- Performs non-medical research including eligibility verification, COB, benefits verification and checking of case restriction for offshore management.
- Sort cases by oldest cases first to ensure turn-around time and to be filtered further as per the case assignment
- Validate data/information to be shared to Data Administration Team (stateside) for case completion
- Inter-liaise with Teams that depend on Missing Data and ensure Business requisites are met
Call to MDO office for any missing information to close case or to validate date any source of information
Responsibilities- Data gathering requires navigation through multiple system applications.
- Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements.
- Pro-actively and consistently applies the regulatory and accreditation standards to assure that activities are reviewed and processed within guidelines.
- Protects the confidentiality of member information and adheres to company policies regarding confidentiality.
- Staffs are monitored for attendance and schedule adherence, productivity and quality of work based from stateside approved quality audit tool.
Graduate 1 - 3 Years
Skills Required
- Graduate degree or equivalent
- 1-3 years relevant experience
- Experience performing eligibility, coordination of benefits (COB), and benefits verification
- Ability to navigate multiple system applications for data gathering
- Maintain accurate documentation meeting regulatory and accreditation requirements
- Protect confidentiality of member information and adhere to company privacy policies
- Ability to communicate and liaise with internal teams and stateside Data Administration
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.
