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Assistant Manager – Claims Audit
EXLAssistant Manager auditing healthcare claims and overpayments for EXL, a data analytics and digital operations company. Leading claims analysis, reporting, staff performance, compliance, and process improvements.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong leadership and analytical skills to oversee operations, mentor staff, and ensure compliance with regulations. Proficient in data analysis and reporting to drive process improvements and meet service delivery metrics.
Highest-signal resume keywords
Leadership SkillsAnalytical SkillsMicrosoft ExcelHIPAA ComplianceProcess Improvement
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data AnalysisFinancial ReportingInventory ManagementPerformance Metrics MonitoringClaims Analysis
Soft Skills
CommunicationFlexibilityReliability
Tools & Technologies
Microsoft OutlookMicrosoft WordMicrosoft PowerPoint
Industry Keywords
MedicareMedicaidPayer-Specific RegulationsService Level AgreementsOperational Metrics
About the role
Key responsibilities & impact- Validate, calculate, and accurately report overpaid amounts in the system
- Analyze claims to determine precise overpaid amounts and record outcomes in client/internal systems
- Oversee day-to-day operations, including staffing and inventory management
- Lead, train, and mentor staff
- Monitor client service and resolve escalated client issues
- Maintain financial transaction, production, quality, inventory, productivity, and clarification records
- Analyze weekly and monthly reports and support the team with clarifications
- Adhere to project protocols and instructions
- Report issues and trends promptly
- Monitor and report key performance metrics, including staff performance
- Provide data-driven insights to senior management and suggest improvements
- Ensure service delivery meets SLAs and operational metrics
- Ensure compliance with relevant regulations and policies
Requirements
What you’ll need- Bachelor's Degree / Any Graduate or Postgraduate
- 5–8 years of experience
- Strong leadership skills to mentor staff
- Good communication, flexibility, and reliability
- Knowledge of 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
- Ability to identify process improvement opportunities and contribute to higher-level business strategies
- Ability to handle changing priorities, business needs, and market conditions
- High-speed internet connection and power backup (preferred)
Benefits
Comp & perks- High speed internet connection and power backup (preferred)
- Full-time employment
- 40-hour work week