3847507-Senior Executive

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 communicationEXL is the indispensable partner for leading businesses in data-led industries such as insurance, banking and financial services, healthcare, retail and logistics. We bring a unique combination of data, advanced analytics, digital technology and industry expertise to help our clients turn data into insights, streamline operations, improve customer experience, and transform their business. Our partnerships with clients are built on a foundation of collaboration - and we've been chosen as a partner by nine of the top ten leading US insurance companies, nine of the top 20 global banks, and six of the top ten US health care payers. We function as one team to make your goals our goals, whether that's unlocking the value of generative AI or embedding analytics into workflows that reduce risk or power your growth. Clients choose EXL as their transformation partner for many reasons. Our geographic diversity make talent all over the world instantly accessible. Digital accelerators enable unmatched speed-to-value, letting you realize results fast. It's our people that truly set us apart, though, including the 1,500 data scientists we have dedicated to our generative AI practice. And our more than twenty years of experience in delivering business services, garnering stellar client references, and maintaining a solid balance sheet are reassuring to our C-suite clients. Find out for yourself why clients, employees, and analysts think we're some of the best in the business. Contact us to see how we can help you achieve your goals.