Claims Processing Associate

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

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

• Identify discrepancies, resolve claim-related issues, and ensure timely processing in accordance with company policies.

• Maintain accurate records and ensure compliance with applicable guidelines.

2. Stakeholder Management

• Collaborate with global stakeholders across India, Europe, Southeast Asia, the Middle East, and other regions.

• Coordinate with internal teams, external vendors, and claimants to ensure smooth claims management.

• Communicate professionally and effectively to resolve queries and provide timely updates.

3. SLA and KPI Management

• Maintain a strong understanding of Service Level Agreements (SLAs) and Key Performance Indicators (KPIs).

• Meet established turnaround times, productivity targets, and quality standards.

• Monitor processing accuracy and contribute to continuous service delivery improvements.

4. Policy Compliance and Process Improvement

• Ensure adherence to company policies, regional regulations, and international best practices.

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

• Maintain confidentiality and accuracy while handling employee benefits and claims information.

Qualifications and Skills

• Graduate degree; specialization in Human Resources is preferred.

• 5–10 years of overall experience, with relevant hands-on experience in India and/or global claims processing and adjudication.

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

• Proficiency in Italian, both written and verbal.

• Excellent documentation verification and validation skills.

• Knowledge of Darwin and Workday is an advantage.

• Familiarity with ServiceNow (SNOW) or other ticket management tools is an advantage.

• Strong analytical, problem-solving, and communication skills.

• Experience working with global stakeholders and meeting SLA/KPI targets.

Working Conditions

• Work from Office (Mumbai); work from home is not available.

• Shifts may vary depending on regional coverage requirements across a 24×7 service delivery environment.

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

Important Eligibility Criteria

• Former TCS employees are not eligible to apply.

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