About this role
EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’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 54,000 employees spanning six continents. For more information, visit www.exlservice.com.
EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL will only extend a job offer after a candidate has gone through a formal interview process with members of EXL’s Human Resources team, as well as our hiring managers.
Track process transactions and implement sampling methodology
Audit client clinical claims review functions per process guidelines
Providing event-based and frequency-based feedback to stakeholders
Communicate case consults to Quality Management team both internally and client level
Assisting operations in identifying training needs and process level issues that can help improve performance
Ensure that rebuttal process is followed. This includes calls with client supervisors and managers both on quality and operations side
Participate in monthly inter-rater reliability tests to ensure process calibration
Attend team meetings both internal and client level. This includes reporting quality trends and other client requested data, discussion of workflow, policies, procedures and initiatives
Brief new agents joining the process and explain how the quality function operates in the process
Assist with preparation of quarterly/monthly/annual quality reports
Establish effective rapport with clients and stakeholders
Track process transactions and implement sampling methodology
Audit client clinical claims review functions per process guidelines
Providing event-based and frequency-based feedback to stakeholders
Communicate case consults to Quality Management team both internally and client level
Assisting operations in identifying training needs and process level issues that can help improve performance
Ensure that rebuttal process is followed. This includes calls with client supervisors and managers both on quality and operations side
Participate in monthly inter-rater reliability tests to ensure process calibration
Attend team meetings both internal and client level. This includes reporting quality trends and other client requested data, discussion of workflow, policies, procedures and initiatives
Brief new agents joining the process and explain how the quality function operates in the process
Assist with preparation of quarterly/monthly/annual quality reports
Establish effective rapport with clients and stakeholders
Eligibility
• No Attendance issues for 6 months (97% Reliability and QA Score of 97% & above) • No Disciplinary Actions from the last 3 months • With minimum of <3 years of Quality Assurance experience • Must be willing to work from office 100%
Skillset
• Must be proficient in English oral and written communications • Must have advance skills in reporting and story telling • Must have intermediate to advance knowledge on Microsoft Application • Must possess critical thinking and problem-solving skills
Must have extensive knowledge of the Life Insurance and Annuities industry/processes