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EXL Health is seeking an experienced DRG Trainer. This is a work from home opportunity. This is a remote office opportunity. We are looking for an organized and experienced DRG trainer to join our organization. The trainer will be responsible for all aspects of DRG training, evaluating our needs and current practices and creating and delivering a training development plan complete with materials, tutorials, instructions, and learning resources such as online modules and guides. The ideal candi ...Read more about DRG TrainerMore
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EXL is hiring a DRG Auditor III Summary: In this fully remote position as a DRG Auditor you will apply your expert knowledge of DRG coding and reimbursement, ICD-10 Official Coding Guidelines, and AHA Coding Clinic Guidelines in the auditing of inpatient medical records to validate or revise the provider's billed DRG code. You will utilize industry and EXL proprietary tools in the DRG assignment process, and will write professional communications documenting audit findings and supporting ratio ...Read more about Auditor III - DRGMore
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EXL has an Engineer Internship opening in our Healthcare, Payment Services Business Unit. This is a remote opportunity. Responsibilities: Performs advanced data analytics including monitoring performance, query development, opportunity assessments, trend identification and bulk data inserts. Assist in writing clean, efficient, and well-documented code for software applications, following best practices and coding standards. Produce scalable and flexible, high-quality code that satisfies both ...Read more about Healthcare Engineer - InternshipMore
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Virtual ● Req #15616Thursday, March 28, 2024Job Description:Provide customer service to producers and contract owners by effectively responding to incoming phone calls related to variable and fixed annuity products.Perform outbound phone calls, as needed, to complete the fulfillment of requests and follow up on inquiries.Effectively and efficiently communicate with customers by adhering to established call center protocols and performance standardsUpdate information in administrative and workflow systems to process producer and/or policyh ...Read more about FINRA Contact Center Representative - FINRA License RequiredMore
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Analyst/Senior Analyst Job Description: - WE are seeking a highly motivated and detailed oriented Claims Analyst to join our team. As a claim’s analyst, you will play a critical role by investigating, evaluating and reviewing insurance claims to ensure accurate and timely resolution. Key Job Role Reviewing Adjudicated claims: Reviewing claims processing policies and guidelines. Reviewing provider contracts. Analyzing historical overpayment trends. Analyzing claims data to identify outliers. ...Read more about Senior Reporting AnalystMore
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Project Manager: The Project Managers plan, initiate, and oversee execution of a project(s), often working with multiple internal teams, contractors, and clients. Project managers are often involved in early discussions with the client and upper management to ensure they have a clear understanding of the client's desired goals and outcomes. They then determine what resources, processes, and other materials will be necessary to complete the project in the desired timeline, drawing up plans for ...Read more about Project Manager - Healthcare (Federal Programs)More
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Virtual ● Req #26166Thursday, March 28, 2024EXL is hiring an Assistant Vice President of Global Clinical Compliance Accreditation and Licensing. As the AVP of Global Clinical Compliance Accreditation and Licensing leads a team that conducts all Utilization Review Accreditation Commission (URAC) & National Committee for Quality Assurance (NCQA) Global accreditation and regulatory requirement activities including ongoing monitoring, submission of URAC and NCQA, survey materials. In addition the AVP has oversight and leads the global clini ...Read more about Assistant Vice President of Global Clinical Compliance Accreditation and LicensingMore
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Job Title: Data Science Intern Job Description: Works with the AI team in the area of Generative AI, especially large language models or adjacent areas, such as vector databases Applying Generative AI Knowledge to solve problems for clients and internal users Engage in extensive prompt engineering, which involves crafting effective input prompts to guide the generative model towards producing desired outputs. Experiment with different prompt formats, styles, and structures to optimize model per ...Read more about Data Science InternMore
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Virtual ● Req #26226Tuesday, March 26, 2024Position Manager, Life Insurance Operations; TPA Delivery Organization Location US Responsibilities Build and lead a strong motivated team by providing guidance, feedback and day to day direction for associates: Ensure associate call or transaction quality scores meet or exceed expectations through coaching and feedback Manage up to four exempt Assistant Managers and/or Lead Assistant Managers depending upon size of teams Monitor daily/hourly service levels, inventory and capacity levels ...Read more about Manager, Life Insurance Operations; TPA Delivery OrganizationMore
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Virtual ● Req #26166Monday, March 25, 2024EXL is hiring an Assistant Vice President of Global Clinical Compliance Accreditation and Licensing. As the AVP of Global Clinical Compliance Accreditation and Licensing leads a team that conducts all Utilization Review Accreditation Commission (URAC) & National Committee for Quality Assurance (NCQA) Global accreditation and regulatory requirement activities including ongoing monitoring, submission of URAC and NCQA, survey materials. In addition the AVP has oversight and leads the global clini ...Read more about Assistant Vice President of Global Clinical Compliance Accreditation and LicensingMore
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JOB DESCRIPTION SUMMARY Advanced level position in which the incumbent’s responsibilities include performing remote premium audits of insured’s business. Interviews, investigates, collects, and records information to be used in a written report that is provided to the insurance carrier. May serve as a “mentor” to employees by providing work direction in the areas of “on-the-job” training, distributing work, reviewing work, and coordinating activities, etc. ESSENTIAL DUTIES AND RESPONSIB ...Read more about Client Specific Dedicated AuditorMore
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Associate Vice President (AVP)- Data and Analytics Solutions The AVP has day-to-day responsibility supporting the analytics solutions team within the EXL Health Solutions line of business. This role is key to executing platform and solutions capabilities across brokers, providers, and payers market segments that EXL Health Solutions is uniquely positioned to address. The AVP reports to the VP, Data and Analytics Solutions, and will partner with sales, general managers and delivery organizations ...Read more about Assistant Vice President - Data & Analytic SolutionsMore
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Audit Coordinator I – Medical Record Invoicing Post Audit The position of the medical record invoicing audit coordinator is responsible for verifying, setting up and processing medical record invoices for payment operations clients. Functions include researching of invoices/claims in various EXL systems to verify receipt of medical records and cross-referencing client contracts for limitations and thresholds. Attaching medical record invoice to audits within EXL workflows, updating EXL workflo ...Read more about Audit Coordinator IMore
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EXL Health is seeking an experienced DRG Trainer. This is a work from home opportunity. This is a remote office opportunity. We are looking for an organized and experienced DRG trainer to join our organization. The trainer will be responsible for all aspects of DRG training, evaluating our needs and current practices and creating and delivering a training development plan complete with materials, tutorials, instructions, and learning resources such as online modules and guides. The ideal candi ...Read more about DRG TrainerMore
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Why Apply? Competitive pay and benefits, including paid sick leave Superb training program Work from home Flexible Work Hours Career advancement opportunities Tuition Reimbursement Program Excellent culture and team Pay Details: Pay: $13 per hour EXL is looking for motivated and self-directed individuals with excellent customer service skills to schedule appraisal appointments with insurance policyholders and help homeowners submit their own home photos through our ASSIST self-surve ...Read more about Appraisal Coordinator - Remote Position (Part Time)More
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The Position EXL Risk Control is looking for self-directed independent contractors who possess excellentcommunication skills, computer proficiency, and a commitment to meeting client quality andtimeliness standards. You will work from your own home or office, and service onsitesurvey/inspection assignments in the Albany, GA area, and other locations withinapproximately 40 miles of Albany. Preferred experience in commercial insurance, real estate, inspection, construction, claim,loss control, und ...Read more about Commercial Insurance Inspector- (Albany, GA.)More
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Pittsburgh, PA, USA ● Req #26218Friday, March 22, 2024EXL Risk Control is a leading provider of risk assessments and loss control surveys to commercial lines insurance carriers. We are seeking candidates who possess 10+ years of experience with a major insurance carrier and/or national broker in commercial Property & Casualty Risk Control, excellent communication skills, computer proficiency, and a commitment to meeting client quality and timeliness standards. Those with these skills as well as knowledge or experience in commercial insurance, inspe ...Read more about Loss Control Consultant Commercial Insurance – Independent Contractor- Pittsburgh, PA.More
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Cincinnati, OH, USA ● Req #26220Friday, March 22, 2024EXL Risk Control is a leading provider of risk assessments and loss control surveys to commercial lines insurance carriers. We are seeking candidates who possess 10+ years of experience with a major insurance carrier and/or national broker in commercial Property & Casualty Risk Control, excellent communication skills, computer proficiency, and a commitment to meeting client quality and timeliness standards. Those with these skills as well as knowledge or experience in commercial insurance, inspe ...Read more about Loss Control Consultant Commercial Insurance – Independent Contractor- Cincinnati, OH.More
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Miami, FL, USA ● Req #26221Friday, March 22, 2024EXL Risk Control is a leading provider of risk assessments and loss control surveys to commercial lines insurance carriers. We are seeking candidates who possess 10+ years of experience with a major insurance carrier and/or national broker in commercial Property & Casualty Risk Control, excellent communication skills, computer proficiency, and a commitment to meeting client quality and timeliness standards. Those with these skills as well as knowledge or experience in commercial insurance, inspe ...Read more about Loss Control Consultant Commercial Insurance – Independent Contractor- Miami, FL.More
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Tampa, FL, USA ● Req #26222Friday, March 22, 2024EXL Risk Control is a leading provider of risk assessments and loss control surveys to commercial lines insurance carriers. We are seeking candidates who possess 10+ years of experience with a major insurance carrier and/or national broker in commercial Property & Casualty Risk Control, excellent communication skills, computer proficiency, and a commitment to meeting client quality and timeliness standards. Those with these skills as well as knowledge or experience in commercial insurance, inspe ...Read more about Loss Control Consultant Commercial Insurance – Independent Contractor- Tampa, FL.More
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Orlando, FL, USA ● Req #26219Friday, March 22, 2024EXL Risk Control is a leading provider of risk assessments and loss control surveys to commercial lines insurance carriers. We are seeking candidates who possess 10+ years of experience with a major insurance carrier and/or national broker in commercial Property & Casualty Risk Control, excellent communication skills, computer proficiency, and a commitment to meeting client quality and timeliness standards. Those with these skills as well as knowledge or experience in commercial insurance, inspe ...Read more about Loss Control Consultant Commercial Insurance – Independent Contractor- Orlando, FL.More
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Des Moines, IA, USA ● Req #26223Friday, March 22, 2024EXL Risk Control is a leading provider of risk assessments and loss control surveys to commercial lines insurance carriers. We are seeking candidates who possess 10+ years of experience with a major insurance carrier and/or national broker in commercial Property & Casualty Risk Control, excellent communication skills, computer proficiency, and a commitment to meeting client quality and timeliness standards. Those with these skills as well as knowledge or experience in commercial insurance, inspe ...Read more about Loss Control Consultant Commercial Insurance – Independent Contractor- Des Moines, IA.More
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Lincoln, NE, USA ● Req #26224Friday, March 22, 2024EXL Risk Control is a leading provider of risk assessments and loss control surveys to commercial lines insurance carriers. We are seeking candidates who possess 10+ years of experience with a major insurance carrier and/or national broker in commercial Property & Casualty Risk Control, excellent communication skills, computer proficiency, and a commitment to meeting client quality and timeliness standards. Those with these skills as well as knowledge or experience in commercial insurance, inspe ...Read more about Loss Control Consultant Commercial Insurance – Independent Contractor- Lincoln, NE.More
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Denver, CO, USA ● Req #25744Friday, March 22, 2024EXL Risk Control is a leading provider of risk assessments and loss control surveys to commercial lines insurance carriers. We are seeking candidates who possess 10+ years of experience with a major insurance carrier and/or national broker in commercial Property & Casualty Risk Control, excellent communication skills, computer proficiency, and a commitment to meeting client quality and timeliness standards. Those with these skills as well as knowledge or experience in commercial insurance, insp ...Read more about Loss Control Consultant Commercial Insurance – Independent Contractor - Denver, CO.More
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Nashville, TN, USA ● Req #25818Friday, March 22, 2024EXL Risk Control is a leading provider of risk assessments and loss control surveys to commercial lines insurance carriers. We are seeking candidates who possess 10+ years of experience with a major insurance carrier and/or national broker in commercial Property & Casualty Risk Control, excellent communication skills, computer proficiency, and a commitment to meeting client quality and timeliness standards. Those with these skills as well as knowledge or experience in commercial insurance, inspe ...Read more about Loss Control Consultant Commercial Insurance – Independent Contractor- Nashville, TN.More