3847452-Executives

Reposted One Month Ago
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Noida, Gautam Buddha Nagar, Uttar Pradesh, IND
Hybrid
Senior level
Information Technology • Database • Consulting
The Role
Accountable for claims adjudication and data validation, meet individual and team KPIs, support process improvement, develop tools and process maps, manage workflow and reporting, handle escalations, and collaborate with SMEs, AM/LAM, QCA and mentors to ensure quality, timeliness and customer satisfaction.
Summary Generated by Built In
Job Description Position Title, Responsibility Level: Executive/Senior Executive Function:  Operations Reports to  -  Assistant Manager/Lead Assistant Manager Permanent/ Temporary:  Permanent Span of Control –  None Location:  C – 15, Noida  Basic Function This position is accountable for claims adjudication. Work is performed under general supervision according to established guidelines. This individual promotes capabilities from a customer perspective, aligning needs with the target offering by creating a customer self-service enabled platform for core customers. . Essential Functions Responsible for reviewing and analyzing discrepancies by cross-verifying from different data sources Meets individual goals while assisting team to meet team goals Operates with urgency in a real time service environment Contributes to the development of new tools and process mapping that supports new offerings and updates/improves current tools, actively seeks opportunities to implement changes which improve accuracy, timeliness, productivity and customer satisfaction 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 Performance parameters Productivity Quality Turn Around Time of work assigned Attendance & Schedule Adherence Primary Internal Interactions: SME/AM/LAM/Manager for the purpose of reporting performance, escalation handling, clarifying concerns, and seeking support AM/LAM for the purpose of settling issues left unresolved by the SME and monthly evaluation of performance SME for the purpose of handling process related issues; queries and escalated transactions  QCA for the purpose of associate performance feedback and audit in order to update the training curriculum Mentors for the purpose of seeking clarifications and answering queries real time About the TeamEXL is the indispensable partner for leading businesses in data-led industries such as insurance, banking and financial services, healthcare, retail and logistics. We bring a unique combination of data, advanced analytics, digital technology and industry expertise to help our clients turn data into insights, streamline operations, improve customer experience, and transform their business. Our partnerships with clients are built on a foundation of collaboration – and we’ve been chosen as a partner by nine of the top ten leading US insurance companies, nine of the top 20 global banks, and six of the top ten US health care payers. We function as one team to make your goals our goals, whether that’s unlocking the value of generative AI or embedding analytics into workflows that reduce risk or power your growth. Clients choose EXL as their transformation partner for many reasons. Our geographic diversity make talent all over the world instantly accessible. Digital accelerators enable unmatched speed-to-value, letting you realize results fast. It’s our people that truly set us apart, though, including the 1,500 data scientists we have dedicated to our generative AI practice. And our more than twenty years of experience in delivering business services, garnering stellar client references, and maintaining a solid balance sheet are reassuring to our C-suite clients. Find out for yourself why clients, employees, and analysts think we’re some of the best in the business. Contact us to see how we can help you achieve your goals.

Skills Required

  • Experience in claims adjudication and insurance operations
  • Ability to review and analyze discrepancies using multiple data sources
  • Experience with process mapping and contributing to tool development
  • Experience producing and managing implementation-related reports and inventory/capacity reporting
  • Proven track record meeting productivity, quality, and turnaround time metrics
  • Strong collaboration and escalation handling with SMEs, AM/LAM, managers, and QCA
  • Ability to operate with urgency in a real-time service environment and mentor associates
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The Company
HQ: New York, NY
30,246 Employees
Year Founded: 1999

What We Do

Choosing a digital partner is about more than capabilities — it’s about collaboration and character. Unrealistic overhauls and off-the-shelf products ignore what matters most — your unique needs, culture, goals, and your legacy data and technology environments. At EXL, our collaboration is built on ongoing listening and learning to adapt our methodologies. We’re your business evolution partner—tailoring solutions that make the most of data to make better business decisions and drive more intelligence into your increasingly digital operations. Whether your goals are scaling the use of AI and digital, redesign operating models, or driving better and faster decisions, we’re here to partner with you to help you gain—and maintain—competitive advantage with efficient, sustainable models at scale. Our expertise in transformation, data science, and change management helps make your business more efficient and effective, improve customer relationships and enhance revenue growth. Instead of focusing on multi-year, resource- and time-intensive platform designs or migrations, we look deeper at your entire value chain to integrate strategies with impact. We use our specialization in analytics, digital interventions, and operations management—alongside deep industry expertise — to deliver solutions that help you outperform the competition. At EXL, it’s all about outcomes—your outcomes—and delivering success on your terms. Share your goals with us and together, we’ll optimize how you leverage data to drive your business forward. For more information, visit www.exlservice.com.

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