Claims Processing and Adjudication (Mumbai)

Claims Processing and Adjudication (Mumbai)

19 Aug
|
Tata Consultancy Services
|
Mumbai

19 Aug

Tata Consultancy Services

Mumbai

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.

1. 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.

1. 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.

1. Policy Adherence &
2. 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 and specialization in Human resources
- 5–6 years of experience in India / Global claims processing and adjudication.
- 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)
- Claims Processing experience including gym reimbursement claims, vaccination claims, wellbeing advantages claims, school reimbursement claims, Salary advance claims etc. for global regions
- Knowledge of Darwin and Workday tool – is an 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.

📌 Claims Processing and Adjudication (Mumbai)
🏢 Tata Consultancy Services
📍 Mumbai

Reply to this offer

Impress this employer describing Your skills and abilities, fill out the form below and leave Your personal touch in the presentation letter.

Subscribe to this job alert:

Get the latest job offers by email for: claims processing and adjudication (mumbai) / mumbai

Subscribe to this job alert:

Get the latest job offers by email for: claims processing and adjudication (mumbai) / mumbai