Payment Integrity Quality Review and Audit Associate Analyst, Greenock
The Cigna Group is hiring a Quality Review & Audit Associate Analyst for the Payment Integrity Team in Greenock, United Kingdom. This role supports Cigna’s commitment to affordability within Cigna International's business.
Responsibilities include:
* Identifying and preventing fraudulent, wasteful, and abusive expenses globally.
* Performing prepay cost avoidance activities such as:
o Identifying suspicious activity and reporting to FWA and SIU teams.
o Detecting internal errors to prevent incorrect payments.
o Reaching out electronically to providers for documentation and verification.
o Occasionally conducting telephonic negotiations with providers.
* Verifying charges and services.
* Collaborating with Payment Integrity and other departments to share best practices and improve processes.
* Analyzing payment data to identify opportunities.
* Participating in projects to enhance business workflows.
Qualifications:
* Strong organizational skills and attention to detail.
* Ability to learn complex tasks quickly.
* Experience with claim processing platforms such as Mainframe, Diamond, or GlobalCare.
* Fluency in additional languages is a plus.
* Data analysis and reporting skills preferred.
* Critical thinking and problem-solving abilities.
* Ability to work independently and in teams.
* Multitasking and meeting tight deadlines.
* Effective communication and presentation skills.
Skills and Experience:
* Proficiency in Microsoft Excel; Word, PowerPoint, Outlook, and SharePoint preferred.
* Experience with international claims processing preferred.
* Comfort with telephonic outreach to global entities preferred.
Competencies:
* Quick learning and application.
* Organizing and prioritizing tasks.
* Problem solving and interpersonal skills.
About Cigna Healthcare:
Cigna Healthcare, a division of The Cigna Group, advocates for better health at every life stage. We guide and empower our customers to make informed health choices. Join us in driving growth and improving lives.
#J-18808-Ljbffr