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Legal and Compliance · Full-time

Direct employer

Fraud Analyst (5 Months Fixed Term Contract) - Cigna Healthcare

Cigna Healthcare

KenyaNot stated · Not statedDeadline not published by employerChecked 12 Oct 2026
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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.

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