Jobs at EXL

Supports insurance claim subrogation by reviewing files, analyzing liability and damages, identifying recovery opportunities, negotiating settlements, pursuing arbitration, and referring cases to collection agencies or attorneys. The role also involves high-volume inbound and outbound calls, claim documentation, data validation, error resolution, and adherence to processing guidelines.

Leads clinical and coding training strategy, trainer development, operational readiness, and learner outcomes. Manages and coaches training staff, sets performance expectations, assesses capability gaps, develops scalable onboarding and development programs, monitors effectiveness through metrics and feedback, and partners with Operations, Quality, Clinical, Coding, and leadership teams. The role also oversees training resources, reporting, trainee progression, workshops, and continuous improvement.

Analyze medical claims (inpatient, outpatient, SNF, rehab, professional, DME) to identify utilization and root causes. Pull/integrate data, perform QA, present findings, maintain attribution methodology, coordinate stakeholders, and develop tools. Primary coding: Hive, SQL, Python.

Investigates insurance claims to identify subrogation opportunities, evaluates liability and policy terms, reviews evidence, negotiates settlements, and pursues recoveries from responsible parties. Maintains detailed claim records, communicates updates to clients and stakeholders, collaborates with legal and insurance professionals, handles complex files exceeding $15,000, and supports process improvement initiatives.

Leads healthcare clinical auditing operations, overseeing revenue and savings goals, workflow inventory, staffing, productivity, quality, training, client communications, and continuous improvement. Manages supervisors and clinical and non-clinical staff, addresses operational risks, supports client presentations and implementations, and ensures compliance with company policies and service-level agreements.

Leads DRG audit programs and directly supervises auditors conducting MS-DRG and APR-DRG reviews. Oversees workflows, inventory, aging, productivity, quality, SLAs, compliance, reporting, and client issue resolution. Partners with clinical, operational, analytics, product, and technology teams on implementations and process improvements. Requires registered nurse credentials, extensive DRG and coding expertise, knowledge of payer regulations, supervisory experience, and strong analytical and communication skills.

Schedule insurance appraisal appointments, contact policyholders through phone, SMS, and email, explain appraisal requirements, and build trust. Support homeowners with the ASSIST photo-capture app, resolve technical questions, maintain accurate work-order statuses, prioritize assignments, meet deadlines and productivity goals, and communicate unusual situations to management. This is a remote, work-from-home customer service role with training provided.

Manages DRG quality analysts and oversees MS-DRG and APR-DRG review programs. Ensures coding accuracy, reimbursement quality, regulatory compliance, productivity, and SLA achievement. Responsibilities include workflow and inventory management, coaching and performance management, trend reporting, audit quality improvement, implementation support, and coordination with technology, operations, training, clients, and global teams.

Leads quota-carrying CX and contact center transformation sales and delivery across retail, e-commerce, travel and hospitality, and telecom clients. Owns revenue targets, pipeline development, complex deal closure, executive relationships, transformation strategy, technology solutioning, program governance, and practice growth. Builds AI-enabled CX solutions using CCaaS, CRM, WFM, analytics, and automation technologies while mentoring consulting, architecture, and delivery teams.

Lead identification and quantification of issuance leakage across acquisition, application, approval, and funding funnels. Analyze digital customer journeys and conversion gaps, run root-cause diagnostics, design experiments, build executive dashboards, and translate findings into prioritized, quantified business recommendations partnering with Product, Marketing, Credit Risk, Operations, and Engineering.

Schedules insurance appraisal appointments, contacts policyholders through phone, SMS, and email, and builds trust while explaining appraisal requirements. Supports homeowners using the ASSIST photo-capture product, including app installation and technical troubleshooting. Maintains accurate work-order statuses, prioritizes assignments, meets deadlines and productivity goals, and escalates unusual situations to management.

Provides remote customer support for insurance appraisal scheduling and self-survey services. Contacts policyholders by phone, SMS, and email; explains appraisal requirements; assists homeowners with installing and using a photo-capture app; resolves technical questions; updates work-order statuses; prioritizes assignments; meets deadlines and productivity goals; and escalates unusual situations to management.

Schedule insurance appraisal appointments, contact policyholders through phone, SMS, and email, explain appraisal requirements, and provide concierge support for a mobile photo-capture application. Assist homeowners with installation and technical questions, maintain accurate work-order statuses, prioritize assignments, meet productivity and deadline targets, and escalate unusual situations to management.

Contacts insurance policyholders by phone, SMS, and email to schedule appraisal appointments and explain requirements. Provides concierge support for the ASSIST self-survey product, including mobile app installation and technical questions. Updates work order statuses, prioritizes assignments, meets productivity and deadline targets, resolves issues, and communicates unusual situations to management.

Provides remote customer support for insurance appraisal scheduling and self-survey products. Contacts policyholders by phone, SMS, and email; explains appraisal requirements; assists homeowners with installing and using a photo-capture app; updates work-order statuses; prioritizes assignments; meets productivity and deadline goals; and escalates unusual situations to management.

Contacts insurance policyholders by phone, SMS, and email to schedule appraisals, explain requirements, and address concerns. Assists homeowners with installing and using the ASSIST photo-capture app, resolves technical questions, updates work-order statuses, prioritizes assignments, meets deadlines and productivity goals, and escalates unusual situations to management.

Lead and own end-to-end delivery of enterprise Data & AI programs, define data strategy and architecture (lakehouse/warehouse), drive modernization, governance, data quality, metadata/lineage, and AI adoption. Manage client relationships, account growth, program budgets, delivery teams, and stakeholder communications to ensure on-time, on-budget outcomes.

Own end-to-end architecture, hands-on development, deployment, and production hardening of agentic AI and generative AI solutions for U.S. healthcare payers. Design multi-cloud infrastructure, AI agents, RAG pipelines, integrations, governance, security, and MLOps/LLMOps practices. Embed with clients, translate payer workflows into deployed systems, troubleshoot live environments, and lead distributed engineering support while maintaining direct technical ownership.

Design, build, and operate production-grade, event-driven data pipelines (Kafka/Flink) on GCP to deliver model-ready features. Optimize BigQuery SQL and Parquet performance, develop Python data workloads (Polars/Pandas), deploy ML pipeline components on Kubeflow/Vertex AI with Docker, design event store architectures, and collaborate with ML and platform teams while documenting architecture and standards.

Lead client engagements in insurance data, analytics, and AI: define roadmaps, run discovery sessions, design solutions, manage delivery and teams, develop proposals, and ensure DataOps, cloud (AWS), governance, and best practices across AI and analytics initiatives.