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Über diese Fraud Analyst - Cigna Healthcare (5 Months Fixed Term Contract) Stelle bei The Cigna Group

The Cigna Group · Vor Ort · Kenya One Africa Place

About Cigna Healthcare

Cigna Healthcare is a global health service company dedicated to transforming healthcare. With roots in the U.S. and operations in over 30 countries, we serve more than 180 million customers and patients worldwide.

Ranked 14th on the Fortune 500 in 2026, Cigna is recognized as one of the most trusted and influential names in the industry.

Our mission is to improve the health, well-being, and peace of mind of those we serve.

You’ll join a globally recognized organization where trust, clear communication, and a positive culture shape how we work. Our leaders are consistent, approachable, and supportive, helping you maintain balance while doing meaningful work.

We look for people who thrive in collaborative environments, care about meaningful change, and want to grow in a company that puts people first. At Cigna Healthcare, your work contributes to better care experiences and supports customers through important moments in their lives.


Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success.


Role Summary:

As a Fraud Analyst (Pre-Pay), within the Payment Integrity Department you will be directly supporting Cigna’s affordability commitment within Cigna International's business. This role is responsible for identifying and preventing fraudulent, wasteful and abusive expenses from around the globe and supporting the Payment Integrity FWA Team with client reporting.


Responsibilities:

  • Manages Team mailbox and responds or directs enquiries appropriately.
  • Acts as initial review point for (possible) fraudulent claims.
  • Identifying claims with potential waste and abuse
  • Provides initial review and research to help determine if claims require further investigation to determine possible fraudulent activity.
  • Contact providers requesting documents and confirming information.
  • Uphold documentation and process standards
  • Partner with cost containment teams in other geographies to share best practices.
  • Participate in projects to improve business processes.
  • Ensure team savings are tracked and reported accurately.
  • Partner with Payment Integrity teams in other locations to share FWA claiming schemes.
  • Partner with Data Analytics team in building future FWA triggers automation.
  • Support the production of investigation reports to internal and external stakeholders by compiling and storing evidence appropriately.

Skills and Requirements:

  • You should enjoy working in a team of high performers, who hold each other accountable to perform to their very best.
  • Minimum of 2 years of health insurance or health care provider experience, with strong preference for experience in fraud investigation.
  • Knowledge of claims coding, regulatory rules and medical policy.
  • Medical/ paramedical qualification is a definite plus.
  • Demonstrated strong organization skills.
  • Strong attention to detail.
  • Ability to quickly learn new and complex tasks and concepts.
  • Critical mind-set with ability to identify cost containment opportunities.
  • Excellent verbal and written communication skills.
  • Ability to balance multiple priorities at once and deliver on tight timelines.
  • Flexibility to work with global teams and varying time zones effectively.
  • Confidence to deal with internal stakeholders and ability to work with a cross functional team.
  • Strong organization skills with the ability to juggle priorities and work under pressure to meet tight deadlines.
  • Fluency in foreign languages in addition to fluent English is a strong plus.

Why Join Us

  • Competitive salary and Private Medical Insurance.
  • Multicultural and hybrid working environment.
  • Opportunity to work with global teams and contribute to healthcare affordability initiatives.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.

Bereit, sich bei The Cigna Group zu bewerben?
Bei The Cigna Group bewerben

Über The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

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