Job Title: Senior Executive – Claims Processing
Location: Mumbai
Experience: 5–10 Years (5–6 years of relevant claims processing experience preferred)
Band: BPO 3
Salary: Up to ₹9 LPA
Work Mode: Work From Office (WFO)
Shift: Flexible shifts based on regional coverage
Eligibility: Ex-TCS employees are not eligible.

Job Summary

We are looking for an experienced professional to manage India and international HRO benefits and claims processing. The ideal candidate should have hands-on experience in claims adjudication, reimbursement processing, benefits administration, and documentation validation across global regions, including India, Europe, Southeast Asia, and the Middle East.

Strong English communication skills, attention to detail, knowledge of claims policies, and the ability to collaborate with global stakeholders are essential. Italian language proficiency is a key skill requirement.

Key Responsibilities

• Process and adjudicate India-specific and international employee benefits claims accurately and efficiently.

• Review and validate supporting documents for gym reimbursements, vaccination claims, wellbeing benefits, school reimbursements, salary advances, and other eligible employee benefits.

• Identify discrepancies, investigate claim issues, and ensure timely resolution according to company policies.

• Verify claim eligibility, reimbursement limits, supporting documents, and applicable benefits guidelines.

• Coordinate with global stakeholders, internal teams, external vendors, and claimants to resolve queries.

• Meet defined Service Level Agreements (SLAs), Key Performance Indicators (KPIs), and quality targets.

• Ensure compliance with company policies, local regulations, and applicable international standards.

• Identify process gaps and recommend improvements to enhance accuracy and operational efficiency.

• Maintain accurate claims records, documentation, and audit trails.

• Use claims management and HR systems to process requests and track cases.

Mandatory Requirements

• Graduate in any discipline; specialization in Human Resources is preferred.

• 5–6 years of hands-on experience in India and/or global claims processing and adjudication.

• Experience handling employee benefits claims, reimbursements, salary advances, and documentation verification.

• Italian language proficiency in written and verbal communication, as required for the role.

• Strong understanding of claims eligibility, benefits policies, and reimbursement procedures.

• Experience meeting SLA, KPI, productivity, and quality targets.

• Excellent English communication, analytical, and problem-solving skills.

• Strong attention to detail and ability to manage multiple cases and deadlines.

• Experience collaborating with international stakeholders.

Good-to-Have Skills

• Knowledge of Darwin and Workday HR systems.

• Experience with ServiceNow (SNOW) or other ticket management tools.

• Exposure to international benefits administration across Europe, Southeast Asia, the Middle East, and other global regions.

• Experience in process improvement, compliance, and claims reporting.

Working Conditions

• Work from the Mumbai office; remote work is not available.

• Flexible shifts based on regional coverage and business requirements.

• Willingness to work extended hours when required to meet deadlines.

• Ability to support a global service delivery environment operating 24/7.

Important Information

• Salary: Up to ₹9 LPA.

• Job Code: 436492.

• Ex-TCS employees are not eligible.

• PAN and Date of Birth (DOB) are mandatory for candidate profile creation.

Interested candidates can share their updated resumes along with their total experience, relevant claims processing experience, Italian language proficiency, current CTC, expected CTC, notice period, and current location.