We make sense of data to drive your business forward. #MakeSenseofData #DriveYourBusinessForward #PartnerYourWay
Premium Insurance Field Auditor
Location
Maryland
Posted
3 days ago
Salary
$50K - $70K / year
Seniority
Senior
No structured requirement data.
Job Description
Premium Insurance Field Auditor
EXL
Title: Experienced Premium Insurance Field Auditor Location: Baltimore, MD United States - Job Identification14836 - Job RoleBack Office-Premium Audit Support - Experience (In Years)0-3 - Remote Job Description: About the EXL Insurance Premium Audit Group: A leader in the field, EXL can complete all levels of premium audits on all auditable exposure types. We train our 450+ highly skilled professionals worldwide utilizing our industry-leading training platform and curriculum. This expertise is combined with a technology-enabled proprietary platform, with predictive modeling capabilities. Using a Premium Audit selection model, the team can predict the likelihood of policy misclassification, automatically assign audit methods to save carriers time and money, and use machine learning to continuously improve correlation and prediction accuracy. Why work for the EXL Insurance Premium Audit Team? - 17 days paid vacation, plus 8 paid holidays - Additional 10 paid sick days - Superb training program - Work from home when not in the field - Competitive total compensation package and benefits with 401k - Career advancement opportunities - Discounted health club benefits in many areas around the U.S. - Paid Parental Leave - Laptop and other necessary office equipment provided Compensation: - Pay Type: Hourly plus production bonus incentives, in accordance with EXL's policies - Total compensation for this position, which is a combination of an hourly base rate plus production bonus incentives, is targeted between $50K-$70K in total earnings within the first year.: - Hourly base rate is dependent upon job specific experience and location. - There is no cap on production bonus incentives The posted range is the hiring range for this role - a subset of the broader range available to employees over time - and reflects base salary across our national hiring scale. Final offers are based on several factors, including the candidate''s skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position. The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process. - Applicants must have at least 2 years of experience in a premium auditor role* Qualifications: - MUST be in current possession of reliable transportation and a valid driver's license. - Must have at least 2 yrs experience - Ability to work independently from home. - Experience with the MS Office Suite (excel, word, outlook, etc.) - Must be self-motivated, self-disciplined and exhibit a willingness to learn. - Excellent time management - Excellent verbal and written communication skills - Working knowledge of insurance and / or basic accounting principles is a plus. - High School Diploma or GED required. Base Salary Range Disclaimer: The base salary range represents the low and high end of the EXL salary range for this position. Actual salaries will vary depending on factors including but not limited to location and experience. The base salary range listed is just one component of EXL''s total compensation package for employees. Other rewards may include bonuses, a Paid Time Off policy, and many region-specific benefits. 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. EEO/Minorities/Females/Vets/Disabilities 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. The Premium Insurance Field Auditor conducts insurance policy audits for Worker's Compensation, Auto and General Liability policies. This is done by auditing the policyholder's records according to client company standards. If you are looking for a fast paced, self-motivating work environment from home, this job may be for you! Working from your home office, this role requires scheduling appointments with the insured to be audited, and travel on an average of 4 days per week within your assigned territory to meet with the insured and obtain necessary documentation for our insurance company client audits all while adhering to customer requirements and quality standards. Territory: Baltimore, MD and surrounding areas The Premium Insurance Field Auditor conducts insurance policy audits for Worker's Compensation, Auto and General Liability policies. This is done by auditing the policyholder's records according to client company standards. If you are looking for a fast paced, self-motivating work environment from home, this job may be for you! Working from your home office, this role requires scheduling appointments with the insured to be audited, and travel on an average of 4 days per week within your assigned territory to meet with the insured and obtain necessary documentation for our insurance company client audits all while adhering to customer requirements and quality standards. Territory: Baltimore, MD and surrounding areas
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Premium Insurance Field Auditor
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Title: Premium Insurance Field Auditor Job Identification15038 Job RolePremium Audit Experience (In Years)0-3 Job LocationMiami, FL Job Description: About the EXL Insurance Premium Audit Group: A leader in the field, EXL can complete all levels of premium audits on all auditable exposure types. We train our 450+ highly skilled professionals worldwide utilizing our industry-leading training platform and curriculum. This expertise is combined with a technology-enabled proprietary platform, with predictive modeling capabilities. Using a Premium Audit selection model, the team can predict the likelihood of policy misclassification, automatically assign audit methods to save carriers time and money, and use machine learning to continuously improve correlation and prediction accuracy. To learn more about the EXL Insurance Premium Audit Group visit us at www.exlservice.com/industries/insurance/premium-audit Why work for the EXL Insurance Premium Audit Team? - No experience? No problem! We provide up to 8 weeks of paid training, depending on experience - 17 days paid vacation, plus 8 paid holidays - Additional 10 paid sick days - Superb training program - Work from home when not in the field - Competitive total compensation package and benefits with 401k - Career advancement opportunities - Discounted health club benefits in many areas around the U.S. - Paid Parental Leave - Laptop and other necessary office equipment provided Compensation: - Pay Type: Hourly plus production bonus incentives, in accordance with EXL’s policies - Total compensation for this position, which is a combination of an hourly base rate plus production bonus incentives, is targeted between $40K–$60K in total earnings within the first year.: - Hourly base rate is dependent upon job specific experience and location. - There is no cap on production bonus incentives The Role and Responsibilities: - The Premium Insurance Field Auditor conducts insurance policy audits for Worker’s Compensation, Auto and General Liability policies. - This is done by auditing the policyholder’s records according to client company standards. - If you are looking for a fast paced, self-motivating work environment from home, this job may be for you! - Working from your home office, this role requires scheduling appointments with the insured to be audited, and travel on an average of 4 days per week within your assigned territory to meet with the insured and obtain necessary documentation for our insurance company client audits all while adhering to customer requirements and quality standards. - Territory: Miami, FL. and surrounding areas Qualifications Qualifications: - MUST be in current possession of reliable transportation and a valid driver’s license - Ability to work independently from home - Experience with the MS Office Suite (excel, word, outlook, etc.) - Must be self-motivated, self-disciplined and exhibit a willingness to learn - Excellent time management - Excellent verbal and written communication skills - Working knowledge of insurance and / or basic accounting principles is a plus - High School Diploma or GED required. #RSREXL Base Salary Range Disclaimer: - The base salary range represents the low and high end of the EXL salary range for this position. Actual salaries will vary depending on factors including but not limited to location and experience. - The base salary range listed is just one component of EXL's total compensation package for employees. - Other rewards may include bonuses, a Paid Time Off policy, and many region-specific benefits. RSREXL 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.
Premium Insurance Field Auditor
EXLWe make sense of data to drive your business forward. #MakeSenseofData #DriveYourBusinessForward #PartnerYourWay
Title: Premium Insurance Field Auditor - Atlanta, GA Location: Atlanta, GA United States - Job Identification13154 - Job RolePremium Audit - Experience (In Years)0-3 - Remote Job Description: About the EXL Insurance Premium Audit Group: A leader in the field, EXL can complete all levels of premium audits on all auditable exposure types. We train our 450+ highly skilled professionals worldwide utilizing our industry-leading training platform and curriculum. This expertise is combined with a technology-enabled proprietary platform, with predictive modeling capabilities. Using a Premium Audit selection model, the team can predict the likelihood of policy misclassification, automatically assign audit methods to save carriers time and money, and use machine learning to continuously improve correlation and prediction accuracy. Why work for the EXL Insurance Premium Audit Team? - No experience? No problem! 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Clinical Validation Auditor III
EXLWe make sense of data to drive your business forward. #MakeSenseofData #DriveYourBusinessForward #PartnerYourWay
Title: Clinical Validation Auditor III Location: United States Job Identification: 14843 Job Description: Are you a nurse with a strong understanding of inpatient care and a passion for getting the details right? Join EXL as a Clinical Validation Auditor and help ensure medical claims are coded accurately and fairly. This is a fully remote position where you’ll use your clinical judgment to review medical records, validate billed DRG codes, and help identify overpayments. A brief coding/auditing assessment may be included as part of the interview process Salary range for this role is $70k - $95k The posted range is the hiring range for this role — a subset of the broader range available to employees over time — and reflects base salary across our national hiring scale. Final offers are based on several factors, including the candidate's skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position. The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process. Responsibilities What You’ll Be Doing: - Review inpatient medical records to verify that the DRG (Diagnosis-Related Group) code makes sense based on the documentation. - Apply clinical and coding knowledge to spot inaccuracies and identify potential overpayments. - Document your findings in clear, professional language that explains the rationale behind your review. - Use industry tools like 3M or Webstrat (don’t worry—we’ll train you if needed!) to support your decisions. - Work independently while meeting productivity and quality goals. - Stay up to date with clinical guidelines, DRG rules, and industry trends. Qualifications What We’re Looking For: - Registered Nurse (RN) with an active license. - 5+ years of acute care experience (hospital setting preferred) - Experience in DRG audits or coding validation is a big plus! - Bonus points if you have certifications like CCS, RHIA, or RHIT - Knowledge of readmission reviews (PPR) is also a plus You’ll Be a Great Fit If You: - Love digging into the details and solving problems - Know how to explain clinical decisions clearly and professionally - Can manage your time well and stay focused working remotely - Are comfortable using tools like Excel, Word, and OneNote - Enjoy working as part of a supportive, high-performing team Why Work at EXL? At EXL, you’ll join a team that values collaboration, clinical accuracy, and continuous improvement. We offer the flexibility of remote work, a culture of support, and the opportunity to grow in the fast-evolving world of healthcare analytics. Required Skills - Attention To Consistency - Computer Literacy - Interpersonal Relationship Building - Leadership Capabilities - Microsoft Office - RN, LPN, LVN - Working under Pressure 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.
Diagnosis Related Group Auditor III, Healthcare
EXLWe make sense of data to drive your business forward. #MakeSenseofData #DriveYourBusinessForward #PartnerYourWay
Title: Diagnosis-Related Group (DRG) Auditor III, Healthcare -Remote US Job Description: Job Identification; 14770 Job Role; Auditor-DRG Experience (In Years); 3-6 Job Location; Remote US Job Description Are you a passionate and experienced DRG Auditor looking for an opportunity to thrive in a dynamic, innovative environment? EXL USA Healthcare is seeking a DRG Auditor III to join our team! This role offers a fully remote work experience with possible 10% travel per year. The rest of the time, you'll enjoy the flexibility of working from your home office. Why EXL? At EXL, we believe in fostering an environment where our employees can learn, grow, and succeed. We provide industry-leading training, career development opportunities, and a competitive benefits package to ensure you can focus on what you do best—delivering excellence in DRG auditing. If you're looking for a role where you can make a real impact while maintaining work-life balance, this is it! Salary Range: $70,000 – $110,000 (based on experience, skills, and qualifications) Up to 10% annual travel (for team meetings and limited client onsite engagements.) The posted range is the hiring range for this role — a subset of the broader range available to employees over time — and reflects base salary across our national hiring scale. Final offers are based on several factors, including the candidate's skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position. The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process. Responsibilities What You’ll Do: Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment and reimbursement. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations. Utilize advanced DRG encoder tools (such as 3M, Webstrat) to drive efficiency and accuracy in audits. Meet or exceed EXL’s quality and productivity standards, including strong uphold rates for appeals. Stay ahead of industry trends, coding updates, and compliance regulations to maintain expert-level knowledge. Adhere to HIPAA and EXL policies and procedures to ensure data security and regulatory compliance. Qualifications What We’re Looking For: Education & Credentials: - Minimum High School Diploma (Higher education preferred). - CCS, RHIA, or RHIT credential (Multiple credentials preferred). Experience & Expertise: - 4+ years of MS-DRG/APR-DRG coding experience with a deep understanding of AHA Coding Guidelines and DRG reimbursement methodologies. - Prior experience in DRG retrospective overpayment identification auditing is highly desirable. - Strong proficiency with DRG encoder tools (3M, Webstrat). Key Skills & Attributes: Expert-level inpatient coding knowledge with an in-depth understanding of ICD-10-CM/PCS coding guidelines. Self-motivated and able to work independently in a remote environment while maintaining high performance. Exceptional time management, problem-solving, and analytical skills. Strong written and verbal communication with attention to detail. Proficient in Excel, Word, and OneNote, with strong overall computer literacy. Passion for DRG auditing and a commitment to teamwork, collaboration, and continuous learning. What We Offer: A fast-paced, innovative environment with a team of industry-leading experts. Hands-on experience with top-tier clients in the healthcare industry. Mentorship and career development programs to help you grow professionally. A strong culture of collaboration, support, and inclusivity. Competitive benefits package, including healthcare, vision, dental, and 401(k) options. Ready to Take Your Career to the Next Level? If you're looking for a rewarding and challenging opportunity where your expertise will be valued, your growth will be supported, and your contributions will make a difference—apply today and become part of the EXL team! Required Skills - APR-DRG - Attention To Consistency - Computer Literacy - Diagnosis-Related Group (DRG) - Internal Communications - Interpersonal Relationship Building - Leadership Capabilities - MS-DRG - Microsoft Office - Working under Pressure 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 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.
