3847507-Senior Executive

EXL; Dadri; On-site; INR 300,000 - 420,000; Full time

Job summary

EXL is seeking a candidate to handle processing of medical bills from US providers. The role requires solid knowledge of medical terminologies, P&C insurance and claims handling, with a focus on accuracy and productivity while delivering quality customer service.

The position emphasizes analysis, decision making, and ability to multitask in a BPO environment, reporting to a team lead and collaborating with client SMEs as needed.

Qualifications

• Graduate from a reputable university.
• Recon/Appeal: 2+ years in P&C Insurance with US medbill adjudication.

Responsibilities

• Process US healthcare bills with accuracy and speed.
• Clarify process details with internal teams and client SMEs.
• Maintain productivity while ensuring quality standards.
• Escalate issues per established protocols.

Skills

Medical Terminology

P&C Insurance

Claims Handling

Decision Making

Analytical Skills

Customer Service

Multitasking

Written Communication

Listening Skills

Reasoning Skills

Computer Navigation

Education

Graduate from a reputable university

Tools

MS Office

Job description

Basic Functions

Employee will be involved in processing medical bills received from providers based out of US. Transaction processing requires special knowledge of healthcare terminologies and/or reasoning mindset. Productivity Accuracy Attendance Schedule Adherence

Primary Internal Interactions

• Team: Assistant Manager / Lead Assistant Manager - Operations for reporting performance, clarifying concerns, and seeking feedback and support
• Manager for settling issues left unresolved by the Lead Assistant Manager / Assistant Manager
• Team members for seeking co-operation and clarification on process related matters and providing assistance and support when required
• SME/ Process Trainer for training as and when required

Primary External Interactions

• Supervisors at client end for seeking clarifications and answering queries
• SMEs / Trainers at client end for training

Organizational Relationships

Reports To : Assistant Manager/Lead Assistant Manager

Skills Technical Skills

• Good computer navigation skills, keyboarding skills
• Proficient in MS Office
• Understanding of P&C insurance, Claims Handling would be an advantage

Process Specific Skills

• Sound knowledge of medical terminologies
• Good decision making skills
• Effectively balances quality, customer service and productivity standards
• Excellent problem solving & analytical skills

Soft skills (Desired)

• Self-discipline
• Result orientation
• Adaptability
• Goal oriented

Soft Skills (Minimum)

• Good written communication skills
• Listening and comprehension skills
• Questioning and Reasoning Skills
• Customer Service focus and escalation handling skills
• Ability to multitask, prioritize and manage daily work activities

Education Requirements

Graduate from a reputable university

Work Experience Requirements

Recon /Appeal: 24 -60 months of work experience, preferably in P&C Insurance with Medbill Adjudication & Reconsideration Appeal background for US geography in a BPO/outsourcing environment with good oral and written communication