Fraud Analyst – Payment Integrity

Role Summary:

As Fraud Analyst within the Global Investigation Unit you will be directly supporting Cigna’s affordability commitment within Cigna International’s business. This role is responsible for detecting and recovering fraudulent, waste or abusive (FWA) payments, creating solutions to prevent claims overpayment and future spend monitoring. He/She will work closely with other Payment Integrity (PI) team members, Network, Medical Economics, Data Analytics, Claims Operations, Clinical partners and Product.

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 r...