Executive – Claims Audit

EXL

Claims auditor reviewing medical records and claims for EXL, a data analytics and digital operations company. Ensuring regulatory compliance, documentation accuracy, timely processing, and audit quality.

Posted 8/10/2026full-timeChennai • 🇮🇳 IndiaMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

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 healthcare terminology and coding standards, ensuring adherence to regulatory guidelines.

Highest-signal resume keywords

Medical Record ReviewClaims Data AnalysisHIPAA ComplianceICD, CPT, HCPCS CodingStrong Analytical Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims Data AnalysisMedical Record ReviewICD CodingCPT CodingHCPCS CodingRegulatory ComplianceData VerificationReport PreparationQuality AssuranceProcess Improvement

Soft Skills

Good CommunicationFlexibilityReliabilityCollaborationProblem Solving

Tools & Technologies

Microsoft OutlookMicrosoft ExcelMicrosoft WordMicrosoft PowerPoint

Industry Keywords

HIPAAMedicareMedicaidHealthcare TerminologyPayer-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, and missing documentation
Prioritize workloads and process expedited and high-priority cases within defined timelines
Collaborate with healthcare providers, coders, and billing staff to obtain or clarify information
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
Complete training and 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, 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
Knowledge of healthcare terminology, ICD, CPT, and HCPCS coding standards
High Speed internet connection and Power back up
Ability to work 40 hours/week as a Full Time Employee

Benefits

Comp & perks

Hybrid work after 2 months of office training
High Speed internet connection and Power back up