Job DescriptionKey Responsibilities:
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- Claims Processing& Adjudication: N
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- 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 advantages 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
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- Stakeholder Engagement: N
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- Collaborate with global stakeholders to align claims processing practices with global standards. N
- Communicate effectivelywith internal teams, external vendors, and claimants to ensure smooth claim management. N
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- SLA & KPI Management: N
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- 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
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- Policy Adherence & Process Improvement: N
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- 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
nQualification & Skillset:
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- Graduate and specialization in Human resources N
- 5–6 years of experiencein India / Global claims processing and adjudication. N
- Strong understanding ofvarious 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
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