EXL

Analyzes business data and runs outsourced operations

Assistant Manager - Claims Audit

Claims AdjudicationConfirmed live in the last 24 hours

Full-timeChennai, Tamil Nadu, IndiaNo salary listedIn-person

About the Job

Requirements

A minimum of 5–8 years of experience is required.
Strong leadership skills to mentor staff members.
Knowledge of Microsoft Outlook, Microsoft Excel, Microsoft Word, and Microsoft PowerPoint.
Strong analytical skills with the ability to investigate and resolve issues.
Familiarity with HIPAA, Medicare, Medicaid, and other payer-specific regulations.
Ability to identify process-improvement opportunities and contribute to higher-level business strategies.
Ability to handle changing priorities, business needs, and market conditions.
Any graduate or postgraduate degree.
Good communication, flexibility, and reliability.
A high-speed internet connection and power backup are preferred for telecommuting.

Responsibilities

Oversee day-to-day operations to ensure efficiency and effectiveness across business functions, including staffing and inventory management.
Lead, train, and mentor staff members to support engagement and productivity.
Monitor client service quality, address escalated client issues, and resolve them in a timely manner.
Maintain comprehensive financial transaction records, including daily overpayments.
Analyze weekly and monthly reports and help the team with clarifications.
Adhere to project protocols and instructions.
Report issues or trends promptly.
Respond promptly to emails from the manager, both internal and external.
Maintain weekly and monthly production, quality, and inventory reports.
Keep productivity, clarification, and other applicable logs updated.
Monitor and report key performance metrics, including feedback and staff performance.
Provide insights to senior management and suggest improvement areas based on data analysis.
Ensure service delivery for all programs in accordance with service-level agreements and operational metrics.
Ensure compliance with all relevant regulations and policies.

Job description:

Oversee day to day operations to ensure efficiency and effectiveness in all business functions, including staffing and inventory management.
Lead, train and mentor staff members, ensuring high levels of engagements and productivity.
Monitor and ensure excellent client service is always provided, addressing escalated client issues and resolving them in a timely manner.
Maintaining comprehensive financial transaction records including daily over payments.
Excellent multitasking and time management
Analyzing the weekly and monthly reports, helping team on the clarifications.

Qualifications: Any Graduate/ Postgraduate

Working Hours: 40 hours /week, Full Time Employee

Telecommuter/Internet requirements, if applicable: High Speed internet connection and Power back up (preferred)

Skills and abilities:

5-8 years for exp.
Strong leadership skills to mentor the staff
Good communication, flexibility, reliability
Knowledge in Microsoft outlook/excel/word/PPT.
Strong Analytical skills with the ability to investigate and resolve issues
Familiarity with HIPAA, Medicare, Medicaid and other payer specific regulations.
Capability of identifying opportunities for process improvements and contributing to higher level business strategies
Ability to handle changing priorities, business needs and market conditions.

Responsibilities:

Adhere to project protocols and instructions.
Report any issues or trends promptly.
Promptly respond to all emails from the manager (Internal / External).
Maintaining the weekly, monthly production, Quality as well as Inventory reports.
Maintain the logs (such as productivity, clarification, and others as applicable) updated.
Monitor and report on Key performance metrics, including feedback and staff performance.
Provide insights to senior management and suggest improvement areas based on data analysis.
Ensure service delivery of all programs with SLAs and Ops metrics
Ensure compliance with all relevant regulations and policies.

About the Company

EXL

Analyzes business data and runs outsourced operations

EXL analyzes business data and runs outsourced operations for insurers, healthcare payers, banks, retailers, and other large organizations. Its teams combine industry expertise with data engineering and AI to handle tasks such as claims processing, payment reviews, customer service, and finance within existing technology environments. The company also builds software, including LifePRO, which manages insurance policies, and EXLdata.ai, which connects fragmented data for use in AI systems. Clients pay for consulting projects, ongoing managed services, and software delivered through the cloud. EXL was founded in 1999 and is headquartered in New York City.

Company size: 10,001+
Company stage: IPO
Headquarters: New York City, New York
Founded: 1999

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