Senior Medical Fraud & Payment Integrity Analyst

Cigna Health and Life Insurance Company; Riyadh; On-site; SAR 90,000 - 120,000; Full time

Job summary

Cigna Health and Life Insurance Company is seeking a Medical Fraud Senior Analyst in Riyadh. This role is key in detecting and recovering fraudulent payments within the health insurance sector. Ideal candidates will have at least 4 years of relevant experience and be proficient in Arabic and English.

The position focuses on analyzing data to uncover insurance fraud while working closely with various internal teams and ensuring compliance with local regulations.

Qualifications

• Experience in investigation within payment integrity or a similar discipline.
• Demonstrated strong organizational skills and ability to meet tight deadlines.
• Excellent verbal and written communication skills.

Responsibilities

• Identify and investigate potential instances of fraud, waste, or abuse.
• Research and analyze data using investigative techniques.
• Work with various stakeholders to prevent claims overpayment.

Skills

Investigation skills

Data analytics

Claims coding knowledge

Attention to detail

Fluency in Arabic

Education

Medical/paramedical qualification

4 years of health insurance or provider experience

Job description

Cigna Health and Life Insurance Company is seeking a Medical Fraud Senior Analyst in Riyadh. This role is key in detecting and recovering fraudulent payments within the health insurance sector. Ideal candidates will have at least 4 years of relevant experience and be proficient in Arabic and English.

The position focuses on analyzing data to uncover insurance fraud while working closely with various internal teams and ensuring compliance with local regulations.