What we do

We offer a full suite of services for the healthcare finance and accounting functions, with a strong focus on higher-end offerings that drive maximum value across the enterprise. 


Premium Receivables

  • Billing
  • Collections
  • Cash application
  • Front-end to back-end reconciliations
Claims (Payables)

  • Claim processing
  • Payment processing and disbursements
  • Reserving / Valuation –IBNR and Case Reserves
  • DAC accounting

Treaty administration

Reinsurance accounting and reconciliations 

Bordereau preparation and invoicing

Collections and cash application


Investment accounting
Corporate actions accounting
Portfolio reconciliation
Valuation and impairment

Digital Intelligence is the foundation of everything we do, and inspires our ideas and research. 

Real results

For businesses that aren't satisfied by good enough, or profitable enough, we use Digital Intelligence to deliver real results.

Digital transformation strengthened by deep domain knowledge

EXL’s clinical teams, analytics experts, and care management technologists, backed by unparalleled knowledge of the changing healthcare landscape, deliver solutions that address the industry’s most critical challenges. We partner with clients to achieve optimized outcomes, both financial and clinical.
These efforts have received recognition from healthcare industry analysts; most recently we were named a “Leader” by IDC in the healthcare clinical and financial analytics BPO space, and we were positioned in the “Winner’s Circle” in the HfS Healthcare Business Operations Services 2017.

5 of the top 10
US health plans partner with us
1 in 6 American
lives touched by CareRadius®
2,000+ nurses
delivering care management outcomes

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