Fraud Analyst
hace 5 días
.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
-
Fraud Analyst
hace 5 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...
-
Fraud Analyst
hace 5 meses
Madrid, España Certify A tiempo completoAccertify isthetrusted 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...
-
Fraud Analyst
hace 4 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...
-
Fraud Analyst
hace 7 días
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...
-
Fraud Analyst
hace 5 días
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...
-
Fraud Analyst Intern
hace 1 semana
Madrid, Madrid, España Spotahome A tiempo completoAbout the Role">We are seeking a talented Fraud Analyst Intern to join our team in Madrid. As a Fraud Analyst Intern, you will be responsible for managing payment disputes, conducting fraud prevention investigations, and implementing KYC protocols.">What You Will Do">">Payment Disputes: You will learn about our operations and how to manage specific...
-
Fraud Analyst
hace 5 días
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...
-
Fraud Analyst
hace 3 días
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...
-
Fraud Analyst
hace 6 días
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...
-
Fraud Analyst
hace 5 días
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...
-
Fraud Analyst
hace 1 mes
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...
-
? Buen Salario Fraud Analyst
hace 2 meses
Madrid, España Certify A tiempo completoAccertify isthetrusted 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...
-
Fraud Analyst
hace 5 días
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...
-
Fraud Analyst
hace 1 semana
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...
-
Fraud Analyst
hace 6 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...
-
Fraud Analyst
hace 4 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...
-
Fraud Analyst
hace 5 días
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...
-
Fraud Analyst
hace 6 días
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...
-
Fraud Analyst
hace 2 semanas
Madrid, Madrid, España Cabify A tiempo completoAbout the PositionAs a Fraud Specialist at Cabify, you will play a crucial role in ensuring the integrity of our payment systems. You will be responsible for analyzing data to identify patterns and anomalies, and developing strategies to prevent and detect fraud. If you have a strong analytical mindset and a passion for fighting financial crime, this could...
-
Fraud Analyst
hace 2 meses
Madrid, España Ria Financial Group A tiempo completoAbout the PositionThis exciting position will be a key contributor in executing the global online risk fraud and digital payments strategy. The Online Risk Fraud & Payments team has responsibility for Fraud Strategy, KYC & Customer Verification, Fraud Operations, Payment Strategy, Bank Relationships, and Payment Operations. This position requires a person...
