Band: BPO 3

Industry: BPO

Function & Role: Business / EDP Analyst

Location: Mumbai

Experience: 5-10 years

Salary: Up to ₹9 LPA

Shift: Rotational, based on regional coverage (24x7 service delivery)

Work Mode: Work from office (no work from home)

Role Summary

We are hiring a Senior Executive for India HRO Benefits and Claims Processing, with hands-on experience in claims adjudication and processing for India and international regions. You will process and validate employee benefit claims, work with global stakeholders and meet SLA and quality targets.

Key Responsibilities

Claims Processing and Adjudication

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• Process and adjudicate India-specific and global benefits claims accurately and in line with policy
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• Validate claim documents, including gym reimbursement, vaccination, wellbeing benefits, school reimbursement and salary advance claims, for global regions
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• Identify discrepancies in claims and resolve them on time as per company guidelines
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Stakeholder Engagement

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• Work with global stakeholders to align claims processing with global standards
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• Communicate with internal teams, external vendors and claimants for smooth claim management
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SLA and KPI Management

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• Meet or exceed SLA requirements for claims processing while maintaining high quality
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Policy Adherence and Process Improvement

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• Follow company policies, local regulations and international best practices
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• Identify and recommend process improvements to raise efficiency and accuracy
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Qualifications and Experience

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• Graduate, with specialization in Human Resources
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• 5-6 years of experience in India / global claims processing and adjudication
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• Strong understanding of claims, advances, reimbursements and eligible benefits
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• Expertise in verifying and validating claim documents
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• Excellent command of English, spoken and written
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• Attention to detail
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• Experience working with global stakeholders across regions
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• Good understanding of SLAs and KPIs, with a record of meeting them
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Key Skills

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• Italian language (written and verbal)
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• Claims processing across global regions (India, Europe, SE Asia, Middle East)
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• Documentation validation
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• Global stakeholder management
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• Process improvement and compliance
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• SLA and KPI adherence
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• Communication and analytical skills
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Good to Have

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• Knowledge of Darwin and Workday
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• Knowledge of ticket management tools such as SNOW (ServiceNow)
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Working Conditions

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• Rotational shifts, depending on regional coverage across a 24x7 service delivery
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• Work from office only
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• Willingness to work extended hours when needed to meet deadlines
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Hiring Conditions

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• Ex-TCS employees cannot apply
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• PAN and date of birth are required for profile creation