Qureos Mentor

EXL Service

<div>Job Description: In this fully remote position as an HCD Auditor you will apply your expert knowledge of billing HCD claims to perform extensive audit reviews. You will utilize HCPCS codes, medical record review, industry and EXL proprietary tools in the audit process. Write professional communications documenting audit findings and supporting rationales. You will also apply your extensive industry knowledge to identify audit trends and opportunities.
Salary range $55,000.00-$70,000.00
0-10% travel may be required.
For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits</div>
 <div><ul><li>Responsibilities: Conduct HCPCS coding reviews to verify the accuracy of the coding assignment and reimbursement on high cost drug professional and outpatient facility claims.
</li><li>Apply complex medical record reviews to identify discrepancies between physician orders, nursing administration logs, and final claims submissions.
</li><li>Apply Medicare, Medicaid, and commercial guidelines to a variety of claim scenarios and effectively utilize industry and proprietary tools to maximize overpayment identifications.
</li><li>Document audit results in a clear, concise, and effective manner using AMA Guidelines.
</li><li>Utilize proprietary workflow systems to make audit determinations, generate audit rationales, and move claims through workflow process correctly efficiently and accurately.
</li><li>Accurately reprice complex claims utilizing multiple client claims systems.
</li><li>Meet or exceed EXL established program productivity and quality goals, including uphold rate for appeals.
</li><li>Research prescribed drug dosage and related conditions to ensure appropriateness of medical guidelines and accuracy of reimbursement.
</li><li>Comply with all EXL policies and procedures including HIPAA and other state and federal regulations.</li></ul></div>
 <div>Qualifications: Required Qualifications
<ul><li>Three or more years' experience in claims processing or HCD medical billing experience with expert knowledge HCPCS codes.
</li><li>Experience reading and interpreting contract language and fee schedules and medical record review.
</li><li>Intermediate skills in Word and basic computer literacy.
</li><li>Intermediate skills in Excel including comfort working with charts, graphs, and percentages.
</li><li>Basic math skills with ability to do conversion calculations.
</li><li>High school diploma obtained
</li></ul>Preferred Qualifications
<ul><li>Certified Pharmacy Technician or one or more of the following credentials: RHIA or CPC; preference given to those with multiple credentials.
</li><li>Expert in HCPCS codes with advanced knowledge of medical terminology.
</li><li>Experience with encoder tools and industry systems (FACETS, NASCO, Encoder Pro, TrueCode, 3M, Webstrat, Pricers).
</li></ul>Professional Qualifications
<ul><li>Works independently in a remote environment and delivers exceptional results during EXL core business hours.
</li><li>Possesses excellent time management and work prioritization skills.
</li><li>Takes ownership of problem solving.
</li><li>Demonstrates excellent written and verbal communication skills, strong analytical skills, and attention to detail.
</li><li>Enthusiastic about Auditing with a desire to work in an environment thriving on teamwork, excellence, collaboration, inclusiveness, and support.</li></ul></div>

High Cost Drug Auditor III

<div>Job Description: Key Responsibilities
<ul><li>Design and develop LLM-based applications using single-agent or simple multi-agent patterns for business use cases
</li><li>Build and maintain RAG pipelines : data ingestion chunking embeddings retrieval response generation
</li><li>Implement prompt engineering techniques (prompt templates, chaining, basic tool/function calling)
</li><li>Develop backend services/APIs for AI applications using Python frameworks (FastAPI / Flask / Streamlit)
</li><li>Integrate AI solutions with enterprise systems, databases, and APIs
</li><li>Apply basic guardrails and validation checks to improve response quality and reduce hallucination
</li><li>Work with Data Engineering teams to ensure data quality, pipeline efficiency, and proper documentation
</li><li>Collaborate with MLOps teams for deployment, monitoring, and iterative improvements
</li>Document solutions, reusable components, and best practices 
<li>
</li></ul><div></div>Must-Have Skills
Experience
<ul><li>4&ndash;6 years total experience , with 1+ year hands-on experience in GenAI / LLM-based applications 
</li></ul><div></div>LLM / GenAI &amp; Agentic Engineering
<ul><li>Strong hands-on experience with:
<ul><li>LLMs (Claude, OpenAI, etc.)
</li><li>RAG pipelines and retrieval optimisation
</li><li>GPT + Agentic AI implementation experience
</li></ul></li><li>Experience with:
<ul><li>LangChain, LangGraph, or similar frameworks
</li><li>Agent orchestration and tool-calling architectures
</li></ul></li>Deep understanding of:
LLM limitations, evaluation, and optimisation strategies 
<li><ul><li>
</li></ul></li></ul><div></div>Core Engineering
<ul><li>Strong Python/Pyspark engineering expertise (production-grade development) with proven API integration experience
</li><li>Deep data analysis experience and handling large volume of data
</li><li>Fabric/Azure Databricks/Snowflake data engineering integration skills
</li><li>Good exposure to:
<ul><li>Cloud platforms (Azure/AWS/GCP)
</li><li>SQL
</li>Containers, CI/CD, monitoring 
<li>
</li></ul></li></ul><div></div>Data / AI Foundations (Mandatory)
Prior experience in one or more:
<ul><li>Data Engineering (ETL/ELT, pipelines, orchestration)
</li><li>Data Science / ML lifecycle (especially NLP)
</li>Analytics engineering / data products 
<li>
</li></ul><div></div>Good-to-Have / Preferred
<ul><li>Exposure to model fine-tuning (LoRA/PEFT) or prompt optimisation techniques
</li><li>Experience with evaluation of LLM outputs (quality, relevance, latency)
</li><li>Understanding of enterprise data privacy and security considerations in GenAI
</li><li>Exposure to Azure AI / Azure OpenAI / AI Search ecosystems
</li><li>Experience working on real client-facing AI solutions or POCs</li></ul></div><div></div>
 <div>Responsibilities: Key Responsibilities
<ul><li>Design and develop LLM-based applications using single-agent or simple multi-agent patterns for business use cases
</li><li>Build and maintain RAG pipelines : data ingestion chunking embeddings retrieval response generation
</li><li>Implement prompt engineering techniques (prompt templates, chaining, basic tool/function calling)
</li><li>Develop backend services/APIs for AI applications using Python frameworks (FastAPI / Flask / Streamlit)
</li><li>Integrate AI solutions with enterprise systems, databases, and APIs
</li><li>Apply basic guardrails and validation checks to improve response quality and reduce hallucination
</li><li>Work with Data Engineering teams to ensure data quality, pipeline efficiency, and proper documentation
</li><li>Collaborate with MLOps teams for deployment, monitoring, and iterative improvements
</li>Document solutions, reusable components, and best practices 
<li>
</li></ul><div></div>Must-Have Skills
Experience
<ul><li>4&ndash;6 years total experience , with 1+ year hands-on experience in GenAI / LLM-based applications 
</li></ul><div></div>LLM / GenAI &amp; Agentic Engineering
<ul><li>Strong hands-on experience with:
<ul><li>LLMs (Claude, OpenAI, etc.)
</li><li>RAG pipelines and retrieval optimisation
</li><li>GPT + Agentic AI implementation experience
</li></ul></li><li>Experience with:
<ul><li>LangChain, LangGraph, or similar frameworks
</li><li>Agent orchestration and tool-calling architectures
</li></ul></li>Deep understanding of:
LLM limitations, evaluation, and optimisation strategies 
<li><ul><li>
</li></ul></li></ul><div></div>Core Engineering
<ul><li>Strong Python/Pyspark engineering expertise (production-grade development) with proven API integration experience
</li><li>Deep data analysis experience and handling large volume of data
</li><li>Fabric/Azure Databricks/Snowflake data engineering integration skills
</li><li>Good exposure to:
<ul><li>Cloud platforms (Azure/AWS/GCP)
</li><li>SQL
</li>Containers, CI/CD, monitoring 
<li>
</li></ul></li></ul><div></div>Data / AI Foundations (Mandatory)
Prior experience in one or more:
<ul><li>Data Engineering (ETL/ELT, pipelines, orchestration)
</li><li>Data Science / ML lifecycle (especially NLP)
</li>Analytics engineering / data products 
<li>
</li></ul><div></div>Good-to-Have / Preferred
<ul><li>Exposure to model fine-tuning (LoRA/PEFT) or prompt optimisation techniques
</li><li>Experience with evaluation of LLM outputs (quality, relevance, latency)
</li><li>Understanding of enterprise data privacy and security considerations in GenAI
</li><li>Exposure to Azure AI / Azure OpenAI / AI Search ecosystems
</li><li>Experience working on real client-facing AI solutions or POCs</li></ul></div><div></div>
 <div>Qualifications: Key Responsibilities
<ul><li>Design and develop LLM-based applications using single-agent or simple multi-agent patterns for business use cases
</li><li>Build and maintain RAG pipelines : data ingestion chunking embeddings retrieval response generation
</li><li>Implement prompt engineering techniques (prompt templates, chaining, basic tool/function calling)
</li><li>Develop backend services/APIs for AI applications using Python frameworks (FastAPI / Flask / Streamlit)
</li><li>Integrate AI solutions with enterprise systems, databases, and APIs
</li><li>Apply basic guardrails and validation checks to improve response quality and reduce hallucination
</li><li>Work with Data Engineering teams to ensure data quality, pipeline efficiency, and proper documentation
</li><li>Collaborate with MLOps teams for deployment, monitoring, and iterative improvements
</li>Document solutions, reusable components, and best practices 
<li>
</li></ul><div></div>Must-Have Skills
Experience
<ul><li>4&ndash;6 years total experience , with 1+ year hands-on experience in GenAI / LLM-based applications 
</li></ul><div></div>LLM / GenAI &amp; Agentic Engineering
<ul><li>Strong hands-on experience with:
<ul><li>LLMs (Claude, OpenAI, etc.)
</li><li>RAG pipelines and retrieval optimisation
</li><li>GPT + Agentic AI implementation experience
</li></ul></li><li>Experience with:
<ul><li>LangChain, LangGraph, or similar frameworks
</li><li>Agent orchestration and tool-calling architectures
</li></ul></li>Deep understanding of:
LLM limitations, evaluation, and optimisation strategies 
<li><ul><li>
</li></ul></li></ul><div></div>Core Engineering
<ul><li>Strong Python/Pyspark engineering expertise (production-grade development) with proven API integration experience
</li><li>Deep data analysis experience and handling large volume of data
</li><li>Fabric/Azure Databricks/Snowflake data engineering integration skills
</li><li>Good exposure to:
<ul><li>Cloud platforms (Azure/AWS/GCP)
</li><li>SQL
</li>Containers, CI/CD, monitoring 
<li>
</li></ul></li></ul><div></div>Data / AI Foundations (Mandatory)
Prior experience in one or more:
<ul><li>Data Engineering (ETL/ELT, pipelines, orchestration)
</li><li>Data Science / ML lifecycle (especially NLP)
</li>Analytics engineering / data products 
<li>
</li></ul><div></div>Good-to-Have / Preferred
<ul><li>Exposure to model fine-tuning (LoRA/PEFT) or prompt optimisation techniques
</li><li>Experience with evaluation of LLM outputs (quality, relevance, latency)
</li><li>Understanding of enterprise data privacy and security considerations in GenAI
</li><li>Exposure to Azure AI / Azure OpenAI / AI Search ecosystems
</li><li>Experience working on real client-facing AI solutions or POCs</li></ul></div><div></div>

AI Data Engineer

<div>Job Description: Recruiting Coordinator - US.
Shift time 6:00 to 3:00 am IST.
The Recruiting Coordinator owns the movement of every new hire from offer letter to training. This role makes sure each candidate completes every step of the pre-employment process and never gets stuck along the way.
Responsibilities include communicating company and position details to new hires before their start date. This means making sure new hires complete all pre-employment activities, including background checks, drug screenings, and onboarding paperwork such as Section 1 of the I-9 form and company policy acknowledgments. The Recruiting Coordinator tracks each candidate from offer acceptance through background check, drug test, and onboarding, and follows up with any candidate who is not moving forward. 
This role works closely with the Recruiting Specialist and Operations team to keep clear communication with new hires at every step. The Recruiting Coordinator connects with every candidate in the pipeline using three points of contact: text, phone, and email. All candidate activity is managed in our ATS system (SAP SuccessFactors) and tracked in internal trackers using Excel or Microsoft Lists. 
Responsibilities 
Candidate Movement (Offer Letter to Training)
<ul><li>Track each new hire in detail, from offer acceptance to the start of training.
</li><li>Make sure all pre-employment activities are completed on time for a smooth hiring process.
</li><li>Follow up with candidates who are stuck because they have not completed a required action item.
</li></ul>Background Check and Drug Test
<ul><li>Schedule background checks and drug screenings for each candidate.
</li><li>Escalate background check results that need a decision to leadership for adjudication.
</li><li>Once a candidate clears the background check and drug test, move them into onboarding.
</li></ul>Onboarding Support
<ul><li>Help new hires complete onboarding paperwork, including Section 1 of the I-9 form and company policy acknowledgments.
</li><li>Be a resource for new hires during onboarding, and direct them to the right department for questions about benefits, payroll, and more.
</li><li>Coordinate fingerprinting and training with the Recruiting Specialist and Facilities Administrative team.
</li></ul>Communication
<ul><li>Communicate company and position details to new hires before their start date.
</li><li>Contact every candidate in the pipeline using three points of contact: text, phone, and email.
</li><li>Communicate regularly with new hires about onboarding requirements and the next steps in the hiring process.
</li></ul>Systems, Coordination, and Reporting
<ul><li>Manage all candidate activity in our ATS system (SAP SuccessFactors).
</li><li>Update candidate movement in internal trackers using Excel or Microsoft Lists.
</li><li>Coordinate frequently with Recruiting, Operations, and Training to make sure the pipeline of new hires is fully ready for hire on day one.
</li>Perform other duties and related tasks as required and assigned. 
<li>
</li></ul>Minimum Requirements
<ul><li>Hands-on experience with recruiting ATS systems
</li><li>Must be detail oriented.
</li>Must have minimum of 1 year of experience in a compliance related role 
<li>
</li></ul>Preferred Skills
<ul><li>SAP Success Factors preferred
</li><li>Excellent communication skills (verbal and written) with all levels of employees
</li><li>Time management skills
</li><li>Metric Driven
</li><li>Intermediate Microsoft Excel and Lists skills</li></ul></div>
 <div>Responsibilities: Responsibilities 
Candidate Movement (Offer Letter to Training)
<ul><li>Track each new hire in detail, from offer acceptance to the start of training.
</li><li>Make sure all pre-employment activities are completed on time for a smooth hiring process.
</li><li>Follow up with candidates who are stuck because they have not completed a required action item.
</li></ul>Background Check and Drug Test
<ul><li>Schedule background checks and drug screenings for each candidate.
</li><li>Escalate background check results that need a decision to leadership for adjudication.
</li><li>Once a candidate clears the background check and drug test, move them into onboarding.
</li></ul>Onboarding Support
<ul><li>Help new hires complete onboarding paperwork, including Section 1 of the I-9 form and company policy acknowledgments.
</li><li>Be a resource for new hires during onboarding, and direct them to the right department for questions about benefits, payroll, and more.
</li><li>Coordinate fingerprinting and training with the Recruiting Specialist and Facilities Administrative team.
</li></ul>Communication
<ul><li>Communicate company and position details to new hires before their start date.
</li><li>Contact every candidate in the pipeline using three points of contact: text, phone, and email.
</li><li>Communicate regularly with new hires about onboarding requirements and the next steps in the hiring process.
</li></ul>Systems, Coordination, and Reporting
<ul><li>Manage all candidate activity in our ATS system (SAP SuccessFactors).
</li><li>Update candidate movement in internal trackers using Excel or Microsoft Lists.
</li><li>Coordinate frequently with Recruiting, Operations, and Training to make sure the pipeline of new hires is fully ready for hire on day one.
</li><li>Perform other duties and related tasks as required and assigned.</li></ul></div>
 <div><ul><li>Qualifications: Graduate with overall 5 years of experience in recruitment and onboarding - US client.
</li><li>Excellent communication skills written and verbal.
</li><li>Proficiency in MS Office
</li><li>Proven experience in a shared service or third-party support Industry preferred
</li><li>Worked on HRMS applications &ndash; Peoplesoft, SAP SuccessFactors or Workday</li></ul></div>

Recruiting Coordinator - US

<div>Job Description: EXL (NASDAQ: EXLS) is a global data and artificial intelligence (&quot;AI&quot;) company that offers services and solutions to reinvent client business models, drive better outcomes and unlock growth with speed. EXL harnesses the power of data, AI, and deep industry knowledge to transform businesses, including the world&rsquo;s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect.
We are headquartered in New York and have more than 60,000 employees spanning six continents. For more information, visit www.exlservice.com . 
Role Title: Technical Business Analyst &ndash; Data &amp; Reporting
BU/Segment: Analytics / Data / Insurance
 
Location: London, United Kingdom (3-4 days a week, office-based)
 
Employment Type: Permanent
 
Experience: 7&ndash;10 years
We are seeking an experienced Technical Business Analyst with strong insurance domain knowledge and a solid background in Power BI-led reporting and analytics delivery .
This role is ideal for a candidate who can act as the bridge between business stakeholders and technical delivery teams , working closely with clients and internal stakeholders to gather, structure, and translate business requirements into clear, actionable technical specifications. 
The successful candidate will be based on-site in London , leading stakeholder discussions, defining requirements, supporting prioritisation, and coordinating with offshore development teams to ensure high-quality, timely delivery of data and reporting solutions.
The role requires a strong understanding of reporting, analytics, data structures, and Power BI , combined with excellent communication, documentation, and delivery management skills. 
 
As part of your duties, you will be responsible for:
Stakeholder Management &amp; Business Analysis
<ul><li>Act as the primary interface between business stakeholders and technical teams , ensuring requirements are clearly understood, documented, and delivered.
</li><li>Run workshops, requirement discovery sessions, and working meetings with business users and SMEs
</li><li>Translate business needs into user stories, functional requirements, acceptance criteria, process flows, and solution documentation
</li><li>Support prioritisation of requirements and help define delivery roadmaps aligned to business objectives.
</li><li>Ensure strong communication and alignment across onshore stakeholders and offshore delivery teams
</li></ul>Technical Delivery Coordination
<ul><li>Work closely with offshore developers, data engineers, and BI teams to clarify requirements and support solution design and delivery.
</li><li>Serve as the onshore coordination point for delivery teams, helping to unblock issues, manage dependencies, and maintain momentum.
</li><li>Review technical outputs against business requirements and support quality assurance throughout the delivery lifecycle.
</li><li>Track progress, manage requirement changes, and ensure traceability from requirement through to deployment.
</li></ul>Power BI &amp; Reporting
<ul><li>Lead requirements definition for Power BI dashboards, MI reporting, and analytics solutions .
</li><li>Support the design and validation of Power BI data models, dashboards, and reporting logic .
</li><li>Review dashboards and reporting outputs to ensure they are aligned to business expectations and are fit for executive and operational use.
</li></ul>Data &amp; Insurance Domain Support
<ul><li>Support data analysis and requirement definition across insurance datasets, including underwriting, premium, claims, bordereaux, and performance reporting.
</li><li>Ensure business definitions, metric logic, and reporting outputs are aligned with insurance operating needs.
</li><li>Work with stakeholders to identify gaps in data, process, and reporting, and recommend practical improvements.
</li></ul>Qualifications and experience we consider to be essential for the role
Required Skills
<ul><li>5&ndash;10 years of experience in Technical Business Analysis, or Data &amp; Analytics delivery roles .
</li><li>Proven experience working as a bridge between business stakeholders and technical/offshore delivery teams .
</li><li>Strong stakeholder management skills, with the ability to engage confidently with senior business users and technical teams.
</li><li>Strong experience in requirements gathering, documentation, solution design, user stories, and acceptance criteria definition .
</li><li>Practical experience with Power BI , including dashboard requirements, KPI definition, reporting logic, and validation of delivered outputs.
</li><li>Good understanding of data structures, reporting layers, and analytics delivery processes .
</li><li>Strong communication, documentation, and problem-solving skills.
</li><li>Ability to work in a fast-paced, client-facing, delivery-oriented environment.
</li><li>Highly organised, proactive, and able to manage multiple workstreams and stakeholders effectively.
</li></ul>Preferred Skills
<ul><li>Prior experience in the Insurance industry, ideally within Specialty, Commercial, London Market, or MGA environments .
</li><li>Familiarity with bordereaux, underwriting data, claims data, and insurance reporting processes .
</li><li>Working knowledge of SQL for data interrogation, validation, and requirement support.
</li><li>Experience working with offshore delivery models in a consulting or professional services environment.
</li><li>Awareness of modern data platforms and cloud-based reporting environments.
</li></ul>Skills and Personal attributes we would like to have:
<ul><li>A strong techno-functional Business Analyst rather than a pure developer or delivery lead.
</li><li>Comfortable working with both business users and technical teams , and able to translate between the two effectively.
</li><li>Confident in driving workshops, clarifying ambiguity, and turning loose asks into structured delivery requirements.
</li><li>Strong enough in Power BI and data/reporting concepts to challenge outputs, validate logic, and guide solution direction.
</li><li>Experienced in coordinating with offshore teams while maintaining strong day-to-day engagement with onshore stakeholders
</li></ul>As part of a leading global analytics and digital solutions company, you can look forward to:
<ul><li>A competitive salary with a generous bonus, private healthcare, critical illness life assurance at 4 x your annual salary, income protection insurance, and a rewarding pension.
</li><li>EXL provides everyday financial well-being solutions, such as cash back cards, in which you can earn cashback while enjoying discounts, promotions, and offers from top retailers. We also offer a Cycle Scheme where you can save money on bikes and cycling accessories.
</li><li>At EXL , we are committed to providing our employees with the tools and resources they need to succeed and excel in their careers. We offer a wide range of professional and personal development opportunities. We also support a range of learning initiatives that allow our employees to build on their existing skills and knowledge. From online courses to seminars and workshops, our employees can enhance their skills and stay up to date with the latest trends and technologies.
</li><li>As an Equal Opportunity Employer, EXL is committed to diversity. Our company does not discriminate based on race, religion, colour, national origin, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, age, or disability status.
</li><li>EXL employees are eligible to purchase stock as part of our Employee Stock Purchase Plan (ESPP).
</li><li>At EXL , we offer a flexible hybrid working model that allows employees to live a balanced, healthy lifestyle while strengthening our culture of collaboration.
</li></ul>To be considered for this role, you must already be eligible to work in the United Kingdom.</div>

Senior Technical Business Analyst - Insurance

<div>Job Description: About the EXL Insurance Premium Audit Group:
 
 
A leader in the field, EXL can complete all levels of premium audits on all auditable exposure types. We train our 450+ highly skilled professionals worldwide utilizing our industry-leading training platform and curriculum.
 
 
This expertise is combined with a technology-enabled proprietary platform, with predictive modeling capabilities.
 
 
Using a Premium Audit selection model, the team can predict the likelihood of policy misclassification, automatically assign audit methods to save carriers time and money, and use machine learning to continuously improve correlation and prediction accuracy.
 
 
To learn more about the EXL Insurance Premium Audit Group visit us at www.exlservice.com/industries/insurance/premium-audit 
Why work for the EXL Insurance Premium Audit Team? 
<ul><li>17 days paid vacation, plus 8 paid holidays
</li><li>Additional 10 paid sick days
</li><li>Superb training program
</li><li>Work from home
</li><li>Competitive total compensation package and benefits with 401k
</li><li>Career advancement opportunities
</li><li>Discounted health club benefits in many areas around the U.S.
</li><li>Paid Parental Leave
</li>Laptop and other necessary office equipment provided 
<li>
</li></ul>Compensation: 
<ul><li>Pay Type: Hourly plus production bonus incentives, in accordance with EXL&rsquo;s policies
</li><li>Total compensation for this position, which is a combination of an hourly base rate plus production bonus incentives, is targeted between $50K&ndash;$70K in total earnings within the first year. :
<ul><li>Hourly base rate is dependent upon job specific experience and location.
</li><li>There is no cap on production bonus incentives
</li></ul></li></ul>The posted range is the hiring range for this role &mdash; a subset of the broader range available to employees over time &mdash; and reflects base salary across our national hiring scale. Final offers are based on several factors, including the candidate's skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position. The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process.
***Applicants must have at least 2 years of experience in a premium auditor role***</div>
 <div>Responsibilities: The Role and Responsibilities: 
Working from your home office, this role requires scheduling appointments with the insured to be audited and obtain necessary documentation for our insurance company client audits all while adhering to customer requirements and quality standards. 
 
Territory: Remote</div>
 <div>Qualifications: Qualifications :
<ul><li>Must have at least 2 yrs experience
</li><li>Ability to work independently from home.
</li><li>Experience with the MS Office Suite (excel, word, outlook, etc.)
</li><li>Must be self-motivated, self-disciplined and exhibit a willingness to learn.
</li><li>Excellent time management
</li><li>Excellent verbal and written communication skills
</li><li>Working knowledge of insurance and / or basic accounting principles is a plus.}
</li>High School Diploma or GED required 
<li>
</li></ul>To view our total rewards offered &mdash;&gt; https://www.exlservice.com/us-careers-and-benefits
 
 
Base Salary Range Disclaimer:
The base salary range represents the low and high end of the EXL salary range for this position. Actual salaries will vary depending on factors including but not limited to location and experience.
The base salary range listed is just one component of EXL's total compensation package for employees.
Other rewards may include bonuses, a Paid Time Off policy, and many region-specific benefits. 
 
Please also note that the data shared through the job application will be stored and processed by EXL in accordance with the EXL Privacy Policy. 
EEO/Minorities/Females/Vets/Disabilities 
 
Application &amp; Interview Impersonation Warning &ndash; Purposely impersonating another individual when applying and / or participating in an interview in order to obtain employment with EXL Service Holdings, Inc. (the &ldquo;Company&rdquo;) for yourself or for the other individual is a crime. We have implemented measures to deter and to uncover such unlawful conduct. If the Company identifies such fraudulent conduct, it will result in, as applicable, the application being rejected, an offer (if made) being rescinded, or termination of employment as well as possible legal action against the impersonator(s).
 
 
EXL may use artificial intelligence to create insights on how your candidate information matches the requirements of the job for which you applied. While AI may be used in the recruiting process, all final decisions in the recruiting and hiring process will be taken by the recruiting and hiring teams after considering a candidate&rsquo;s full profile. As a candidate, you can choose to opt out of this artificial intelligence screening process. Your decision to opt out will not negatively impact your opportunity for employment with EXL.</div>

Master Premium Insurance Auditor - Remote

<div>Job Description: The Provider Touch Specialist will be responsible for managing provider relations and service interactions within their assigned team. Acting as a key liaison, this individual will support external providers with audit inquiries, claims reimbursement progress, and training on portal navigation and service enhancements. The role also involves guiding providers on claim audit record submissions, timelines, and process adherence.
The ideal candidate will be adept at identifying operational gaps, resolving complex claims issues, and effectively communicating solutions. This role is critical in fostering and maintaining strong relationships between EXL and our valued providers while ensuring exceptional service and satisfaction.
Salary Range: $65,000 &ndash; $80,000 (based on experience, skills, and qualifications)
 
Location: 100% Remote (U.S.-based)
Up to 10% annual travel (for team meetings and limited client onsite engagements.)
For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits
The posted range is the hiring range for this role &mdash; a subset of the broader range available to employees over time &mdash; and reflects base salary across our national hiring scale. Final offers are based on several factors, including the candidate's skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position. The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process.</div>
 <div><ul><li>Responsibilities: Serve as the primary contact for provider audit inquiries, claims reimbursement progress, and service-related concerns.
</li><li>Provide training and education on claims audit record submissions, timelines, and process guidelines.
</li><li>Assist providers in optimizing portal usage and understanding service enhancements.
</li><li>Identify and address operational inefficiencies while implementing data-driven solutions.
</li><li>Research and resolve complex claims issues, ensuring timely and effective communication of resolutions.
</li><li>Collaborate with internal teams to improve tools, resources, and provider support systems.
</li><li>Utilize business knowledge and sound judgment to navigate ambiguous situations and address non-standard requests.
</li><li>Build and maintain strong provider relationships, ensuring their needs are met while aligning with company policies.
</li><li>Contribute to the success of the Provider Touch Team by fostering collaboration and enhancing the overall provider experience.</li></ul></div>
 <div><ul><li>Qualifications: 4+ years of experience in healthcare or managed care settings.
</li><li>3+ years of direct provider-facing experience.
</li><li>Intermediate knowledge of claims processing and auditing.
</li><li>Strong background in claims processing.
</li><li>Excellent verbal and written communication skills.
</li><li>Outstanding interpersonal skills with the ability to build rapport and maintain positive relationships.
</li><li>Strong customer service mindset with a solution-oriented approach.
</li><li>Solid understanding of healthcare operations and industry best practices.
</li><li>Proficiency in PC skills and data software applications.
</li></ul>What We Offer:
At EXL, we provide a dynamic, fast-paced, and innovative environment where entrepreneurial professionals can make a significant impact.
<ul><li>Work closely with world-class healthcare consultants from day one.
</li><li>Gain exposure to various aspects of our clients' businesses while developing key teamwork and time-management skills.
</li><li>Benefit from our structured mentoring program, where junior employees receive guidance from senior professionals.
</li><li>Experience limitless growth opportunities within EXL and beyond.
</li><li>Comprehensive benefits package including Healthcare, Vision, Dental, and 401(k) options.
</li></ul>Join EXL Health and be part of a team that is redefining provider relations in the healthcare industry!
Apply Today!</div>

Provider Touch Specialist

Join EXL Service and explore 6   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.