- First Horizon Bank (Maryville, TN)
- …best at serving their customers one opportunity at a time. As a Business Analyst supporting project initiatives within the Fraud Claims space at First ... fraudulent activity. You will work collaboratively with associates across business units, including Fraud , Claims ...2+ years of experience as a Business Analyst , preferably within financial services, fraud management,… more
- DXC Technology (Nashville, TN)
- …**High School Diploma completed** **2+ years of relevant life insurance death claims business experience are mandatory** **Death claims processing ... learn new payment processes and/or other processes within death claims depending on where the need is on any...Monitors, Headset will be provided** **Schedule: Monday - Friday, business hours are 7 30am to 6pm CST** **This… more
- CVS Health (Nashville, TN)
- …to fighting fraud . - Provides input regarding controls for monitoring fraud related issues within the business units. - Exercises independent judgement ... investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state… more
- CVS Health (Nashville, TN)
- …self-funded plan sponsor. The lead reviewer is accountable for the validation of existing fraud waste and abuse business rules and leads designed to detect ... business . + Keep current with new and emerging fraud , waste, and abuse schemes and trends through training...analysis experience. + Healthcare background. + Experience with internal claims data and healthcare coding. + Must be able… more
- CVS Health (Nashville, TN)
- …+ Design, develop, and maintain complex data analyses to support investigations of potential fraud , waste, and abuse in Medicaid claims and provider activity. + ... **Position Summary** We are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance… more