The job profile for this position is Fraud Senior Supervisor, which is a Band 3 Management Career Track Role.

Role Summary:
As a Fraud Senior Supervisor within the Member Investigation Unit you will be directly supporting Cigna’s affordability commitment within Cigna Internationals businessand have specific responsibility for the quality and effectiveness of investigations into suspected member behaviours. This role is responsible for managing a team accountable for detecting and recovering FWA payments, creating solutions to prevent claims overpayment and future spend monitoring.This role will partner with internal stakeholders and specifically Client Management Teams to demonstrate good practice anti-fraud services, compliance with integral regulatory and legislative requirements and willmaintain integrity of all investigative data and reports. He/ She will work closely with other PI team members, Medical Economics, Data Analytics, Claims Operations, Clinical partners and Product.

Responsibilities:




- Lead the Member Investigation Team who are responsible for identifying and preventing fraudulent, wasteful and abusive expenses within Cigna’s International Business Market ensuring team targets and KPIs are met.
- Works closely with PI FWA senior management to understand strategy and is responsible for executing departmental plans and priorities.
- Responsible for representing the Payment Integrity function when engaging with external clients and reporting to and informing clients of their fraud risks.
- Accountable for managing internal stakeholder relationships.
- Coach, support and provide appropriate case guidance, to Investigators ensuring compliance with investigation standard operating models.
- Ensure department KPIs are met through effective monitoring and reporting mechanisms; ensure PI savings are tracked and reported accurately.
- Executes strategic initiatives, plans, and goals in alignment with department KPIs and financial targets.
- Effectively use bu

📌 Fraud Senior Supervisor (Madrid)
🏢 The Cigna Group
📍 Madrid