Cigna fraud investigator

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Perform special projects as assigned. Assist Management with reporting and referral reviews. View More. Apply Now. View Career and Salary Advice. View Company Info for Cigna Corp. Understand the total compensation opportunity for Healthcare Fraud Investigator Fraud Advisor - Express Scripts at companies like Cigna Corp, base salary plus other pay elements.

Average Total Cash Compensation Includes base and annual incentives. Total compensation includes the value of any benefits received in addition to your salary and some of the benefits that are most commonly provided within a total compensation package including bonuses, commissions, paid time off, and Insurance. The total cash compensation may get paid differently by industry, location, and other factors.

Search Job Openings. These benefits include comprehensive health care coverage, a retirement savings plan with employer This role will focus on Latpro - Diversity Jobs - 41 days ago. Fraud Associate. Poshmark - Redwood City , CA. The Fraud Associate will play a critical role in making sure that our marketplace is trusted and Fraud Operations Manager.

We're doing this by Fraud Data Engineering Program Manager. Quest Global - Sunnyvale , CA. Healthcare, Medical Devices, Rail and Semiconductor industries.

ZipRecruiter - 1 day ago. Staff Software Engineer, Risk and Fraud. Galileo leads its industry with superior fraud detection, security, decision-making analytics and Cigna Corporation, a health service organization, provides insurance and related products and services in the United States and internationally.

The Integrated Medical segment offers medical, pharmacy, dental, behavioral health and vision, health advocacy programs, and other products and services to insured and self-insured clients; Medicare Advantage, Medicare Supplement, and Medicare Part D plans to Medicare-eligible beneficiaries, as well as Medicaid plans; and health ins.

Are you an HR manager or compensation specialist? Learn about. All insurance policies and group benefit plans contain exclusions and limitations.

For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. This website is not intended for residents of New Mexico. Selecting these links will take you away from Cigna. Cigna may not control the content or links of non-Cigna websites.

Special Enrollment See all topics Looking for Medicare coverage? Shop for Medicare plans. Member Guide. Find a Doctor. Health Care Fraud. What is health care fraud? Some examples of provider health care fraud are: Billing for services not actually performed; Falsifying a patient's diagnosis to justify tests, surgeries or other procedures that aren't medically necessary; Misrepresenting procedures performed to obtain payment for non-covered services, such as cosmetic surgery; Upcoding — billing for a more costly service than the one actually performed; Unbundling — billing each stage of a procedure as if it were a separate procedure; Accepting kickbacks for patient referrals; Waiving patient co-pays or deductibles and over-billing the insurance carrier or benefit plan; Billing a patient more than the co-pay amount for services that were prepaid or paid in full by the benefit plan under the terms of a managed care contract.

Some examples of consumer health care fraud are: Filing claims for services or medications not received; Forging or altering bills or receipts; Using someone else's coverage or insurance card.

Help avoid and prevent health care fraud Here are some easy ways you can protect yourself from health care fraud, and keep health care costs down for everyone: Ask questions about the services you receive, such as: Why are they needed? What do they cost? Fill out, sign and date one claim form at a time. Question advertisements or promotions that offer free tests, treatment or services — especially when the provider requests your insurance information or a copy of your Cigna HealthCare ID card.

In general, be careful about disclosing your insurance information. It represents your benefits. Are the dates of service correct?

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