Senior Executive – India HRO Benefits & Claims Processing

Position Overview

We are looking for an experienced Senior Executive – India HRO Benefits & Claims Processing with hands-on experience in India and international claims processing and adjudication. The ideal candidate should have strong knowledge of employee benefits, reimbursements, salary advances, and claims documentation, along with excellent English communication skills and the ability to work with global stakeholders.

Proficiency in Italian (written and verbal) is required.

Key Responsibilities

1. Claims Processing & Adjudication

• Process and adjudicate India-specific and international employee benefits claims accurately and in accordance with company policies.

• Validate documentation for gym reimbursements, vaccination claims, wellbeing benefits, school reimbursements, salary advances, and other eligible benefits.

• Identify discrepancies and ensure timely resolution of claims.

• Maintain accurate records and ensure compliance with established procedures.

2. Stakeholder Management

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

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

• Communicate professionally and resolve queries effectively.

3. SLA & KPI Management

• Meet established Service Level Agreements (SLAs) and Key Performance Indicators (KPIs).

• Maintain high standards of accuracy, productivity, and service quality.

• Monitor pending claims and ensure timely completion.

4. Compliance & Process Improvement

• Ensure adherence to company policies, local regulations, and global best practices.

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

• Support continuous improvement initiatives within HR operations.

Required Qualifications & Skills

• Graduate with a specialization in Human Resources.

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

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

• Experience in claims documentation verification and validation.

• Proficiency in Italian, both written and verbal.

• Excellent English communication and analytical skills.

• Experience working with global stakeholders.

• Strong understanding of SLAs, KPIs, compliance, and process improvement.

Preferred Tools:

• Darwin and Workday.

• ServiceNow (SNOW) or other ticket management tools.

Working Conditions

• Work from Office only; work-from-home arrangements are not available.

• Shifts will depend 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 profile creation.

• Relevant claims processing experience is essential.