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Fraud Analyst at Cigna
JobSearch
Nairobi 🇰🇪 Kenya
Posted 2 days ago (25 Sep 2026) Updated about 22 hours ago
Job Description
The analyst supports Cigna’s payment integrity initiatives by reviewing potential fraudulent claims, coordinating with providers for documentation, and collaborating with cost‑containment and data‑analytics teams. Responsibilities include managing the team mailbox, conducting initial investigations, and contributing to process‑improvement projects. The role also ensures accurate tracking and reporting of savings while helping develop automated fraud detection triggers.
Qualifications & Requirements
- • BA/BSc/HND or equivalent degree
- • Minimum 2 years experience in fraud analysis or a related field
- • Strong communication and interpersonal skills
- • High attention to detail and analytical ability
- • Proficiency in Excel and reporting tools
- • Ability to work independently in a remote environment
Required Skills
Responsibilities
- • Manage the team mailbox and route inquiries appropriately
- • Serve as the initial review point for potentially fraudulent claims
- • Identify claims with possible waste or abuse and conduct preliminary research
- • Contact providers to request documentation and verify information
- • Uphold documentation and process standards
- • Partner with cost‑containment teams across geographies to share best practices
- • Participate in projects aimed at improving business processes
- • Track and report team savings accurately
- • Collaborate with Payment Integrity teams to share fraud‑ware schemes
- • Work with the Data Analytics team to build future fraud‑trigger automation
- • Support the preparation of investigation reports for internal and external stakeholders