Bilingual Junior Healthcare Fraud Investigator

The Cigna Group

Bilingual Junior Healthcare Fraud Investigator supporting audits and investigations for Cigna's US healthcare business. Requires a bachelor's degree in Criminal Justice and 1+ years experience.

Posted 6/16/2026full-timeMiami • Florida • 🇺🇸 United StatesJuniorWebsite

About the role

Key responsibilities & impact

Analyze information gathered by investigation/audit and report findings and prepare written summary/recommendations
Prepare evidence package for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies
Support on-site inspections and patient/provider interviews as necessary
Respond to subpoenas and requests for information from law enforcement agencies and State Departments of Insurance.
May represent company as a witness in judicial proceedings when appropriate
Prepare reports to expedite tracking and reporting of investigations

Requirements

What you’ll need

Bilingual Spanish and ability to pass oral and written assessments
A bachelor’s degree in a Criminal Justice, or related field
1+ years professional work experience, preferably with health insurance investigations/audit
Reside near South Florida (Miami, homestead) and West Palm Beach area for occasional site visits
Outstanding technical & analytical skills, with particular proficiency with Access, Excel and Word
Excellent verbal and written communication skills, along with ability to effectively manage conflict
Keen ability to deal with ambiguity and leverage reasoning skills
Possession of a strong desire and demonstrated ability to lead

Benefits

Comp & perks

Health insurance
Flexible work arrangements

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

analytical skillsinvestigationauditreport writingevidence preparationsubpoena responseconflict managementreasoning skills

Soft Skills

bilingual Spanishverbal communicationwritten communicationleadershipability to deal with ambiguity