgment to resolve conflicts between clients and/or investigators; respond to customer concerns (negotiating as needed) and forward field operation issues to appropriate Filed Manager as needed. Use independent judgment to define and confirm client objectives (including due dates) on all new, reopen, and investigative referral cases; objectives must be clear and completely defined in the “Client objectives” section of CAM (proprietary business software).
Regional Manager Amrize LtdRegional ManagerNashville, TNThis isn't just a desk job, it's a leadership role that requires deep technical knowledge of building envelope systems (roofing, waterproofing, and cladding) and the ability to navigate complex site dynamics while managing a remote and in-office team with diverse skillsets. You will lead, mentor, and manage a team of Field Technical Representatives, WarrantyClaims Investigators, Technical Coordinators and Warranty Service Coordinators to ensure every inspection, repair, and site visit aligns with Amrize's reputation for excellence.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)TN$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
General Liability Property Damage Adjuster - Nashville, Tennessee Engle Martin & Associates, Inc.General Liability Property Damage Adjuster - Nashville, TennesseeNashville, TNYour EMpact: • Determine appropriate methods and extent of needed investigation for all assigned claims, including conducting investigations through field visits and phone contact; obtaining contracts, job files, and appraisals; conducting insured, witness, and claimant interviews and/or statements, complete site inspections; scope, measure and write estimates, and using other fact-finding methods to evaluate liability, damages, and proper coverage. • Investigate insurance claims in a variety of settings including, but not limited to: retail establishments, office buildings, residences, condominiums, apartments, hotels, corporate facilities, governmental facilities, schools, clinics, or hospitals; assess loss or damage resulting from various events including, but not limited to, inclement or catastrophic weather, construction defect, and fire.