About the role

Fraud Analyst in Cigna’s International business investigating fraudulent activities and ensuring payment integrity. Collaborating with various teams to manage FWA risks and improve controls.

Responsibilities

Identify and investigate potential instances of fraud, waste or abuse (FWA) across claims and payment card activity, driving timely, consistent decision-making and effective investigation outcomes.
Conduct transaction monitoring, analytical reviews and data mining to identify unusual patterns, anomalies, and emerging FWA risks across card‑enabled claims and transactions.
Manage chargeback activity and recovery outcomes where inappropriate payments are identified, ensuring savings are accurately tracked and reporting is clear and timely.
Partner with operational teams to configure, strengthen, and monitor payment integrity controls, contributing to continuous improvement of workflows to enhance accuracy, efficiency and timeliness.
Provide investigation reports to internal and external stakeholders.
Partner with Payment Integrity teams in other locations to share FWA claiming schemes.
Partner with Data Analytics team in building future FWA triggers automation.
Partner with Cigna TPAs on FWA investigations.
Proactively monitor industry information, bulletins to assess impact to the company.

Minimum of 2 years’ experience in fraud investigation, payment integrity, card fraud or a related discipline.
Minimum of 2 years’ experience in health insurance claims processing, health care provider operations or similar environment.
Strong understanding of payment card ecosystems, dispute and chargeback processes, and fraud typologies, with demonstrated capability in transaction‑level analysis and application of risk controls.
Experience with data analytics and investigative use of data is a strong asset.
Strong analytical mindset mind-set with ability to identify cost containment opportunities.
High attention to detail, with the ability to produce accurate, well‑documented investigative outputs.
Excellent verbal and written communication skills, with confidence engaging internal stakeholders and external partners.
Knowledge of claims coding, regulatory requirements and medical policy preferred.
Medical/ paramedical qualification is an advantage.
Flexibility to work with global teams and varying time zones effectively.
Strong organization skills with the ability to manage competing priorities and work effectively under pressure to meet tight deadlines.
Proficient in the full Microsoft suite.
Fluency in additional languages beyond English is a strong plus.

The opportunity to work in a global, diverse and collaborative environment.
Exposure to cross-functional teams and strategic projects.
A culture that supports learning, development and internal career growth.
A role with real impact on business performance and healthcare affordability.
A supportive and inclusive workplace that values innovation and continuous improvement.
A competitive benefits package, including a range of social benefits (location dependent).
A hybrid working model and flexible working hours to support work-life balance.