Job Description Key Responsibilities:
n n Claims Processing & Adjudication:
n n n Efficiently process and adjudicate India-specific and global benefits claims, ensuring accuracy and compliance with policies.
n Validate claims documentation, including gym reimbursement claims, vaccination claims, wellbeing benefits claims, school reimbursement claims, Salary advance claims etc. for global regions
n Identify discrepancies in claims and ensure timely resolutions in line with company guidelines
n Experience in similar claim processing is a must
n Knowledge and working experience of Darwin and Workday is a plus
n Knowledge of ticket management tools like SNOW is a Plus.
n n n Stakeholder Engagement:
n n n Collaborate with global stakeholders to align claims processing practices with global standards.
n Communicate effectively with internal teams, external vendors, and claimants to ensure smooth claim management.
n n n SLA & KPI Management:
n n n Demonstrate a strong understanding of Service Level Agreements (SLAs) and Key Performance Indicators (KPIs).
n Consistently meet or exceed SLA requirements for claims processing while maintaining high-quality standards.
n n n Policy Adherence & Process Improvement:
n n n Ensure adherence to company policies, local regulations, and international best practices in claims management.
n Proactively identify and recommend process improvements to enhance efficiency and accuracy.
n n Qualification & Skillset:
n n Graduate and specialization in Human resources
n 5–6 years of experience in India / Global claims processing and adjudication.
n Robust understanding of various types of claims, advances , reimbursements and benefits eligible for claims
n Expertise in verifying and validating claim-related documents.
n Exceptional command of English, with the ability to communicate fluently and professionally.
n Attention to detail
n Proven experience collaborating with global stakeholders across regions.
n Deep understanding of SLAs and KPIs and a track record of achieving or exceeding them.
n n Key Skills:
n n Proficiency in Italian Language (written and verbal)
n Claims Processing experience including gym reimbursement claims, vaccination claims, wellbeing benefits claims, school reimbursement claims, Salary advance claims etc. for global regions
n Knowledge of Darwin and Workday tool – is an advantage
n Documentation Validation
n Global Stakeholder Management
n Process Improvement and Compliance
n SLA & KPI Adherence
n Excellent Communication and Analytical Skills
n n Working Conditions:
n n Work Shift will be dependent on geography/region coverage requirements across a 24-hour * 7 service delivery
n Work from Office (No work from home)
n Agile to extended work hours when needed to meet deadlines without prompting.
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