Surveillance Investigator VRC InvestigationsSurveillance InvestigatorNashville, 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.
Investigator Ethos Risk ServicesInvestigatorNashville, 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 InvestigatorBowling Green, KentuckyThe 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 .
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.
Principal Investigator, MD or DO consultant Hawthorne HealthPrincipal Investigator, MD or DO consultantNashville, TennesseeAbout Us Hawthorne Health is a leading community site network and home research visit solution provider, with 20+ sites and more than 2,000 research experienced healthcare professionals across the U.S. Hawthorne leverages convenient, trusted, healthcare locations, identified patient data, and intelligent technology to accelerate patient access, improve retention, and reduce study costs. $250 - $250 an hour Position Type: Part-time, 1099 contract Compensation: Hourly; rate negotiable based on experience Hawthorne Health is transforming the clinical trial landscape through an innovative site model that integrates research into community-based settings like local pharmacies.
CORRECTIONAL INTERNAL AFFAIRS INVESTIGATOR (OPERATOR) - SAFETY INTELLIGENCE CENTER - 77864 State of TennesseeCORRECTIONAL INTERNAL AFFAIRS INVESTIGATOR (OPERATOR) - SAFETY INTELLIGENCE CENTER - 77864Nashville, TN$61,200–$91,752 / yearMinimum Qualifications: Graduation from an accredited high school or an accredited GED and at least three (3) years of experience with offenders/detainees in the capacity of a police officer, correction, or probation/parole officer, or applicable military experience that includes military policing and detainee assignments. Job Overview: Operators are responsible for real-time monitoring of alerts, notifications, and data feeds to identify and respond to potential threats or incidents.
HEALTH RELATED BOARDS INVESTIGATOR HRBI - 79193 State of TennesseeHEALTH RELATED BOARDS INVESTIGATOR HRBI - 79193Nashville, TNKey Responsibilities: The field investigators will represent the Department in investigating complaint allegations of licensed healthcare providers on behalf of the 34 health-related boards for the State of Tennessee; conducts in-person interviews of complainants, witnesses, and respondents to determine the veracity of the allegations filed against a licensed healthcare provider; collects, evaluates, and processes evidence; prepares written reports documenting the findings of the investigation; coordinates with law enforcement agencies (State and Federal) throughout the state of Tennessee regarding allegations of criminal activity by licensed healthcare providers; and coordinates throughout the life of the investigation with the Office of General Counsel. Minimum Qualifications: Graduation from an accredited college or university with a bachelor's degree in criminal justice or related field with at least five years of full-time investigative experience conducting healthcare investigations, or a bachelor's degree in nursing and experience equivalent to three years of full-time, increasingly responsible professional nursing.
Contract Investigator - Bowling Green, KY OMNIPLEX World Services Corporation, A Constellis CompanyContract Investigator - Bowling Green, KYBowling Green, KentuckyWork hours vary depending on availability of leads and do not always fall within normal business hours, to include potential weekend hours or third-shift appointments. We are a trusted provider of high quality background investigations programs to Department of Homeland Security (DHS) and the intelligence community at locations throughout the United States.
Contract Investigator - Nashville, TN OMNIPLEX World Services Corporation, A Constellis CompanyContract Investigator - Nashville, TNNashville, TennesseeWork hours vary depending on availability of leads and do not always fall within normal business hours, to include potential weekend hours or third-shift appointments. We are a trusted provider of high quality background investigations programs to Department of Homeland Security (DHS) and the intelligence community at locations throughout the United States.
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.
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.
Nurse Practitioner/Sub-Investigator Civia HealthNurse Practitioner/Sub-InvestigatorNashville, TNFull timeWe’re looking for a compassionate and experienced Nurse Practitioner to support our clinical research team in conducting Phase 2–4 trials, with a particular focus on metabolic conditions and GLP-1 therapies. Our purpose is bold: to bring clinical trials front and center in your community, make them accessible to everyday people, and empower underrepresented communities to participate.
Forensic Fire Investigator - Nashville, TN Rimkus Consulting GroupForensic Fire Investigator - Nashville, TNNashville, TNSearches for, identifies, collects, and labels any potential evidence/items from the fire scene, including devices used to set, start, or further the progress of fire; protects the chain of custody of potential evidence/items. OVERVIEW: Investigates, assesses, and determines the origin and cause of fires and explosions in residences, commercial/industrial buildings, vehicles, heavy equipment, marine equipment, and other property.
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.
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.
Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpInvestigator, Special Investigations Unit (Aetna SIU)TN$43,888–$93,574 / yearExperience with Microsoft Word, Excel, and Outlook products, open source database search tools, social media and internet research. Bachelor's Degree in Criminal Justice, Healthcare Management, Public Health, Biological Sciences, Data Analytics, or other related field preferred or equivalent experience.
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.
NewSite Safety Lead - Field Coach & Incident Investigator ECMSite Safety Lead - Field Coach & Incident InvestigatorGallatin, TNECM in Gallatin, Tennessee seeks a Safety Supervisor (D&Z Site Lead) accountable for overseeing safety performance and providing direction on technical safety matters. Candidates should have a relevant college degree, OSHA certifications, and experience in an industrial setting focusing on Process Safety Management.
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, Asset Protection(Nashville)-A&F Co. Abercrombie & FitchInvestigator, Asset Protection(Nashville)-A&F Co.Nashville, TennesseeAbercrombie & Fitch Co. operates stores under these brands across North America, Europe, Asia and the Middle East, as well as the e-commerce sites abercrombie.com, abercrombiekids.com and hollisterco.com. The company operates a family of brands, including Abercrombie brands and Hollister brands, each sharing a commitment to offer products of enduring quality and exceptional comfort that support global customers on their journey to being and becoming who they are.