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EXL

Analyzes business data and runs outsourced operations

Assistant Manager

Claims AdjudicationConfirmed live in the last 24 hours
Full-timeChennai, Tamil Nadu, IndiaNo salary listedIn-person

About the Job

Requirements

  • A bachelor's degree in Data Science, Computer Science, Statistics, or a related field is required.
  • At least 6 years of claims adjudication experience is required.
  • Overpayment experience is required.
  • Graduation is mandatory.
  • Strong written documentation and oral communication skills are required.
  • A good understanding of the United States healthcare system and its management is required.
  • A thorough understanding of healthcare payer analytics, particularly the business model for data mining operations, is required.
  • A thorough understanding of contract audits, duplicates, and reimbursement policies is required.
  • The candidate must be able to audit Medicare or commercial claims using various data mining concepts.
  • Strong interpersonal skills to work effectively with other people and teams, formally and informally, are required.
  • The candidate must be able to work independently with minimal guidance.
  • The candidate must be data- and metrics-driven and discuss program or individual performance regularly with the Manager.
  • The role is full-time, 40 hours per week, with working hours of 08:00 AM–05:00 PM IST, subject to change based on project requirements; weekends off may vary based on business needs.
  • A broadband high-speed internet connection at home is required, and the candidate must understand and adhere to the telecommuter policy.

Responsibilities

  • Lead and oversee small-scale data mining projects to ensure they are completed efficiently and effectively.
  • Ensure data models are designed and implemented to meet business objectives.
  • Mentor junior data analysts and associates, providing guidance on data mining and analysis best practices.
  • Improve the efficiency of data processing and model implementation.
  • Ensure data mining and analysis activities comply with organizational standards and policies.
  • Engage with business stakeholders to understand their needs and translate them into actionable data insights.
  • Audit claims on Medicare or commercial business using deployed data mining concepts.
  • Identify overpayments through claim audits and meet associated accuracy and target metrics.

Desired Qualifications

  • Experience in data mining or data analysis; 2–3 years is stated in the description.
  • Experience in post-adjudication or overpayment projects is preferred.
  • Work experience in the data mining line of business is preferred.

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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