Fraud Analyst - Cigna Healthcare
Core
Identify and prevent fraudulent, wasteful, and abusive healthcare expenses globally for Cigna International.
Role type
Senior Contributor Fraud Analyst (Pre-Pay)
Builds
Payment integrity reports and evidence for internal/external stakeholders
Domain
Health Insurance / Healthcare Fraud
Required skills
Fraud investigation, Claims processing (Diamond), Claims coding, Regulatory rules, Medical policy, Cost containment, Documentation standards, Global team collaboration
Preferred skills
Medical/paramedical qualification, Foreign languages, Data analytics automation
Technologies
Diamond
Responsibilities
Review and research potential fraudulent claims, Contact providers for document confirmation, Partner with cost containment and data analytics teams, Track and report team savings, Compile and store investigation evidence
Seniority
Senior, hands-on IC
