In the Executive - Claims Audit role at EXL Service in Tamil Nadu, India, you will review and analyze medical records and claims data to confirm accuracy, completeness, and adherence to healthcare regulations and payer requirements. You must verify that all clinical documentation supports claim submissions and medical necessity, identifying and resolving inconsistencies, errors, or missing information in patient records or claims. Workload prioritization is key to processing expedited and high-priority cases within specified timelines. You will collaborate with healthcare providers, coders, and billing staff to obtain or clarify necessary details, ensuring compliance with HIPAA, CMS, and other regulatory guidelines for medical record handling and claims processing. The position also involves preparing accurate reports.