Vacancies at EXL South Africa

Job Description

• The intake agent will receive and review the fax images and start data entry in the system.
• Validate and verify the provider and member using all compliance metrics.
• Create the precert case and route the case to the appropriate bucket for initial or final review.
• Attach the fax for existing precert cases needing additional information.
• Intake agent needs to determine whether case should be cancelled or build
• Investigate previous case history to determine case outcome
• Fax back providers
• Research certain drugs
• Data capture from system to template.

Responsibilities

• Navigate through multiple systems / applications for data gathering
• Proficiency with computer skills (navigating multiple systems and keyboarding)
• Understand the goals and standards to ensure that quality and productivity standards are met
• Accurate and timely updating of the database
• Meet the agreed upon KPIs as per the operational definitions and targets
• Participate in the User Acceptance Testing as needed
• 98% - 100% attendance during training/nesting period is required
• Tying speed – 25-30 words/minute with 90% accuracy
• Must be flexible to work hours with Monthly work schedules changes

Qualifications

• Education Level - High School Graduate (NSC

go to method of application »

Job Description

• Assistant Vice President: Human resources to contribute both at hands-on and strategic levels to create an exceptional experience for all employees and leaders at EXL The focus will be on executing the people strategy and related initiatives to ensure an inclusive environment, aligned to the business objectives for South Africa.
• Responsible for managing the HRBP team and supporting the full employee life cycle, including; talent development, performance management, leadership development, employee engagement & retention.
• Effective connects with leadership ensuring relevant talent related, data supported, updates. Robust interpersonal skills, keen business acumen, to deliver excellent HR services, building strong partnerships, and maintaining alignment with the company culture and values.

Responsibilities

• Collaborate with business leaders to deliver on our people strategy and ensure the implementation of innovative HR initiatives, as well as the rollout of new employee programs,
• Partner with the HR Country Lead to define and drive key initiatives to enhance our employee engagement and experience,
• Manage the HRBP team across a business unit, to ensure effective business support and quality delivery on our HR strategy,
• Coach line managers to improve their understanding and adoption of the talent frameworks, and related tools,
• Support and drive a high performance, diverse and inclusive culture, 
• Serve as a trusted advisor, providing business leaders with professional, accurate, and timely support,
• Collaborate as needed with Payroll, HR Shared Services, Legal and other internal teams to uphold high standards of professional and ethical conduct throughout the company,
• Facilitate effective communication on all HR matters,
• Represent EXL with professionalism and integrity, both internally and externally.
• Required Skills/Experience
• Effective leadership and influencing skills,
• Ability to operate effectively, demonstrate agility in a fast-moving environment, and build strong relationships with key stakeholders,
• Problem-solving skills with the ability to multi-task, and thrive in a dynamic environment,
• Strong verbal and written communication skills,
• A passion for continuous learning and always wanting to have an impact,
• Understanding and knowledge of SA legislation to ensure business compliance,
• Understanding of local Labour law

Education Requirements

• Matric
• Bachelor's degree or HR related certification

Work Experience Requirements

• Minimum of 10 years of HR experience, Essential BPO industry 
• 5+ years experience as a HR business partner.  
• In alignment with the Employment Equity Act, preference will be given to applicants from historically underrepresented groups/ aligned with our EE targets

Qualifications

Required Skills/Experience

• Effective leadership and influencing skills,
• Ability to operate effectively, demonstrate agility in a fast-moving environment, and build strong relationships with key stakeholders,
• Problem-solving skills with the ability to multi-task, and thrive in a dynamic environment,
• Strong verbal and written communication skills,
• A passion for continuous learning and always wanting to have an impact,
• Understanding and knowledge of SA legislation to ensure business compliance,
• Understanding of local Labour law

Education Requirements

• Matric
• Bachelor's degree or HR related certification

Work Experience Requirements

• Minimum of 10 years of HR experience, Essential BPO industry 
• 5+ years experience as a HR business partner.  

go to method of application »

Job Description

• In this role, you'll be tasked with ensuring the achievement of assigned targets in alignment with Service Level Agreements (SLAs). Your responsibilities include upholding transaction quality within predefined parameters and controlling claim costs to minimize leakage.
• Maintaining accuracy in reserves and payments while managing the lifecycle of claims is crucial. Adherence to company policies and procedures is paramount to ensure operational efficiency.
• You'll be responsible for managing both inbound and outbound calls, as well as other correspondence related to claims. Emphasizing customer satisfaction, building rapport, and facilitating effective communication are key aspects of this position, aiming for timely resolution of customer concerns.
• Additionally, you'll be expected to fulfill any other essential functions as directed by the supervisor. Join us in delivering excellence and maintaining high standards in claims management.

Responsibilities

• Ensure that the assigned targets in accordance with SLA are met  
• Ensure that the quality of the transactions is in compliance with predefined parameters  
• Ensure claim costs is controlled and leakage kept at a minimum
• Ensure accuracy of reserves and payments and manage lifecycle of claims
• Ensure adherence to Company Policies and Procedures
• Managing calls – both inbound and outbound as well as all other correspondence on claims
• Focus on Customer Satisfaction, rapport building, effective communication and timely resolution of Customer concerns 
• Any other essential function that may occur from time to time as directed by the Supervisor

Qualifications

• English language proficiency
• Previous international Voice experience
• Good Computer navigation skills
• Should be familiar with MS Office 
• Possesses necessary knowledge of business concepts to effectively perform the job
• Makes decisions in a timely manner; shows good judgment about when to make decisions independently and when to collect more information or involve others. 
• Commits to achieving specific objectives and takes ownership for accomplishing them.
• Responsible for handling high volumes of transactions.
• Effectively balances quality, timeliness and productivity standards
• Self-discipline
• Result orientation 
• Adaptability 
• Listening and comprehension skills 
• Questioning and Reasoning Skills
• Customer Service focus and telephone etiquette
• Ability to multi task, prioritize and manage daily work activities

go to method of application »

Job Description

• Answers questions to providers related to Benefit Plans, Claims and related topics
• To communicate effectively for additional information as needed by providers
• Perform accurate data entry
• Perform eligibility and benefit verification
• Create effective, grammatically correct and compliant written communications and demonstrate effective listening and soft skills, engaging in effective dialogue through proper, clear, and effective verbal communication

Responsibilities

• Answers questions to providers related to Benefit Plans, Claims and related topics
• To communicate effectively for additional information as needed by providers
• Perform accurate data entry
• Perform eligibility and benefit verification
• Create effective, grammatically correct and compliant written communications and demonstrate effective listening and soft skills, engaging in effective dialogue through proper, clear, and effective verbal communication

Qualifications

• Good computer navigation skills
• Typing speed of 30 Words per Minute with 95% Accuracy 
• Well versed with basic functions of Microsoft Office (Word, Excel, PowerPoint, Outlook)
• Ability to work and collaborate effectively with internal customer
• Preferred knowledge of medical terminology
• Preferred ability to make sound decisions under the direction of Supervisor
• Preferred ability to analyze and resolve problems with minimal supervision
• Ability to navigate multiple systems and applications 
• Ability to produce high quality outcomes in a highly productive environment.
• Ability to make sound judgments based on available information.
• Excellent written and oral communication skills 
• Strong critical thinking skills and attention to detail
• Experience in using email and Web-enabled applications