Senior Executive - Claims Audit

EXL Talent Acquisition Team
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📍 Chennai, Tamil Nadu, India

About this role

Job description:

  • Review and analyze medical records and claims data to ensure accuracy, completeness, and compliance with healthcare regulations and payer requirements.
  • Verify that all necessary clinical documentation is included to support claim submissions and medical necessity.
  • Identify and resolve inconsistencies, errors, or missing documentation in patient records or claims.
  • Prioritize and manage workloads to ensure expedited and high-priority cases are processed within defined timelines.
  • Collaborate with healthcare providers, coders, and billing staff to obtain or clarify necessary information.
  • Ensure compliance with HIPAA, CMS, and other regulatory guidelines related to medical record handling and claims processing.
  • Prepare accurate reports and summaries of claim findings, trends, and potential process improvements.
  • Support internal audits and quality assurance initiatives by providing detailed documentation and analytical insights.
  • Maintain a strong understanding of healthcare terminology, coding standards (ICD, CPT, HCPCS), and insurance claim procedures.

Responsibilities:

Complete the necessary training and meet the expectations outlined for the position.

Follow all standard operating procedures (SOP) diligently.
Complete audits promptly and ensure high quality.
Strive to meet both quality and production targets.
Adhere to project protocols and instructions.
Report any issues or trends promptly.
Maintain the logs (such as productivity, clarification, and others as applicable) updated.
Seek clarification from the manager or team leader when needed.
Promptly respond to all emails from the manager.
Ensure compliance with all relevant regulations and policies.

 

Qualifications: Any Graduate/ Postgraduate

Working Hours: 40 hours /week, Full Time Employee

Work Model: Training from office for 2 - months and hybrid there after

Telecommuter/Internet requirements, if applicable: High Speed internet connection and Power back up

Skills and abilities:

3-5 years of Experience.
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.

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, visit www.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.

Frequently Asked Questions

Is the salary disclosed for the Senior Executive - Claims Audit position at EXL Talent Acquisition Team?
The salary for this Senior Executive - Claims Audit role at EXL Talent Acquisition Team is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the Senior Executive - Claims Audit position at EXL Talent Acquisition Team located?
This Senior Executive - Claims Audit role at EXL Talent Acquisition Team is based in Chennai, Tamil Nadu, India. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
How do I apply for the Senior Executive - Claims Audit position at EXL Talent Acquisition Team?
Click the "Apply Now" button on this page. You will be redirected to EXL Talent Acquisition Team's official application portal hosted on oraclecloud where you can submit your application directly.
When was the Senior Executive - Claims Audit job at EXL Talent Acquisition Team posted?
This Senior Executive - Claims Audit position at EXL Talent Acquisition Team was posted on Aug 4, 2026. Apply as soon as possible — early applications are often reviewed first.
Senior Executive - Claims Audit
EXL Talent Acquisition Team
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