Assistant Manager

EXL Service View all jobs

  • Noida, Uttar Pradesh
  • Permanent
  • Full-time
  • 10 days ago
Job Category: OperationsJob Description:Key ResponsibilitiesClaims Adjudication & Escalation Management
  • Manage accurate adjudication of US medical claims as per defined guidelines and policies
  • Handle escalations, resolve issues, and ensure proper documentation
  • Ensure compliance with insurance policies, procedures, and regulatory standards
Team Management & Leadership
  • Provide coaching and feedback to team members to improve performance
  • Support new hires and accelerate their learning curve
  • Conduct regular performance reviews and manage team productivity
  • Manage staffing to meet operational requirements and shrinkage targets
  • Drive initiatives to reduce attrition and improve engagement
Performance & Quality Management
  • Monitor transactions regularly and implement corrective actions
  • Ensure achievement of all SLA/KPIs (quality, productivity, turnaround time)
  • Identify opportunities for process improvement and implement enhancements
  • Maintain high standards of work quality and accuracy
Stakeholder & Client Interaction
  • Communicate proactively with internal and external stakeholders
  • Build and maintain strong relationships with clients and business partners
  • Handle client interactions at supervisory level when required
Reporting & Compliance
  • Ensure timely and accurate reporting of internal and external metrics
  • Support audits by collecting and providing required data
  • Ensure adherence to internal policies, external regulations, and information security standards
Core CompetenciesData Gathering & Problem Solving
  • Gather relevant data from multiple sources and identify key issues
  • Generate and evaluate solutions to determine the most effective outcome
Business Awareness
  • Understand business operations and contribute to initiatives that enhance competitive advantage
Customer Focus
  • Deliver high-quality service by understanding and addressing customer needs
Teamwork & Collaboration
  • Work collaboratively with teams and respect organizational priorities
Managing Self
  • Plan, prioritize, and execute tasks efficiently to meet deadlines
Adaptability
  • Remain effective in a dynamic, fast-changing work environment
Work Standards
  • Maintain high personal performance and quality benchmarks
Required Skills & Qualifications
  • Medical Graduated are preferred
  • Strong knowledge of US Medical Insurance Claims, processes, and procedures
  • Understanding of US geography and culture
  • Familiarity with quality standards and compliance requirements
  • Excellent problem-solving and analytical skills
  • Strong organizational skills with high attention to detail
  • Excellent English communication (written and verbal)
  • Good business writing skills (grammatically and contextually accurate)
  • Ability to work on desktop systems and relevant applications
Behavioral Skills
  • Customer service orientation
  • Quality-driven mindset
  • Strong interpersonal and stakeholder management skills
  • Empathy for coaching and team development
Additional Requirements
  • Willingness to work in night shift and WFO
  • Ensure consistent achievement of KPIs
  • Proactive communication on daily operational issues
  • Continuous focus on quality, productivity, and customer satisfaction
Responsibilities:Key ResponsibilitiesClaims Adjudication & Escalation Management
  • Manage accurate adjudication of US medical claims as per defined guidelines and policies
  • Handle escalations, resolve issues, and ensure proper documentation
  • Ensure compliance with insurance policies, procedures, and regulatory standards
Team Management & Leadership
  • Provide coaching and feedback to team members to improve performance
  • Support new hires and accelerate their learning curve
  • Conduct regular performance reviews and manage team productivity
  • Manage staffing to meet operational requirements and shrinkage targets
  • Drive initiatives to reduce attrition and improve engagement
Performance & Quality Management
  • Monitor transactions regularly and implement corrective actions
  • Ensure achievement of all SLA/KPIs (quality, productivity, turnaround time)
  • Identify opportunities for process improvement and implement enhancements
  • Maintain high standards of work quality and accuracy
Stakeholder & Client Interaction
  • Communicate proactively with internal and external stakeholders
  • Build and maintain strong relationships with clients and business partners
  • Handle client interactions at supervisory level when required
Reporting & Compliance
  • Ensure timely and accurate reporting of internal and external metrics
  • Support audits by collecting and providing required data
  • Ensure adherence to internal policies, external regulations, and information security standards
Core CompetenciesData Gathering & Problem Solving
  • Gather relevant data from multiple sources and identify key issues
  • Generate and evaluate solutions to determine the most effective outcome
Business Awareness
  • Understand business operations and contribute to initiatives that enhance competitive advantage
Customer Focus
  • Deliver high-quality service by understanding and addressing customer needs
Teamwork & Collaboration
  • Work collaboratively with teams and respect organizational priorities
Managing Self
  • Plan, prioritize, and execute tasks efficiently to meet deadlines
Adaptability
  • Remain effective in a dynamic, fast-changing work environment
Work Standards
  • Maintain high personal performance and quality benchmarks
Required Skills & Qualifications
  • Medical Graduated are preferred
  • Strong knowledge of US Medical Insurance Claims, processes, and procedures
  • Understanding of US geography and culture
  • Familiarity with quality standards and compliance requirements
  • Excellent problem-solving and analytical skills
  • Strong organizational skills with high attention to detail
  • Excellent English communication (written and verbal)
  • Good business writing skills (grammatically and contextually accurate)
  • Ability to work on desktop systems and relevant applications
Behavioral Skills
  • Customer service orientation
  • Quality-driven mindset
  • Strong interpersonal and stakeholder management skills
  • Empathy for coaching and team development
Additional Requirements
  • Willingness to work in night shift and WFO
  • Ensure consistent achievement of KPIs
  • Proactive communication on daily operational issues
  • Continuous focus on quality, productivity, and customer satisfaction
Qualifications:Required Skills & Qualifications
  • Medical Graduated are preferred
  • Strong knowledge of US Medical Insurance Claims, processes, and procedures
  • Understanding of US geography and culture
About Us: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 .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.About the Team: EXL is the indispensable partner for leading businesses in data-led industries such as insurance, banking and financial services, healthcare, retail and logistics. We bring a unique combination of data, advanced analytics, digital technology and industry expertise to help our clients turn data into insights, streamline operations, improve customer experience, and transform their business. Our partnerships with clients are built on a foundation of collaboration - and we've been chosen as a partner by nine of the top ten leading US insurance companies, nine of the top 20 global banks, and six of the top ten US health care payers. We function as one team to make your goals our goals, whether that's unlocking the value of generative AI or embedding analytics into workflows that reduce risk or power your growth. Clients choose EXL as their transformation partner for many reasons. Our geographic diversity make talent all over the world instantly accessible. Digital accelerators enable unmatched speed-to-value, letting you realize results fast. It's our people that truly set us apart, though, including the 1,500 data scientists we have dedicated to our generative AI practice. And our more than twenty years of experience in delivering business services, garnering stellar client references, and maintaining a solid balance sheet are reassuring to our C-suite clients. Find out for yourself why clients, employees, and analysts think we're some of the best in the business. Contact us to see how we can help you achieve your goals.

EXL Service

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