Job Title : Senior Executive – India HRO Benefits and Claims Processing

Job Description : 

We are looking for an experienced claims processing professional to manage and adjudicate India-specific and international employee benefits claims. The role involves validating supporting documents, processing reimbursements and salary advances, ensuring compliance with company policies, and meeting service-level agreements. The ideal candidate will have strong attention to detail, excellent English communication skills, Italian language proficiency, and experience working with global stakeholders.

Experience : 5–10 yrs

Location : Mumbai

Required Skills : 

1. India and Global Claims Processing and Adjudication

2. Benefits, Reimbursements, and Salary Advance Processing

3. Documentation Validation and Compliance

4. Global Stakeholder Management

5. Italian Language Proficiency (Written and Verbal)

Key Responsibilities :

• 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 claims.

• Identify discrepancies, investigate issues, and ensure timely resolution according to established guidelines.

• Collaborate with global stakeholders, internal teams, external vendors, and claimants to ensure smooth claims processing.

• Monitor and meet defined Service Level Agreements (SLAs) and Key Performance Indicators (KPIs).

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

• Ensure compliance with company policies, local regulations, and international best practices.

• Identify opportunities for process improvement and recommend measures to improve efficiency and accuracy.

• Use claims processing and ticket management systems to track cases and maintain accurate records.

• Support service delivery across different geographical regions and time zones.

Qualifications :

• Graduation with a specialization in Human Resources preferred.

• Relevant experience in India and international claims processing and adjudication.

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

• Experience verifying and validating claim-related documents.

• Proficiency in Italian, both written and verbal.

• Knowledge of Darwin and Workday is an advantage.

• Familiarity with ticket management tools such as ServiceNow (SNOW) is a plus.

• Strong understanding of SLAs, KPIs, compliance, and quality standards.

Important Points : 

• Ex TCS Employees can't apply.

• PAN and DOB are required for profile creation.