• Work independently, processing claims via data entry for 90% of your day. • Be responsible for effectively adjudicating claims to meet production, quality, and other metrics in accordance with policy/procedures and regulatory guidelines. • Follow up on claims needing additional information. • Refer problem claims to a Lead and/or auditor for additional review. • Make sure that the integrity of the information is accurate and kept private according to HIPPA guidelines. • Work with specific software. • May be assigned special projects.

• Absence Claims Specialists are responsible for processing medical certifications in a high production environment while answering emails and corresponding with customers. • Review the Family Medical Leave Act (FMLA), state, company and other absence certifications as mandated by state and federal guidelines and in coordination with our customer’s policies • Provide accurate, professional, and timely responses to communications from internal and external partners • Contact medical providers to obtain or clarify medical facts supporting the need for a leave of absence • Maintain complete and accurate documentation of leaves within our proprietary database • Correspond with clients regarding leave status and assist with decision making • Process reports for clients and short term disability partners • Input and analyze data • Demonstrate respect, sensitivity, and confidentiality, while maintaining professionalism at all times. • Meet and adhere to production and quality goals as well as performance metrics. • Responsible and accountable for maintaining and protecting personal, confidential claimant health information. • Must maintain a high level of confidentiality and abide by HIPAA rules and regulations. • Engage in ongoing education and training around laws, policies and service delivery. • Support management with special projects as necessary • Other duties as assigned

The Company Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field appraisal, inspection and risk control services to support our clients’ underwriting processes. EXL delivers industry-leading professionalism, quality and turn-around time, and our innovative solutions help our clients keep ahead of the competition. Castle High Value is the premier provider of high value residential insurance surveys to the insurance industry nationwide. https://www.exlservice.com/industries/insurance/castle-high-value The Position Castle High Value is looking for self-directed independent contractors to work from their own home or office and service physical survey/inspection assignments in the Albuquerque, NM area and within a territory of approximately 100 miles of Albuquerque. Additional compensation is provided for travel for more remote assignments. Experience in real estate, insurance, inspection, construction or appraising experience is a plus, but all interested candidates are encouraged to submit their qualifications. A 15 hour online training course can get you certified. Fees are negotiable depending on experience and the unique aspects of selected jobs. You will be responsible to schedule and conduct both site-based and virtual High Value Home property surveys that will be used for homeowners’ insurance purposes. This involves coordinating and completing surveys within your own schedule, managing work assignments you accept, and solid computer skills as all reports are web-based and completed online. If you are looking for flexibility, the ability to work independently, and have an interest in real estate, construction, or interior design, then this might be the right opportunity for you. More on the Job Responsibilities Primary Requirements: - Professionally interact over the phone, via email, and in-person with homeowners and insurance agents - Conduct on-site and/or virtual property surveys on high value homes as per customer specific guidelines and procedures - Identify and document the construction materials/characteristics and unique features of the home - Obtain measurements of the home and other structures on the property - Generate an estimated replacement value of the home, and identify major hazards - Communicate the information gathered during on-site inspection in the provided web-based client requested forms accessed through the Castle website Tools or Items You Must Provide: - Digital camera - Windows based computer (not a Mac) - High speed internet access - Reliable vehicle - Measuring device such as: laser, 100 ft. tape, or measuring wheel - Auto and General Liability Insurance EEO/Minorities/Females/Vets/Disabilities Please also note that the data shared through the job application will be stored and processed by EXL in accordance with the EXL Privacy Policy. Application & Interview Impersonation Warning – Purposely impersonating another individual when applying and / or participating in an interview in order to obtain employment with EXL Service Holdings, Inc. (the “Company”) for yourself or for the other individual is a crime. We have implemented measures to deter and to uncover such unlawful conduct. If the Company identifies such fraudulent conduct, it will result in, as applicable, the application being rejected, an offer (if made) being rescinded, or termination of employment as well as possible legal action against the impersonator(s). EXL may use artificial intelligence to create insights on how your candidate information matches the requirements of the job for which you applied. While AI may be used in the recruiting process, all final decisions in the recruiting and hiring process will be taken by the recruiting and hiring teams after considering a candidate’s full profile. As a candidate, you can choose to opt out of this artificial intelligence screening process. Your decision to opt out will not negatively impact your opportunity for employment with EXL.

Company Overview At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth. Be part of a team that makes a real difference. Job Description This is a full-time remote position that can be located anywhere in the U.S. Must be able to work EST timezone Candidates without litigation and New Jersey workers' compensation experience will not be considered Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including laptop, 2 desktop monitors, mouse, headphones, ect. Employee Assistance and Referral Program. Pay: $24.03 hourly Hours: Monday - Friday with standard business hours - Investigates, evaluates, and resolves assigned Workers’ Compensation claims of a more complex or litigated nature in a timely manner in accordance with legal statutes, policy provisions, and company guidelines. - Evaluate claimant eligibility; communicate with attending physician, employer and injured worker. - Work with both the claimant and their physician to medically manage the claim, from initial medical treatment to reviewing and evaluating ongoing treatment and related information. - Work directly with employers to facilitate a return to work, either on a full-time or modified duty basis. - Confirm coverage and applicable insurance policy or coverage document and statutory requirements. - Identify potential for third party recovery, including subrogation, Second Injury Fund or other fund involvement (when applicable) and excess or reinsurance reimbursement. Pursue the process of reimbursement and complete posting of recovery to the claim file, where appropriate. - Identify potential for disability or pension credits or offsets and apply same where appropriate. - Ensure timely denial or payment of benefits in accordance with jurisdictional requirements. - Establish claim reserve levels by estimating the potential exposure of each assigned claim, establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure. - Establish compensability status through case investigation and evaluation and application of jurisdictional statutes and laws. - Manage diary in accordance with Best Practices and complete tasks to ensure that cases move to the best financial outcome and timely resolution. - Where litigation is filed, evaluate exposure and work with defense counsel to establish strong defenses, prepare litigation plan of action, set legal reserve and manage litigation over life of claim. - Close all files as appropriate in a timely and complete manner. - Maintain closing ratio as directed by management team. - Oversee and coordinate medical treatment for injured employees and provide information to treating physicians regarding employees’ medical history, health issues, and job requirements; provide direction to assigned nurse case manager where applicable. - Complete PARs (payment authorization request) when applicable. - Comply with all excess and reinsurance reporting requirements; manage self-insured retention reporting. Qualifications - High School diploma required. - Associate’s or Bachelor’s degree preferred. - 2 years of experience handling workers’ compensation claims. - Completion of Workers’ Compensation training courses internally and/or externally in all significant areas affecting Workers’ Compensation claims handling and practices. - Workers’ Compensation licenses, certifications, awards preferred. Benefits We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $21.00 - $24.00 hourly, and will be based on a number of additional factors including skills, experience, and education. The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles. #LI-Remote #GNX #LI-VH1