Note: The job is a remote job and is open to candidates in USA. EXL Company is looking for a Subrogation Quality Auditor in a fully remote position. The role involves auditing Third Party Liability (TPL) cases to ensure compliance with internal SOPs and quality benchmarks while providing feedback and identifying improvement opportunities.
Responsibilities
- Perform quality audits on subrogation cases to ensure compliance with internal SOPs, client guidelines, and regulatory requirements
- Review case files, documentation, liability determination, and system updates to evaluate accuracy and completeness
- Document audit results, quality scores, and findings in internal quality tracking and reporting systems
- Maintain audit documentation and supporting evidence in accordance with quality and compliance standards
- Provide structured feedback and coaching insights to Operations and Trainings teams based on audit outcomes
- Identify recurring quality issues, process gaps, and improvement opportunities through audit observations
- Participate in calibration sessions and quality assurance activities to maintain scoring consistency and alignment across auditors
- Ensure audit practices remain aligned with internal policies, procedures and regulatory requirements related to process
- Analyze audit trends and outcomes to perform root cause analysis an identify operational risks
- Support continuous improvement initiatives, quality enhancement efforts, and process optimization activities
Skills
- Bachelor's degree in: Business, Insurance, Finance, or a related field
- 1-2 years of experience in insurance claims, subrogation operations, or quality assurance
- Prior experience in auditing insurance cases
- Works independently in a remote environment and delivers exceptional results
- Demonstrates excellent written and verbal communication skills
- Strong analytical skills and attention to detail
- Detail orientated with a high degree of accuracy
- Strong problem solving, decision-making, and analytical skills
- Possesses excellent time management and work prioritization skills
- Proficient in Excel, Word, and with general computer literacy
- Must be self-motivated to complete work in a timely manner to meet deadlines
- Possess ability to maintain and promote good working relationships with co-workers, management, and clients
- Medical terminology
Company Overview
EXL is a provider of Transformation and Outsourcing services to Global 1000 companies in multiple industries It was founded in 1999, and is headquartered in New York, New York, USA, with a workforce of 10001+ employees. Its website is http://www.exlservice.com.Company H1B Sponsorship
EXL has a track record of offering H1B sponsorships, with 1 in 2025, 1 in 2020. Please note that this does not guarantee sponsorship for this specific role.