Executive, Claims Audit

EXL

Claims analyst reviewing healthcare records and claims for EXL’s data and digital operations. Auditing documentation, resolving discrepancies, and ensuring regulatory-compliant claim processing.

Posted 9/4/2026full-timeChennai • 🇮🇳 IndiaMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in reviewing and analyzing medical records and claims data for accuracy and compliance, with strong analytical skills to identify and resolve discrepancies. Proficient in collaborating with healthcare providers and ensuring adherence to HIPAA and other regulatory guidelines.

Highest-signal resume keywords

Medical Record ReviewClaims Data AnalysisHIPAA ComplianceStrong Analytical SkillsMicrosoft Office Suite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Record ReviewClaims Data AnalysisRegulatory ComplianceQuality AssuranceData Reporting

Soft Skills

Good CommunicationFlexibilityReliability

Tools & Technologies

Microsoft OutlookMicrosoft ExcelMicrosoft WordMicrosoft PowerPoint

Industry Keywords

HIPAAMedicareMedicaidPayer-Specific Regulations

About the role

Key responsibilities & impact

Review and analyze medical records and claims data for accuracy, completeness, and compliance
Verify clinical documentation supporting claim submissions and medical necessity
Identify and resolve inconsistencies, errors, or missing documentation
Prioritize workloads and process expedited and high-priority cases within defined timelines
Collaborate with healthcare providers, coders, and billing staff
Ensure compliance with HIPAA, CMS, and other regulatory guidelines
Prepare reports and summaries of claim findings, trends, and process improvements
Support internal audits and quality assurance initiatives
Follow standard operating procedures and project protocols
Complete audits promptly while meeting quality and production targets
Report issues or trends and maintain productivity and clarification logs
Seek clarification from managers or team leaders and respond promptly to manager emails

Requirements

What you’ll need

Any Graduate/ Postgraduate
3-5 years of Experience
Good communication
Flexibility
Reliability
Knowledge in Microsoft Outlook, Excel, Word, and PowerPoint
Strong analytical skills with the ability to investigate and resolve issues
Familiarity with HIPAA, Medicare, Medicaid, and other payer-specific regulations
40 hours/week, full-time employee
Training from office for 2 months and hybrid thereafter

Benefits

Comp & perks

High Speed internet connection and Power back up