Teams at EXL

Review and audit medical records and claims for accuracy, completeness, and regulatory compliance. Verify clinical documentation supports medical necessity, identify and resolve documentation or coding issues, collaborate with providers and billing teams, prepare reports on findings and trends, and support internal audits and quality initiatives while meeting quality and production targets.

Perform basic data entry, processing, and validation tasks within defined rules and low-complexity workflows. Operate with limited decision-making and follow set parameters to ensure data accuracy.

Lead Business Analyst for Payment Integrity responsible for analyzing client data, capturing business requirements, designing product solutions, supporting bids, documenting processes, driving implementations, and delivering KPI-driven insights. Works cross-functionally with sales, marketing, finance, and delivery to build business cases and improve claims auditing and analytics outcomes.