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

Any Graduate/ Postgraduate
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.

Desired Qualifications

None

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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