Fraud Analyst
hace 1 mes
.The job profile for this position is Fraud Analyst, which is a Band 2 Senior Contributor Career Track Role.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 Fraud Analyst within Payment Integrity Team you will be directly supporting Cigna's affordability commitment within Cigna International's business. This role is responsible for detecting and recovering FWA payments, creating solutions to prevent claims overpayment and future spend monitoring within a dedicated region (Americas geography, dedicated to the GIH Book of Business). You will work closely with other PI team members, Network, Data & Analytics, Claims Operations, Clinical partners, Product and Member Investigation Unit (MIU).Responsibilities:Investigate potential instances of fraud, waste or abuse (FWA) across Cigna's International Markets books of business for claims incurred in a dedicated region.Ensure PI savings are tracked and reported accurately.Negotiate with providers contracted by Cigna or out-of-Network providers.Review existing cases for any FWA trends and patterns.Partner with Cigna TPAs on provider investigations.Partner with Payment Integrity teams in other locations to share FWA claiming schemes.Partner with Data Analytics team in building future FWA triggers automation.Review FWA tools to support in identification of cases alongside senior investigators.Adhere to turnaround times and timelines on investigations.Contact providers and members requesting documents and confirming information.Work with team members and manager to develop FWA cases.Skills and Requirements:Working knowledge of GIH claims processes and systems.Enjoy working in a team of high performers, who hold each other accountable to perform to their very best.Experience of fraud investigation strongly desired.Minimum of 2 years of health insurance or health care provider experience.Knowledge of claims coding, regulatory rules and medical policy.Medical/paramedical qualification is a definite plus.Critical mindset with ability to identify cost containment opportunities.Experience with data analytics tool(s) is a strong asset.Excellent verbal and written communication, interpersonal and negotiation 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.Hybrid work location
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Fraud Analyst
hace 6 meses
Madrid, España Accertify A tiempo completoAccertify is the trusted partner to the world's leading brands. With industry-leading fraud prevention, chargebacks, and account protection offerings, we help our clients grow revenue and protect against loss. When you join Accertify, you become part of the digital solution that enables commerce across the globe. Team Accertify provides a solution merchants...
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Fraud Analyst
hace 1 mes
Madrid, España Cigna A tiempo completo.Fraud Analyst The job profile for this position is Fraud Analyst, which is a Band 2 Senior Contributor Career Track Role. 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...
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Fraud Analyst
hace 1 mes
Madrid, España Cigna A tiempo completo.Fraud Analyst The job profile for this position is Fraud Analyst, which is a Band 2 Senior Contributor Career Track Role.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...
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Fraud Analyst
hace 4 días
Madrid, España Pay Retailers A tiempo completoPayRetailers is a payment gateway designed to handle mass online payments to the Latin American market. The company combines local markets expertise with payment technology enabling global merchants to successfully expand their business into high growth, emerging markets while eliminating the many operational complexities of managing cross-border...
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Fraud Analyst Z30
hace 2 días
Madrid, España Ares Consultores A tiempo completoAccertify is the trusted partner to the world's leading brands.With industry-leading fraud prevention, chargebacks, and account protection offerings, we help our clients grow revenue and protect against loss.When you join Accertify, you become part of the digital solution that enables commerce across the globe.Team Accertify provides a solution merchants...
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Fraud Analyst Z30
hace 2 días
Madrid, España Ares Consultores A tiempo completoAccertify is the trusted partner to the world's leading brands.With industry-leading fraud prevention, chargebacks, and account protection offerings, we help our clients grow revenue and protect against loss.When you join Accertify, you become part of the digital solution that enables commerce across the globe.Team Accertify provides a solution merchants...
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Fraud Analyst
hace 1 mes
Madrid, España Cigna A tiempo completo.Fraud AnalystThe job profile for this position is Fraud Analyst, which is a Band 2 Senior Contributor Career Track Role.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...
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Fraud Analyst Z30
hace 4 días
Madrid, España ARES CONSULTORES A tiempo completoAccertify is the trusted partner to the world's leading brands. With industry-leading fraud prevention, chargebacks, and account protection offerings, we help our clients grow revenue and protect against loss. When you join Accertify, you become part of the digital solution that enables commerce across the globe. Team Accertify provides a solution merchants...
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Fraud Analyst Z30
hace 10 horas
Madrid, España ARES CONSULTORES A tiempo completoAccertify is the trusted partner to the world's leading brands. With industry-leading fraud prevention, chargebacks, and account protection offerings, we help our clients grow revenue and protect against loss. When you join Accertify, you become part of the digital solution that enables commerce across the globe. Team Accertify provides a solution merchants...
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Fraud Analyst
hace 1 mes
Madrid, España Cigna A tiempo completoFraud Analyst The job profile for this position is Fraud Analyst, which is a Band 2 Senior Contributor Career Track Role.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...
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Fraud Analyst
hace 1 mes
Madrid, España Cigna A tiempo completoFraud Analyst The job profile for this position is Fraud Analyst, which is a Band 2 Senior Contributor Career Track Role.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...
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Fraud Analyst
hace 1 mes
Madrid, España Cigna A tiempo completoFraud AnalystThe job profile for this position is Fraud Analyst, which is a Band 2 Senior Contributor Career Track Role.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...
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Fraud Analyst
hace 1 mes
Madrid, España Cigna A tiempo completoFraud Analyst The job profile for this position is Fraud Analyst, which is a Band 2 Senior Contributor Career Track Role. 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...
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Fraud Analyst
hace 1 mes
Madrid, España Cigna A tiempo completoFraud AnalystThe job profile for this position is Fraud Analyst, which is a Band 2 Senior Contributor Career Track Role.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...
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Fraud Analyst
hace 1 mes
28223 Pozuelo de Alarcón, Madrid provincia, España The Cigna Group A tiempo completo**Fraud Analyst** The job profile for this position is Fraud Analyst, which is a Band 2 Senior Contributor Career Track Role. **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...
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Fraud Analyst
hace 5 meses
Madrid, España Malthusdarwin A tiempo completoMalthus Darwin es una empresa de Consultoría, especializada en la búsqueda, selección y evaluación de perfiles IT. Nuestro principal objetivo es proporcionar los mejores recursos humanos a nuestros clientes con la mayor rapidez y la máxima eficacia ofreciendo siempre un servicio de calidad.Actualmente estamos buscando un perfil de Fraud Analyst para dar...
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Fraud Analyst
hace 1 mes
Madrid, España Cigna A tiempo completoThe job profile for this position is Fraud Analyst, which is a Band 2 Senior Contributor Career Track Role.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...
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Fraud Analyst
hace 1 mes
Madrid, España Cigna A tiempo completoThe job profile for this position is Fraud Analyst, which is a Band 2 Senior Contributor Career Track Role.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...
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Sr Fraud Risk Analyst
hace 1 mes
Madrid, España Scalapay A tiempo completo.Thanks to our innovative BuyNow PayLater payment solution, Scalapay is transforming the way more than 6.5 million customers buy online and in-store, empowering 8,000+ merchants (online and in-store) to give their customers magical shopping experiences.Being only 3 years old didn't stop us from becoming a unicorn. We have raised over $700mln and we did this...
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Fraud Analyst
hace 7 meses
Madrid, España Amex A tiempo completo**You Lead the Way. We’ve Got Your Back.** With the right backing, people and businesses have the power to progress in incredible ways. When you join Team Amex, you become part of a global and diverse community of colleagues with an unwavering commitment to back our customers, communities and each other. Here, you’ll learn and grow as we help you create...