Tcs Bengaluru is Hiring For Claims Processing and Adjudication

2 days ago

Bengaluru, Karnataka, India Tata Consultancy Services Full time ₹ 9,00,000 - ₹ 12,00,000 per year

Role: Claims Processing and Adjudication

Experience: 6 to 8 years

Job Location: Bengaluru

JD : Kindly refer to the end of the post

Interested candidates please mail with EP ID (registration number process mentioned) in the mentioned Email ID )

Please mention "#Claims Processing and Adjudication_Bengaluru" in your EMAIL SUBJECT LINE

Mandatory Requirements (How to generate your EPCN)

EPCN number is mandatory for eligibility of the interview

  • Step 1: Visit
  • Step 2: Click to login
  • Step 3: Click New user (Register with us)
  • Step 4: Select "BPO" in areas of interest and complete the registration. (Fill the details)
  • Step 5: Once completed, your TCS no. will be generated which starts from EP2025XXXX.
  • Step 6: You will receive the EP number on your personal e-mail ID.

Eligibility:

  • Minimum 15 years of regular, full-time education
  • Should be flexible with night shifts & rotation shifts

Overview:

We are seeking a skilled Senior Executive - India HRO Benefits and Claims Processing with 6-8 years of hands-on experience in managing claims adjudication and processing with a strong focus on India and International claims processing. The ideal candidate will be well-versed in various types of Claim processing (example gym reimbursement claims, vaccination claims, wellbeing benefits claims, school reimbursement claims, Salary advance claims etc. for global regions (India, Europe, SE Asia, Middle East etc.)

This role demands a meticulous professional with a strong command of English and the ability to work effectively with global stakeholders.

Key Responsibilities

1. Claims Processing and 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.

2. 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.

3. 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.

4. Policy Adherence & 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.

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