Executive: Back-End Operations

1 week ago

Cochin, Kerala, India Medcity Study Abroad Full time ₹ 1,00,000 - ₹ 2,00,000 per year

Job Description – Executive: Back-End Operations (Insurance & Healthcare Claims)

Company: EXL Service

Location: Infopark, Kochi

Shift: Night Shift

Salary: ₹15, ,000

Position Overview:

The Executive – Back-End Operations will be responsible for processing medical bills and insurance claims received from healthcare providers based in the United States. The role requires attention to detail, strong analytical abilities, and familiarity with basic healthcare and insurance terminologies. The ideal candidate must be capable of maintaining high-quality standards while meeting productivity expectations.

Key Responsibilities

1. Healthcare Claims & Medical Bill Processing

  • Accurately review and process medical bills received from US-based healthcare providers.
  • Validate information such as patient details, treatment dates, procedure codes, and billing amounts.
  • Ensure claims are processed within defined Service Level Agreements (SLAs) and operational guidelines.

2.Quality Compliance & Productivity Management

  • Maintain high accuracy while processing transactions, minimizing errors and rework.
  • Adhere to quality standards set by the organization and healthcare regulatory requirements.
  • Efficiently balance productivity targets along with customer satisfaction expectations.

3.Analytical Review & Decision Making

  • Use reasoning and analytical skills to interpret healthcare data and resolve discrepancies.
  • Identify potential red flags, missing details, or inconsistencies in claims.
  • Make sound decisions based on policy knowledge and documented guidelines.

4.Customer Focus & Escalation Handling

  • Provide timely responses regarding claim status or queries when required.
  • Escalate complex or critical cases to appropriate teams while ensuring regular follow-ups.
  • Maintain a professional and customer-centric approach in all communications.

5. Operational Communication & Reporting

  • Document all claim updates and findings accurately in the system.
  • Ensure effective written communication with stakeholders when clarifications are needed.
  • Participate in team discussions, feedback sessions, and performance reviews.

6. Work Management & Coordination

  • Prioritize tasks to ensure efficient completion of assignments within deadlines.
  • Collaborate with team members to support process improvement initiatives.
  • Adapt to changes in procedures, guidelines, or requirements as per business needs.

Skills Required

  • Good computer navigation and keyboarding skills.
  • Proficiency in MS Office applications.
  • Strong written communication, listening, and comprehension abilities.
  • Sound knowledge of medical terminologies (preferred).
  • Good decision-making and problem-solving skills.
  • Logical reasoning and questioning skills.
  • Ability to work in a fast-paced environment with attention to detail.
  • Previous experience in P&C insurance or claims handling is an added advantage.

Interested Candidates can send their CV to

To connect :

Job Type: Full-time

Application Question(s):

  • Do you have any experience in handling Insurance and healthcare claims ?

Work Location: In person

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