Job Description

An established global organization is looking for a Senior Executive to support employee benefits and claims administration across India and international markets. The role involves end-to-end claims assessment, document verification, policy compliance, and coordination with stakeholders across different regions. Candidates must have relevant claims processing experience, fluency in Italian, and the ability to deliver accurate results within defined service timelines.

Job Details

• Location: Mumbai

• Experience: 5–10 years

• Band: BPO 3

• Salary: Up to ₹9 LPA

• Work Setup: 100% Work From Office

• Shift: Rotational/flexible shifts based on global business coverage (24/7 operations)

Requirements

• Graduate degree, preferably with a specialization in Human Resources.

• 5–6 years of experience in domestic or international employee benefits claims processing and adjudication.

• Fluency in Italian, with strong written and spoken communication skills.

• Practical knowledge of employee reimbursements, benefits, salary advances, and claims eligibility.

• Experience handling gym, vaccination, wellness, school reimbursement, salary advance, and other employee benefit claims.

• Strong expertise in claims documentation review, verification, and validation.

• Understanding of global claims processes and regional compliance requirements.

• Familiarity with Darwin and Workday is preferred.

• Exposure to ticketing platforms such as ServiceNow is an added advantage.

• Strong knowledge of SLA management, KPI monitoring, and quality standards.

• Excellent analytical, communication, and stakeholder management abilities.

Key Responsibilities

Benefits Administration and Claims Management

• Handle end-to-end claims assessment and processing for employees across India and international regions.

• Examine claim submissions and supporting documents to confirm eligibility, accuracy, and compliance with applicable policies.

• Process different categories of employee benefits, including fitness, vaccination, wellness, education, reimbursements, and salary advances.

• Investigate incomplete or inaccurate submissions, resolve discrepancies, and ensure timely claim closure.

• Maintain accurate records and documentation throughout the claims lifecycle.

Global Coordination and Service Delivery

• Work closely with employees, internal HR teams, global stakeholders, and external service providers.

• Support consistent claims administration practices across India, Europe, Southeast Asia, and the Middle East.

• Respond to claims-related queries and communicate decisions or outstanding requirements clearly.

• Ensure service delivery meets agreed quality, productivity, and turnaround-time expectations.

Performance and Process Compliance

• Track operational performance against defined SLAs and KPIs.

• Ensure claims activities comply with organizational policies, regional regulations, and established procedures.

• Identify recurring issues and recommend process enhancements to improve accuracy and efficiency.

• Maintain required reports and support continuous improvement initiatives.

Other Details

• This is a strictly onsite position in Mumbai; remote work is not available.

• Candidates must be flexible to support different regional time zones and 24/7 operational coverage.

• Willingness to work extended hours when business requirements demand is essential.