- Amrize (Nashville, TN)
- … by reviewing data from all available resources to efficiently respond to warranty claim issues. The Warranty Claims Investigator will be responsible for ... new build, repair and refurbishment: We're in every construction market . Amrize listed on the New York Stock Exchange...negotiating claim resolution. In reaching resolution, the Claims Investigator will be responsible for reviewing… more
- Amrize (Nashville, TN)
- …protecting the interests of Amrize Building Envelope (ABE) by handling roofing claims . The Specialist/ Investigator will receive, analyze, and make determinations ... reps, field tech reps, and personal site investigations. The Specialist/ Investigator will be responsible for investigating the claim...throughout as needed, with a focus on large dollar claims ; + Develop and negotiate the claim … more
- Elevance Health (Nashville, TN)
- …paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use ... ** Investigator II** **Location Hybrid 1** : This role requires associates to...of proprietary data and claim systems for review of facility, professional and… more
- Elevance Health (Nashville, TN)
- ** Investigator Senior** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per week, ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior** is responsible for the independent identification, investigation… more
- Elevance Health (Nashville, TN)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that… more
- Highmark Health (Nashville, TN)
- …Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider facility payment ... methodology, claims processing systems and coding and billing proficiency +...and expected contributions, as well as internal peer equity, market , and business considerations. The displayed salary range does… more