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Hiring companyEXL
Verified today
Senior Executive, Claims Audit
Chennai, Tamil Nadu, India Full-time Hybrid
About the role
Claims Audit Team at EXL reviews and analyzes medical records and insurance claims to ensure accuracy, completeness, and regulatory compliance. The Senior Executive conducts claim verification, resolves documentation issues, and prepares detailed audit reports while collaborating with providers and billing staff. Chennai, Tamil Nadu, India – hybrid work model with initial office training then hybrid schedule.
What you’ll do
- Complete required training and follow SOPs
- Conduct claim audits promptly meeting quality and production targets
- Maintain logs and documentation, report issues and trends
- Communicate effectively with manager and team via email
- Ensure compliance with all relevant regulations and policies
What you’ll bring
- Any Graduate/Postgraduate
- 3-5 years of experience
- Proficiency in Microsoft Outlook, Excel, Word, PowerPoint
- Familiarity with HIPAA, Medicare, Medicaid and payer regulations
- Strong analytical and investigative skills
Skills
Analytical AbilityClaim VerificationCommunication Skills
Education
Bachelor's Degree