Executive-Back Office-Claims Administration

Actively Reviewing the Applications

EXL

India, Uttar Pradesh, Noida Full-Time On-site

Posted 3 weeks ago • Apply by June 5, 2026

Job Description

Essential Functions- Responsible for reviewing and analyzing discrepancies by cross-verifying from different data sources

Familiar with US Healthcare domain knowledge and understanding of healthcare regulations (HIPAA)
Deep understanding of medical coding, billing, and medical terminologies
Attention for detail, and Strong analytical skills for processing medical documentation
Critical thinking and high independent decision making capability
Proficiency in healthcare information systems
Ability to navigate through multiple applications
Operates with urgency in a real time service environment
Meets individual goals while assisting team to meet team goals
Defines, communicates and manages workflow and data coordination to support various implementation related reports (i.e., reporting, inventory, capacity reporting, and ad-hoc reports as needed by management)
May perform other duties as assigned

Desirable Skills- Critical thinking and high independent decision making

Strong analytical, Reasoning, and Problem solving skills
Medium competency in excel skills
Ability to comprehend and write in English for structured written communications. Emails/IMS to be sent to internal teams
Ability to respond to all inquiries within a timely manner
Strong interpersonal and communication skills – both verbal and written
Adaptability/Ability to interpret variable input details

Technical Skills

Process Specific Skills

Familiar with US Healthcare domain knowledge and understanding of healthcare regulations (HIPAA)
Deep understanding of medical coding, billing, and medical terminologies
Ability to produce high quality in production in environment.
Ability to troubleshoot, identify user errors vs. system mapping errors (enrollment dates, method, system logic)

Soft skills

Ability to work independently
Ability to understand and question established process guidelines for possible process improvements
Attention for detail, and Strong analytical skills for processing medical documentation
Possess keen sense of acquiring knowledge
Adaptable and flexible to work in night shifts