Job Description

• Provide world-class service to customers in an accurate, efficient and courteous manner on every case given based on the documents sent to be reviewed using the medical records for the procedures, inpatient stay, surgical cases and benefit cases in every patient given
• Responsible for evaluating the appropriateness of health care and health services provided to patients covered under the plan ensuring that the quality for such care and services meets or exceeds medically accepted standards
• Assess records for any medical history and symptoms to use it as data in approving the case or sending to a higher-level reviewer
• Provide excellent customer service by focusing on providing a great experience

• Provide world-class service to customers in an accurate, efficient and courteous manner on every case given based on the documents sent to be reviewed using the medical records for the procedures, inpatient stay, surgical cases and benefit cases in every patient given
• Responsible for evaluating the appropriateness of health care and health services provided to patients covered under the plan ensuring that the quality for such care and services meets or exceeds medically accepted standards
• Assess records for any medical history and symptoms to use it as data in approving the case or sending to a higher-level reviewer
• Provide excellent customer service by focusing on providing a great experience

● Active PRC – RN License and US-RN License (Mainland or Illinois)

● With at least 2 years hospital bedside experience

Same Posting Description for Internal and External Candidates

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.