Fraud Analyst - Cigna Healthcare (5 Months Fixed Term Contract)
Core
Identify and prevent fraudulent, wasteful, and abusive healthcare expenses globally for Cigna International.
Role type
Fraud Analyst (Pre-Pay)
Builds
Client reporting on payment integrity and cost containment outcomes.
Domain
Healthcare insurance / Payment Integrity
Deliverable
client delivery
Required skills
Claims coding knowledge, regulatory rules knowledge, medical policy knowledge, fraud investigation experience, organization skills, attention to detail, critical thinking, verbal communication, written communication, stakeholder management, cross-functional collaboration, time management, global team collaboration, evidence compilation
Preferred skills
Medical or paramedical qualification, foreign language fluency, experience with FWA claiming schemes, data analytics collaboration
Technologies
None explicitly stated
Responsibilities
Review and research claims to identify potential fraudulent activity, contact providers to request documents and confirm information, partner with cost containment teams to share best practices, support production of investigation reports by compiling and storing evidence, track and report team savings, participate in projects to improve business processes, partner with data analytics teams to build automation triggers
Seniority
Mid-level, hands-on IC