Role Description The Nurse Auditor conducts hospital charge audits on claims paid at percent of billed charges to verify charges are appropriate and supported by documentation in the medical record. Charge audits identify overcharges, undercharges, and unbundled items per carrier contract, industry standards, and payer reimbursement policies. - Itemized Bill Review knowledge is required with regard to Unbundling Guidelines specific to payer policy, industry standards, and Medicare Guidelines. - The nurse will also be responsible for independent scheduling requiring flexibility and possible travel to provider location. - The position requires strong clinical experience and technical skills. Salary range: $70,000 - $90,000 - 0-10% travel may be required. For more information on benefits and what we offer please visit us at EXL Careers and Benefits . The posted range is the hiring range for this role and reflects base salary across our national hiring scale. Final offers are based on several factors, including: - Candidate's skills and experience - Internal pay equity - Work location - Market conditions for the role - 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. Qualifications - Strong clinical experience - Technical skills - Knowledge of Itemized Bill Review - Understanding of Unbundling Guidelines Requirements - Flexibility in scheduling - Possible travel to provider locations Benefits - Comprehensive benefits package (details on the website) 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. - Founded in 1999 with core values of innovation, collaboration, excellence, integrity, and respect. - Headquartered in New York with more than 54,000 employees spanning six continents. - Specializes in industries including insurance, healthcare, banking and financial services, media, and retail. For more information, visit www.exlservice.com .

Role Description In this fully remote position as an HCD Auditor, you will apply your expert knowledge of billing HCD claims to perform extensive audit reviews. You will: - Utilize HCPCS codes, medical record review, industry, and EXL proprietary tools in the audit process. - Write professional communications documenting audit findings and supporting rationales. - Apply your extensive industry knowledge to identify audit trends and opportunities. Salary range: $55,000.00 - $70,000.00 0-10% travel may be required. 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 - Unlock growth with speed Founded in 1999, EXL has core values of: - Innovation - Collaboration - Excellence - Integrity - 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. 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 1,500 data scientists dedicated to our generative AI practice, truly set us apart. - More than twenty years of experience in delivering business services. - Stellar client references and a solid balance sheet are reassuring to our C-suite clients. Find out for yourself why clients, employees, and analysts think we’re some of the best in the business. Contact us to see how we can help you achieve your goals.

Role Description - Assisting in identifying preliminary audit scoping, including performing technical research, conducting stakeholder interviews, and preparing audit questionnaires. - Performing walkthroughs, document risk, and controls documentation. - Executing specific audit procedures and preparing work, documenting the procedures performed. - Evaluating the adequacy and effectiveness of internal controls to identify key controls, weaknesses, and compensating controls, identifying areas for improved control, cost savings, and operational efficiency. - Drafting audit recommendations for inclusion in audit reports and memos for review by Audit Manager utilizing scoping documentation completed during planning phase and testing results completed during fieldwork phase. - Performing follow-up work on past audit recommendations as directed by audit management to determine adequacy of corrective actions taken by management; to be completed within SLA. - Completing work timely and accurately to ensure project milestones are achieved, implementing effective problem-solving skills to meet project objectives. - Applying judgment to ensure professional standards are satisfied, with guidance from colleagues. - Identifying matters and issues that should be reviewed and/or escalated to higher levels of management. - Completing special studies and projects as may be assigned. Qualifications - Bachelor’s degree in Information Technology, Computer Science, Accounting, Finance or a related field. - 2 years of experience in IT audit (internal or external), IT Compliance, IT Governance, or IT Risk Management. - Familiarity with industry standards such as GDPR, HIPAA, SOX, or PCI-DSS. - Proficiency in Microsoft products, especially Excel. - Demonstrate proficiency in IT systems and infrastructures, including infrastructure technologies and architectures, virtualization, cloud computing, database management, application development, data governance, and access management. - Understand cybersecurity principles and practices. - Able to analyze and interpret complex data and systems. - Exhibit excellent communication and interpersonal skills. - Able to work independently as well as with a team. - Demonstrate a strong work ethic and initiative. - Have strong attention to detail and prioritization skills. Requirements - Professional certifications such as Certified Information Systems Auditor (CISA), Certified Internal Auditor (CIA), Certified Information Security Manager (CISM) or Certified Information Systems Security Professional (CISSP), or technical certifications. - Familiarity with IT governance frameworks like COBIT, ISO 27001, or NIST. - Candidate location in Central or Eastern US time zone is preferred. Benefits - Medical, Dental, and Vision insurance. - Performance-based bonus or sales incentive. - 401(k) retirement plan with company match. - Short-term & long-term disability insurance. - Paid time off and 10 corporate holidays. - Paid parental leave. - Company-paid life insurance. - Mental & Financial Well-Being resources.

Role Description This position conducts physical on-site audits of commercial accounts to determine the appropriate classifications and exposures to be used as the basis of premium. The territory covered by this position is Pennsylvania and New Jersey. - Conduct audits on larger, more complex commercial accounts to validate the accuracy of classifications and premium bases within a defined geographical area. - Resolve complex audit disputes by reviewing the completed audit information, disputed information and giving input on outcome of dispute. - Act as a mentor and help with training of other employees. - Assist UW in identifying classification codes for new accounts as needed. - This position will require the ability to be on the road conducting physical on-site audits 50% of the time. - Interact with agents and associates to communicate and support the audit results. - Perform other duties or special projects as required or as assigned by a supervisor. Qualifications - Bachelor’s degree; preferably in Accounting, Finance, or Insurance. - Minimum of five years’ premium audit related experience. - PAAS Certification or other Insurance Industry Designation. - Excellent communication and interpersonal skills. - Strong analytical and organizational skills. - Ability to travel 50% of the time. Company Description Harford Mutual Insurance Group is a growing, dynamic mutual insurance carrier providing commercial property and casualty insurance products and services to a regional market. Headquartered in Harford County, Maryland, Harford Mutual offers a positive, diverse, and inclusive work environment with a rich company culture. Founded in 1842 on the principles of mutuality, we believe in insuring opportunity through mutual success® for our policyholders, agents, communities, and employees, and invite our employees to continue that tradition with respect, integrity, exemplary service, and personal responsibility.