Fraud Analyst

The Cigna Group

Riyadh, Saudi Arabia
3-5 years health insurance experience
Fluency in arabic and english required
Knowledge of claims coding and medical policy
This role supports Cigna's affordability commitment by detecting and recovering fraud, waste, and abuse payments for non-network claims in KSA

Job Summary

  • This role supports Cigna's affordability commitment by detecting and recovering fraud, waste, and abuse payments for non-network claims in KSA.
  • The successful candidate will perform data mining to reveal FWA trends, negotiate with out-of-network providers, and partner with internal teams to prevent future overpayments.
  • Cigna Saudi Arabia is committed to delivering best-in-class health solutions aligned with Vision 2030 while fostering a culture of trust and meaningful change.

Matching Summary

This role supports Cigna's affordability commitment by detecting and recovering fraud, waste, and abuse payments for non-network claims in KSA.

Skills & Requirements

Must-have

  • 3-5 years health insurance experience
  • Fluency in Arabic and English required
  • Knowledge of claims coding and medical policy
  • Experience in payment integrity investigations
  • Strong data analytics skills

Nice-to-have

  • Medical or paramedical qualification preferred
  • Ability to work across global time zones
  • Experience with subrogation processes
  • Collaborative team player mindset

Key Requirements

  • 3-5 years health insurance experience
  • Fluency in Arabic and English
  • Medical/paramedical qualification (plus)
  • Knowledge of local regulatory rules

Work Rights

Not specified

Tailored Resume

Cover Letter