Cigna Quality Review and Audit Analyst Jobs in Kenya

Cigna Quality Review and Audit Analyst Jobs in Kenya

Quality Review and Audit Analyst

As a Quality Review & Audit Analyst working on the Payment Integrity Team you will be directly supporting Cigna’s affordability commitment within Cigna International's business.


  • Identifying and preventing fraudulent, wasteful and abusive expenses from around the globe

  • Perform a variety of prepay focused cost avoidance activities including:

  • Identifying suspicious activity and submission to the designated FWA and SIU team for investigation

  • Identifying internal operational errors to prevent incorrect payment being made

  • Electronic outreaches to providers requesting documents and confirming information

  • Occasional telephonic outreach to providers in local region to negotiate savings

  • Verification of charges and services

  • Negotiation on high cost provider claims

  • Partner with cost containment teams in other geographies to share best practices

  • Analyze data on prior payments to identify additional opportunities

  • Participate in projects to improve business processes

  • Working collaboratively in a team environment to efficiently utilize each individual’s strengths

  • Working closely with other departments to ensure our activities do not have an unnecessary negative impact on our customers

  • Providing feedback to other departments in order to put in place safeguards to prevent further risk exposure


  • Demonstrated strong organization skills

  • Strong attention to detail

  • Ability to quickly learn new and complex tasks and concepts

  • Competent in processing or investigating claims on either the Mainframe or Diamond claim

  • Fluency in foreign languages in addition to fluent English is a strong plus

  • Data analysis and reporting skills preferred

  • Inquisitive nature capable of thinking critically and challenging assumptions

  • Demonstrated follow through on complex problems and tasks

  • Comfortable working independently and with a team

  • Ability to balance multiple priorities at once and deliver on tight timelines

  • Ability to stay up to date on operations workflows

  • Ability to develop and effectively communicate presentations and training materials

  • Strong written and verbal communication skills

  • Patience and creativity amongst your strong points

  • Proficiency with Microsoft Excel needed. Word, PowerPoint, Outlook, and SharePoint preferred

  • Experience processing international claims preferred

  • Comfort with telephonic outreaches to global entities preferred


  • Learning and applying quickly

  • Organizing

  • Priority Setting

  • Problem Solving

  • Interpersonal Savvy

    Deadline: 16th October 2022

    How to Apply

    For more information and job application details, see: ( Cigna Quality Review and Audit Analyst Jobs in Kenya)

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