Senior Fraud Investigator
hace 4 días
Cigna Healthcare is an advocate for better health through every stage of life. As a Senior Fraud Investigator, you will be directly supporting our affordability commitment within Cigna International's business.
Key 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.
- Negotiation with providers contracted by Cigna or out-of-Network providers.
- Review existing cases for any FWA trends and patterns.
You should have a working knowledge of GIH claims processes and systems, as well as experience of fraud investigation and minimum of 2 years of health insurance or health care provider experience. Knowledge of claims coding, regulatory rules and medical policy is also required.
Benefits- An estimated salary range of $70,000-$90,000 per year.
- A dynamic work environment with opportunities for growth and professional development.
- A comprehensive benefits package, including health insurance, retirement plan, and paid time off.
Cigna Healthcare is a division of The Cigna Group, an international health service company. We guide our customers through the healthcare system, empowering them with the information and insight they need to make the best choices for improving their health and vitality.
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