Executives

Job Name:

Executive - Datamining

Position Title:

Executive

Band:

A1

Reporting to:

Assistant Manager

Location/Site:

EXL India

Candidates should have minimum 1+ years of experience and should have basic knowledge in claims adjudication process and its processing methods.

1. Graduation is Mandatory
2. Claims adjudication experience is Mandatory
3. Prefer candidates with experience in Post adjudication/overpayment projects (Not mandatory)

1. Claims Adjudication experience: Minimum 1 year
2. Overpayment experience (Optional)

1. Strong written (documentation) and oral communication skills

1. 40 hours per week as Full-time employee
2. Shift time: 08:00 AM TO 05:00 PM IST (It might be changed based on project requirements)
3. Weekends: Off

1. High Speed internet connection at home, must be broadband
2. Must understand and adhere with telecommuter policy

• 1+ years of experience in claims processing or claims adjudication.
• Should have knowledge in US healthcare.
• Preferably candidates have knowledge in payment determination. Which means candidates should calculate the allowable without system support (Not mandatory).
• Prefer candidates with experience in overpayment projects.
• Should have a good communication with neutral accent preferred.
• Ensure assigned inventory should be completed with quality within TAT.
• Production, quality and other reports should update on timely manner as required.
• Must ensure availability for meeting/calls as required.
• Ability to work independently and as a team.
• Ensure candidates should follow compliance protocols without fail.