Fraud Senior Analyst –payment Integrity Provider Investigation Apac Team

The Cigna Group

Kuala Lumpur, Malaysia
Payment integrity investigation
Provider investigation apac
Fraud waste abuse detection
This role is responsible for detecting and recovering FWA payments, creating solutions to prevent claims overpayment and future spend monitoring within a dedicated region

Job Summary

  • This role is responsible for detecting and recovering FWA payments, creating solutions to prevent claims overpayment and future spend monitoring within a dedicated region.
  • You should enjoy working in a team of high performers, who hold each other accountable to perform to their very best.
  • The Cigna Group is an advocate for better health through every stage of life, guiding customers and empowering them with information and insight.

Matching Summary

This role is responsible for detecting and recovering FWA payments, creating solutions to prevent claims overpayment and future spend monitoring within a dedicated region.

Skills & Requirements

Must-have

  • payment integrity investigation
  • provider investigation APAC
  • fraud waste abuse detection
  • claims overpayment prevention
  • data mining FWA trends
  • negotiation with providers

Nice-to-have

  • high performing team environment
  • critical mind-set
  • ability to learn quickly
  • work with global teams
  • fluency in foreign languages

Key Requirements

  • Minimum of 4 years health insurance experience
  • Knowledge of Mainframe and Diamond
  • Knowledge of claims coding
  • Experience with data analytics

Work Rights

Not specified

Tailored Resume

Cover Letter