Job Description
Note: The job is a remote job and is open to candidates in USA. Cigna Healthcare is dedicated to improving the health and vitality of those they serve. They are seeking a Healthcare Investigator to lead in-depth investigations into suspected or confirmed fraud impacting customers or the company, utilizing strong judgment and independence to drive cases toward resolution. Responsibilities • 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 Skills • Bachelor's degree in Criminal Justice or related field or 7+ years of investigative claims experience • Excellent written and verbal communication skills • Ability to adapt quickly to changing priorities and work independently • 3+ years of health insurance investigation or audit experience strongly preferred • Strong computer and analytical skills; proficiency in Microsoft Excel, Access, and Word preferred Benefits • Medical • Vision • Dental • Well-being and behavioral health programs • 401(k) • Company paid life insurance • Tuition reimbursement • A minimum of 18 days of paid time off per year • Paid holidays Company Overview • We are a health benefits provider that advocates for better health through every stage of life. It was founded in 1982, and is headquartered in Bloomfield, CT, US, with a workforce of 10001+ employees. Its website is Apply tot his job