Executive

ExlService Holdings, Inc.; New York (NY); On-site; USD 40,000 - 60,000; Full time

Job summary

EXL is seeking a Back Office-Claims Medical Bill Review associate in New York. The role centers on timely and accurate medical payment reviews, including checking compensability, invoice review, and validating billed amounts via research.

The candidate will liaise with claims handlers, ensure transactions follow desktop procedures, and meet SLA targets while maintaining quality and attendance standards in a fast-paced setting.

Qualifications

• Graduation (any stream) or diploma with a minimum of 15 years of education.
• Experience 0–3 years in back-office claims is preferred.
• Proficiency in Microsoft Office and basic computer navigation.
• Strong written and verbal communication skills.
• Knowledge of casualty and property insurance domains.

Responsibilities

• Process transactions per Desktop procedures.
• Meet assigned targets in accordance with SLA and internal standards.
• Maintain quality of transactions per predefined parameters.
• Adhere to established attendance schedules.
• Manage calendars and emails.

Skills

Casualty Insurance

Client Service Systems

Speed Typing

Writing Communication Skills

Property Insurance

Education

Graduation (any stream) or diploma with a minimum of 15 years of education

Tools

Microsoft Office

Computer Navigation

Job description

• Job Role Back Office-Claims Medical Bill Review
• Experience (In Years) 0-3

Job Description

associate is responsible for timely and accurate medical payment .The process includes, checking compensability, invoice review and the validation of the details in other systems and determine/decide on the accuracy of the amount billed and/or the need for denial of the claim based on result of research. Associate would also need to liaise with claims handlers on need basis.

Responsibilities

Essential Functions

• Ensure that the process transactions are processed as per Desktop procedures
• Ensure that the assigned targets are met in accordance with SLA and Internal standards
• Ensure that the quality of transaction is in compliance with predefined parameters as defined by Process Excellence
• Ensure adherence to established attendance schedules
• Managing calendars and e-mails

Performance parameters

• Productivity
• Quality / Accuracy
• Attendance
• Schedule Adherence

Qualifications

Graduation (any stream) or diploma with a minimum of 15 years of education.

Required Skills

• Casualty Insurance
• Client Service Systems
• Computer Navigation
• Microsoft Office
• Property Insurance
• Speed Typing
• Writing Communication Skills

About Us

EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents. For more information, visitwww.exlservice.com .

EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL will only extend a job offer after a candidate has gone through a formal interview process with members of EXL’s Human Resources team, as well as our hiring managers.