Healthcare Investigator – Fraud Lead Analyst
The Cigna Group
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $68,300 - $113,900 per year
Job Level
About the role
- Conduct interviews, research, and analysis to resolve fraud allegations
- Manage complex, high-dollar investigations with minimal supervision
- Prepare detailed reports and evidence packages for insurance fraud bureaus, contract holders, and law enforcement
- Coordinate investigations with local, state, and federal agencies
- Respond to subpoenas and regulatory requests; provide testimony when needed
- Support special projects involving fraud detection, auditing, and investigative best practices
- Partner with internal departments while maintaining strict confidentiality standards.
Requirements
- Bachelor’s degree in Criminal Justice or related field or 7+ years of investigative claims experience
- 3+ years of health insurance investigation or audit experience strongly preferred
- Strong computer and analytical skills; proficiency in Microsoft Excel, Access, and Word preferred
- Excellent written and verbal communication skills
- Ability to adapt quickly to changing priorities and work independently.
Benefits
- Medical insurance
- Vision insurance
- Dental insurance
- Wellness and behavioral health programs
- 401(k)
- Company paid life insurance
- Tuition reimbursement
- Minimum of 18 days of paid time off per year
- Paid holidays
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
investigative analysisfraud detectionreport preparationevidence packagingauditinginvestigative best practiceshealth insurance investigationclaims investigation
Soft Skills
communication skillsanalytical skillsadaptabilityindependenceconfidentiality
Certifications
Bachelor’s degree in Criminal Justice