This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Serves as an entry level professional who develops baseline plans for ensuring the integrity and accuracy of claims processes and protocols. Collects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Identifies opportunities to target fraud, waste, and abuse or discrepancies in claims submissions. Adheres to industry regulations and company policies for managerial follow-up. Analyzes data in order to effectively assess the validity of claims. Provides accurate recommendations to management for claim resolution and closure. Documents and inputs all findings, while preparing comprehensive reports that may be used for legal or audit/investigative purposes. Essential Functions - Conducts routine and impartial audits/investigations into customer claims, ensuring accurate and fair assessments of claims validity. - Provides customer service by addressing inquiries and concerns, and escalates audit/investigation, as needed. - Compiles detailed and organized records of audit/investigation findings, ensuring accuracy and compliance with legal and regulatory requirements. - Applies functional knowledge to create and implement strategies to identify and prevent fraudulent activities, safeguarding the integrity of the claims process. - Conducts interviews with relevant witnesses, claimants, and other stakeholders to gather additional information and perspectives on claims. - Communicates with appropriate internal teams to ensure the proper processing of audits/investigations, while adhering to legal and regulatory standards. - Ensures that all audit and investigative documents and records are processed into the database in a timely and accurate manner. - Communicates audit/investigation findings clearly and professionally to customers, claimants, and other stakeholders, managing expectations and providing updates. - Supports management in regular audit and investigation proceedings, ensuring full compliance with all applicable regional and federal standards, regulations, and protocols. Level of Supervision Received Under general supervision, proceeds alone on regular duties, referring questionable cases to manager. Qualifications - Minimum Bachelor's Degree required Requirements - 0 - 2 years of experience required; 2 - 4 years preferred - Certified Fraud Examiner or Accredited Healthcare Anti-Fraud Investigator preferred Benefits - Qlarant is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities. - Qlarant is a drug-free workplace. All offers of employment are contingent upon successful completion of pre-employment background and drug screens.

• Lead on-site and off-site internal audits of registered entities to ensure strict adherence to NERC and regional O&P standards. • Review and assess potential violations, providing expert oversight on the development and filing of mitigation plans. • Perform deep-dive gap analyses and documentation reviews to identify and rectify compliance deficiencies. • Conduct Inherent Risk Assessments (IRA) and Internal Controls Evaluations (ICE) to facilitate high-level reliability assurance. • Provide technical guidance and instruction to registered entities and staff through workshops and compliance user group meetings. • Author and review program-level and plan-level documents, specifically regarding CIP, PRC-005, and O&P requirements.

• Undertake management system assessments in accordance with BSI requirements • Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision • Recommend the issue, re-issue or withdrawal of certificates • Lead assessment teams as required ensuring quality of service is maintained • Establish and develop an effective partnership with clients to encourage opportunities for business development • Provide accurate and prompt information to support services • Plan/schedule workloads to make best use of time and maximize revenue-earning activity • Coach colleagues as appropriate

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Audit Coordinator I supports all post audit functions by ensuring accuracy of audit invoices, itemized bills, and audit fees. The Audit Coordinator I is responsible for: - Handling calls to and from providers - Sending letters to the provider - Moving the audits through the audit workflow system (EXL mine) - Generating and submitting finding files and invoices to the clients Company Description 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. 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. 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. 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: - Geographic diversity makes talent all over the world instantly accessible - Digital accelerators enable unmatched speed-to-value, letting you realize results fast - Our people, including the 1,500 data scientists dedicated to our generative AI practice - More than twenty years of experience in delivering business services - Stellar client references and a solid balance sheet Contact us to see how we can help you achieve your goals.