Senior Executive – India HRO Benefits and Claims Processing

LOCATION: Mumbai

EXPERIENCE: 5–10 years

BAND: BPO 3

SALARY: Up to ₹9 LPA

NOTE: Ex-TCS Employees cannot apply. PAN and DOB are required for profile creation.


Position Overview

We are seeking a skilled Senior Executive – India HRO Benefits and Claims Processing with 5–6 years of hands-on experience in managing claims adjudication and processing, with a strong focus on India and International claims processing. The ideal candidate will be well-versed in various types of claim processing (e.g., gym reimbursement claims, vaccination claims, wellbeing benefits claims, school reimbursement claims, salary advance claims, etc.) for global regions (India, Europe, SE Asia, Middle East, etc.).


This role demands a meticulous professional with a strong command of English and the ability to work effectively with global stakeholders.


Key Responsibilities

1. Claims Processing & Adjudication


Efficiently process and adjudicate India-specific and global benefits claims, ensuring accuracy and compliance with policies


Validate claims documentation, including gym reimbursement claims, vaccination claims, wellbeing benefits claims, school reimbursement claims, salary advance claims, etc., for global regions


Identify discrepancies in claims and ensure timely resolutions in line with company guidelines


Experience in similar claim processing is a must


Knowledge and working experience of Darwin and Workday is a plus


Knowledge of ticket management tools like SNOW is a plus


2. Stakeholder Engagement


Collaborate with global stakeholders to align claims processing practices with global standards


Communicate effectively with internal teams, external vendors, and claimants to ensure smooth claim management


3. SLA & KPI Management


Demonstrate a strong understanding of Service Level Agreements (SLAs) and Key Performance Indicators (KPIs)


Consistently meet or exceed SLA requirements for claims processing while maintaining high-quality standards


4. Policy Adherence & Process Improvement


Ensure adherence to company policies, local regulations, and international best practices in claims management


Proactively identify and recommend process improvements to enhance efficiency and accuracy


Qualification & Skillset

Graduate with specialization in Human Resources – required


5–6 years of experience in India/Global claims processing and adjudication – required


Strong understanding of various types of claims, advances, reimbursements, and benefits eligible for claims


Expertise in verifying and validating claim-related documents


Exceptional command of English, with the ability to communicate fluently and professionally


Attention to detail


Proven experience collaborating with global stakeholders across regions


Deep understanding of SLAs and KPIs and a track record of achieving or exceeding them


Key Skills

Proficiency in Italian Language (written and verbal) – required


Claims Processing experience including gym reimbursement claims, vaccination claims, wellbeing benefits claims, school reimbursement claims, salary advance claims, etc., for global regions


Knowledge of Darwin and Workday – advantage


Documentation Validation


Global Stakeholder Management


Process Improvement and Compliance


SLA & KPI Adherence


Excellent Communication and Analytical Skills


Working Conditions

Work Shift will be dependent on geography/region coverage requirements across a 24-hour × 7 service delivery


Work from Office (No work from home)


Agile to extended work hours when needed to meet deadlines without prompting


Why Join?

Competitive salary: up to ₹9 LPA


Prime Mumbai location


Career growth in HRO benefits and claims processing


Global stakeholder exposure


Dynamic and supportive team environment