Role: Claims

Location: Mumbai

Experience: 5-10 Years

Band: BPO 3

Salary: up to 9 LPA

Job code: 436492


Position Overview:

We are seeking a skilled Senior Executive - India HRO Benefits and

Claims Processing with 5–6 years of hands-on experience in managing

claims adjudication and processing with a strong focus on India and

International claims processing. The ideal candidate will be well-versed

in various types of Claim processing (example gym reimbursement

claims, vaccination claims , wellbeing benefits claims , school

reimbursement claims , Salary advance claims etc for global regions

(India , Europe , SE Asia, Middle East etc)

This role demands a meticulous professional with a strong command of

English and the ability to work effectively with global stakeholders.


Key Responsibilities:

1. Claims Processing & Adjudication:

• Efficiently process and adjudicate India-specific and global

benefits claims, ensuring accuracy and compliance with

policies.

• Validate claims documentation, including gym reimbursement

claims, vaccination claims, wellbeing benefits claims, school

reimbursement claims, Salary advance claims etc. for global

regions

• Identify discrepancies in claims and ensure timely resolutions in

line with company guidelines


• Experience in similar claim processing is a must

• Knowledge and working experience of Darwin and Workday is

a plus

• Knowledge of ticket management tools like SNOW is a Plus.

2. Stakeholder Engagement:

• Collaborate with global stakeholders to align claims processing

practices with global standards.

• Communicate effectively with internal teams, external vendors,

and claimants to ensure smooth claim management.


3. SLA & KPI Management:

• Demonstrate a strong understanding of Service Level

Agreements (SLAs) and Key Performance Indicators (KPIs).

• Consistently meet or exceed SLA requirements for claims

processing while maintaining high-quality standards.


4. Policy Adherence & Process Improvement:

• Ensure adherence to company policies, local regulations, and

international best practices in claims management.

• Proactively identify and recommend process improvements to

enhance efficiency and accuracy.


Qualification & Skillset:

• Graduate and specialization in Human resources

• 5–6 years of experience in India / Global claims processing

and adjudication.

• Strong understanding of various types of claims, advances ,

reimbursements and benefits eligible for claims

• Expertise in verifying and validating claim-related documents.

• Exceptional command of English, with the ability to

communicate fluently and professionally.

• Attention to detail

• Proven experience collaborating with global

stakeholders across regions.

• Deep understanding of SLAs and KPIs and a track record of

achieving or exceeding them.


Key Skills:

• Proficiency in Italian Language (written and verbal)

• Claims Processing experience including gym reimbursement

claims, vaccination claims, wellbeing benefits claims, school

reimbursement claims, Salary advance claims etc. for global

regions

• Knowledge of Darwin and Workday tool – is an advantage

• Documentation Validation

• Global Stakeholder Management

• Process Improvement and Compliance

• SLA & KPI Adherence

• Excellent Communication and Analytical Skills


Working Conditions:

• Work Shift will be dependent on geography/region coverage

requirements across a 24-hour * 7 service delivery

• Work from Office (No work from home)

• Agile to extended work hours when needed to meet deadlines

without prompting.



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