436492 Claims Processing Associate

# Job Description – Senior Executive, India HRO Benefits & Claims Processing

**Job Code:** 436492\

**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)\

**Employment Eligibility:** Ex-TCS employees are not eligible.

## Job Overview

We are looking for an experienced Senior Executive – India HRO Benefits & Claims Processing to manage India-specific and international employee benefits claims, reimbursements, and salary advances. The ideal candidate should have hands-on experience in claims processing and adjudication, strong documentation validation skills, proficiency in Italian (written and verbal), and the ability to work with global stakeholders across multiple regions.

## Key Responsibilities

- Process and adjudicate India and international employee benefits claims accurately and within defined timelines.

- Validate supporting documents for gym reimbursements, vaccination claims, wellbeing benefits, school reimbursements, salary advances, and other employee benefits.

- Identify discrepancies, resolve claim-related issues, and ensure compliance with company policies and regional guidelines.

- Coordinate with global stakeholders, internal teams, external vendors, and employees to ensure smooth claims processing.

- Monitor and achieve defined Service Level Agreements (SLAs) and Key Performance Indicators (KPIs).

- Maintain accurate claim records, documentation, and audit trails.

- Identify opportunities for process improvement, quality enhancement, and operational efficiency.

- Follow applicable company policies, local regulations, and international claims processing standards.

- Use HR systems and ticket management tools to track and resolve claims-related requests.

## Mandatory Skills

- Hands-on experience in India and/or global benefits claims processing and adjudication.

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

- **Italian language proficiency – written and verbal.**

- Strong documentation verification and validation skills.

- Knowledge of SLAs, KPIs, quality standards, and compliance requirements.

- Excellent English communication and analytical skills.

- Strong attention to detail and stakeholder management capabilities.

## Preferred Skills

- Working knowledge of Darwin and Workday.

- Familiarity with ServiceNow (SNOW) or other ticket management tools.

- Experience supporting global regions, including India, Europe, Southeast Asia, and the Middle East.

- Experience in HR operations, benefits administration, and process improvement.

## Qualifications

- Graduate in any discipline; specialization in Human Resources preferred.

- 5–6 years of relevant experience in India or international claims processing and adjudication.

- Demonstrated ability to work with global teams and meet strict service delivery targets.

## Working Conditions

- Work from office in Mumbai; remote work is not available.

- Shift timings will depend on the geographical regions supported and may follow a 24×7 service delivery model.

- Flexibility to work extended hours when required to meet business deadlines.

## Important Requirements

- Ex-TCS employees are not eligible to apply.

- PAN and Date of Birth (DOB) are required for candidate profile creation.

**Target Candidate Profile:** A claims processing professional with relevant employee benefits and reimbursement experience, Italian language proficiency, strong documentation validation skills, and the ability to manage global stakeholders while meeting SLA and KPI targets.

Clarify Italian language proficiency requirementsAdd a concise application process section