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.
SIU Claims Investigator Lemieux & Associates LLCSIU Claims InvestigatorKnoxville, TN$25–$32 / hourPart timeBilingual skills (preferred).Degree in Criminal Justice or related field (preferred).Skilled in taking written and recorded statements (preferred).Ability to photograph evidence accurately (e.g., accident scenes, vehicle damage).Strong organizational and time-management skills. Our leadership team brings over 25 years of field experience and is committed to fostering a professional, results-driven environment.
Surveillance / Claims / SIU Investigator Allied UniversalSurveillance / Claims / SIU InvestigatorKnoxville, TennesseeFull timeAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud .
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 ServicesInvestigatorJohnson City, TNPart timeCONDITIONS:While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be requiredMost surveillance cases start at 6:00AM. REQUIREMENTS:Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.
NewSenior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)TN$46,988–$112,200 / yearThis position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare fraud schemes. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.
Surveillance Investigator Allied UniversalSurveillance InvestigatorMemphis, 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 .
Investigator II - Special Investigations Unit ( Tennessee, North Carolina, Kentucky, Virginia ) West Bend Insurance CompanyInvestigator II - Special Investigations Unit ( Tennessee, North Carolina, Kentucky, Virginia )TNRemote$68,000–$90,000 / yearCollaborative with internal stakeholders and external partners to evaluate and investigate suspicious insurance transactions (claims, underwriting, policy, etc.), collect evidence, support fraud detection programs, and communicate investigative findings to internal and external partners, regulators, and law enforcement. West Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies.
Senior Investigator UnitedHealth Group Inc.Senior InvestigatorNashville, TN$60,200–$107,400 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Collaborate with a variety of external sources to identify current and emerging patterns and schemes related for FWA to ensure additional TIP submission.
CONSUMER INSURANCE INVESTIGATOR 1 - 09012026- 80584 State of TennesseeCONSUMER INSURANCE INVESTIGATOR 1 - 09012026- 80584Nashville, TNEducation and Experience: Graduation from an accredited college or university with a bachelor's degree and experience equivalent to three years of full-time professional insurance sales management, claims processing (i.e. examiner, adjuster, adjudicator), or underwriter work. Work involves conducting interviews with company representatives, complainants, policyholders, agents, brokers, and the general public to gather information, resolve complaints and disputes, and terminate illegal or unethical practices.
Healthcare 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.
Fraud Investigator TEN Credit UnionFraud InvestigatorNashville, TNFull timeWhat You'll BringRequired QualificationsHigh school diploma or equivalentMinimum two years of customer service or support operations experienceStrong investigative and analytical skillsExcellent verbal and written communication abilitiesExceptional attention to detail and organizational skillsAbility to handle sensitive and confidential informationStrong computer proficiency and ability to learn fraud detection systemsExperience working in a bank, credit union, or financial institutionKnowledge of fraud prevention and loss mitigation practicesFamiliarity with debit card disputes and fraud investigationsUnderstanding of financial regulations, including Regulations CC, E, D, J, and ZWhy Join TENCU?At TENCU, you'll be part of a team dedicated to protecting our members and building stronger financial futures. Key Skills for SuccessInvestigative mindsetFraud detection and prevention expertiseAttention to detailMember service excellenceAccurate documentation and reportingRegulatory compliance knowledgeTechnology proficiencyReady to Protect Our Members and Make a Difference?
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.
Fraud Investigator The Tennessee Credit UnionFraud InvestigatorNashville, TNWe offer a collaborative culture where your expertise makes a direct impact, opportunities for professional growth, and the chance to work alongside passionate professionals committed to excellence. In this role, you'll be at the forefront of fraud detection, prevention, and investigation while helping protect our members and the credit union from financial losses.
Surveillance Investigator The Robison GroupSurveillance 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.
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.
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.
Part-Time Surveillance Investigator VRC InvestigationsPart-Time Surveillance InvestigatorKnoxville, 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.
Investigator - 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.
Property Adjuster - Field Estimating - Memphis, TN Allstate Insurance CompanyProperty Adjuster - Field Estimating - Memphis, TNMemphis, TN$56,000–$98,450 / yearYou'll wear a few hats that will require a level of experience: The Customer Service Expert -you'll live into Allstate's Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each claim. The Problem Solver -you'll utilize multiple tools to get the job done in a fast-paced environment, including estimate tools, job aids, and additional settlement platforms, all while using your sharp critical thinking skills.