Legal and Compliance · Full-time
Direct employerFraud Analyst (5 Months Fixed Term Contract) - Cigna Healthcare

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About this role
This plain-English summary was prepared by work.ke from the original advert. Confirm all details on the source before applying.
Role overview
Cigna Healthcare is hiring a Fraud Analyst on a five-month fixed-term contract based in Kenya at One Africa Place. This role suits candidates with experience in health insurance fraud or payment integrity who want to work in a global, collaborative environment focused on preventing fraudulent claims.
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What you will do
- Manage the team mailbox and handle or direct enquiries appropriately.
- Conduct initial reviews of potentially fraudulent claims and identify claims with possible waste and abuse.
- Request documents and confirm information from providers.
- Maintain documentation and process standards.
- Collaborate with cost containment teams in other regions to share best practices.
- Participate in projects to improve business processes.
- Track and report team savings accurately.
- Work with Payment Integrity and Data Analytics teams to share fraud schemes and build automation for fraud triggers.
- Support the production of investigation reports by compiling and storing evidence properly.
Requirements
- At least 2 years of experience in health insurance fraud or payment integrity, preferably with fraud investigation experience.
- Knowledge of claims coding, regulatory rules, and medical policy.
- Medical or paramedical qualification is a definite plus.
- Strong organisational skills and attention to detail.
- Ability to quickly learn complex tasks and concepts.
- Critical mindset to identify cost containment opportunities.
- Excellent verbal and written communication skills.
- Ability to manage multiple priorities and meet tight deadlines.
- Flexibility to work with global teams across different time zones.
- Confidence in dealing with internal stakeholders and working within cross-functional teams.
- Fluency in English; additional foreign languages are a strong advantage.
Benefits
The role offers a competitive salary and private medical insurance in a multicultural and hybrid working environment with opportunities to work with global teams.
How to apply
Send your CV through the employer's official contact. The employer has not published a closing date.