Fraud Analyst
AI summary
Cigna is hiring a Fraud Analyst (Pre-Pay) in Nairobi to support its Payment Integrity team by identifying and preventing fraudulent, wasteful and abusive claims globally. The role involves reviewing claims, requesting provider documentation, supporting investigations and partnering with global teams to improve cost containment and reporting.
- Fraud and payment integrity focus within a global health services company
- Requires minimum 2 years health insurance or healthcare experience
- Strong preference for fraud investigation experience
- Involves global teamwork across multiple time zones
- Medical or paramedical qualification is an added advantage
AI job guide
Use this guide to check salary signals, requirements, documents, application steps and safety before you apply.
AI salary guide
Not enough public dataNot enough public salary data is available for this exact role. Before applying, prepare to ask about gross pay, benefits, contract length, probation period, transport and any allowances.
Can you qualify for this role?
- Required2+ years of relevant experienceThe job post includes a minimum experience signal.
- PreferredPractical evidence in internship, fraud analyst, payment integrity analystThe tags and summary point to skills connected with this role.
- RequiredAvailability to work in NairobiThe vacancy is associated with this location.
- UnclearComfort with the Full Time contract termsConfirm hours, duration, probation and benefits at the original source.
Documents to prepare
- Likely requiredUpdated CV
- Role specificCover letter or short employer message
- OptionalProfessional references
- VerifyID or passport only after verifying the employer
Application tips for this job
- Place your strongest Fraud Analyst evidence in the first half of your CV.
- In your cover letter or employer message, connect your experience to Cigna and the role in Nairobi.
- Add concrete examples related to internship, fraud analyst, payment integrity analyst, ideally with measurable outcomes or clear responsibilities.
- Follow the instructions from JobWeb Kenya; avoid sending documents to unofficial contacts or copied links.
- Confirm the deadline, interview location and employer contact before sharing personal documents.
- Prepare a polite question about pay, benefits and contract terms for later interview stages.
Source and safety check
- JobWeb Kenya
- Original source link available
- Application method is clear
- Deadline not specified
- No major risk signal was detected in the captured text.
Never pay for interviews, shortlisting, medical checks, uniforms, or job placement. Confirm every application at the original source before sharing personal documents. Report suspicious listing.
Interview preparation
- What experience makes you a strong fit for this Fraud Analyst role in internship, fraud analyst?
- How have you handled responsibilities similar to those in this job post?
- Are you available to work in Nairobi under the listed contract or schedule?
- Prepare examples with clear responsibilities, tools used and measurable outcomes.
- Review the source and research Cigna before the interview.
Ask what the first priorities will be in the role and how success will be measured.
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Original source description
Role Summary:
As a Fraud Analyst (Pre-Pay), within the Payment Integrity Department you will be directly supporting Cigna’s affordability commitment within Cigna International’s business. This role is responsible for identifying and preventing fraudulent, wasteful and abusive expenses from around the globe and supporting the Payment Integrity FWA Team with client reporting.
Key Accountabilities
- Manages Team mailbox and responds or directs enquiries appropriately.
- Acts as initial review point for (possible) fraudulent claims.
- Identifying claims with potential waste and abuse
- Provides initial review and research to help determine if claims require further investigation to determine possible fraudulent activity.
- Contact providers requesting documents and confirming information.
- Uphold documentation and process standards
- Partner with cost containment teams in other geographies to share best practices.
- Participate in projects to improve business processes.
- Ensure team savings are tracked and reported accurately.
- Partner with Payment Integrity teams in other locations to share FWA claiming schemes.
- Partner with Data Analytics team in building future FWA triggers automation.
- Support the production of investigation reports to internal and external stakeholders by compiling and storing evidence appropriately.
- Skills and Requirements:
- You should enjoy working in a team of high performers, who hold each other accountable to perform to their very best.
- Minimum of
- 2 years of health insurance or health care provider experience
- , with strong preference for experience in
- fraud investigation.
- Knowledge of claims coding, regulatory rules and medical policy.
- Medical/ paramedical qualification is a definite plus.
- Demonstrated strong organization skills.
- Strong attention to detail.
- Ability to quickly learn new and complex tasks and concepts.
- Critical mind-set with ability to identify cost containment opportunities.
- Excellent verbal and written communication 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.