Fraud Analyst (5 Months Fixed Term Contract) - Cigna Healthcare

Location: Kenya One Africa Place; hybrid working environment

Company

Cigna Healthcare is a global health service company and division of hirify.global, supporting healthcare customers and patients across more than 30 countries.

What you will do

• Manage the team mailbox and respond to or direct enquiries appropriately.
• Conduct initial reviews and research of potentially fraudulent, wasteful, or abusive healthcare claims.
• Contact providers to request documentation and confirm information.
• Maintain documentation and process standards while compiling evidence for investigation reports.
• Track and accurately report team savings and support client reporting.
• Collaborate with global cost containment, Payment Integrity, and Data Analytics teams on best practices, FWA schemes, and future trigger automation.

Requirements

• At least 2 years of experience in health insurance fraud or a Payment Integrity environment.
• Knowledge of claims coding, regulatory rules, and medical policy.
• Strong organization, attention to detail, critical thinking, and cost containment skills.
• Excellent verbal and written communication skills, with the ability to manage multiple priorities and tight deadlines.
• Ability to work effectively with global teams across varying time zones and collaborate with cross-functional stakeholders.
• Fluent English required; additional foreign-language fluency is a strong plus.

Nice to have

• Fraud investigation experience.
• Medical or paramedical qualification.
• Fluency in additional foreign languages.

Culture & Benefits

• Full-time, 5-month fixed-term contract.
• Hybrid working environment with multicultural and global teams.
• Competitive salary.
• Private Medical Insurance.
• Opportunity to contribute to healthcare affordability initiatives.