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Fraud Analyst – Fixed‑Term (5 months) – Healthcare Payments

cigna · Kenya One Africa Place

Hybrid Mid 🇬🇧 English

Job description

About the role

Join Cigna Healthcare’s Payment Integrity Department as a Fraud Analyst (Pre‑Pay) on a 5‑month fixed‑term contract. You will help protect the organization’s affordability commitment by identifying and preventing fraudulent, wasteful, and abusive expenses worldwide.

Key responsibilities

  • Manage the team mailbox, responding to or directing enquiries appropriately.
  • Perform initial reviews of potentially fraudulent claims and identify waste or abuse.
  • Contact providers to request documentation and verify information.
  • Partner with cost‑containment and Payment Integrity teams across geographies to share best practices and FWA schemes.
  • Support data‑analytics initiatives to build future FWA trigger automation.
  • Compile and store evidence for investigation reports to internal and external stakeholders.

Required profile

  • Minimum 2 years experience in health‑insurance or health‑care provider settings, preferably in fraud investigation.
  • Knowledge of claims coding, regulatory rules and medical policy.
  • Medical or paramedical qualification is a strong plus.
  • Strong organization, attention to detail and ability to juggle multiple priorities under tight deadlines.
  • Excellent verbal and written communication skills in English; additional language fluency is advantageous.

Required skills

  • Claims coding knowledge.
  • Understanding of regulatory and medical policy requirements.
  • Ability to conduct document verification and evidence compilation.

What we offer

  • Competitive salary and private medical insurance.
  • Multicultural and hybrid working environment.
  • Opportunity to work with global teams on healthcare affordability initiatives.

Questions fréquentes

Le salaire n'est pas communiqué publiquement par le recruteur. Vous pouvez postuler et négocier directement avec cigna.
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Source : ats:workday

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Published 2 weeks ago

Expires 1 month from now

26 views · 0 interested

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cigna

Kenya One Africa Place