Walk-in |TCS Mumbai Hiring for Claim Adjudication

Interview Date: February 22nd, 2025.

Interview Time: 10 AM onwards (Entry is closed at 12:30 PM)

Venue: Tata Consultancy Services, Plant No 12, Gate No 4, Godrej & Boyce Complex, L B S Marg, Vikhroli West, Mumbai, Maharashtra 400079

Role: Claims Processing & Adjudicator

Desired Experience Range: 1-6 yrs

Shift: Should be comfortable with night shift - US Hours & in a 24X7 shift environment

Mode of Working: Work from Office

Position Overview:

We are seeking a skilled Senior Executive - India HRO Benefits and Claims Processing with 16 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 & 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.

Knowledge and working experience of Darwin and workday and service now is mandatory.

Experience in similar claim processing is a must.

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:

1. Ensure adherence to company policies, local regulations, and international best practices in claims management.
2. Proactively identify and recommend process improvements to enhance efficiency and accuracy.

Qualification & Skillset:

1. Graduate and specialization in Human resources.
2. 56 years of experience in India / Global HRO benefits and claims processing, with substantial exposure to India-specific claims adjudication. Strong understanding of various types of claims, advances, reimbursements and benefits eligible for claims.
3. Expertise in verifying and validating claim-related documents.

Exceptional command of English, with the ability to communicate fluently and professionally. 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:

1. Benefits & Reimbursement Claims Adjudication and Processing
2. Knowledge of Darwin and Workday tool - Mandatory
3. Documentation Validation
4. Global Stakeholder Management
5. Process Improvement and Compliance
6. SLA & KPI Adherence
7. Excellent Communication and Analytical Skills

Working Conditions:

1. Flexible working 24*7 shift timings.
2. Work from Office (No work from home)
3. Agile to extended work hours when needed to meet deadlines without prompting.

Education Criteria:

• Minimum 15 years of regular, full-time education (10 + 2 + 3)

Mandatory Documents to carry: Hard Copy of Resume, One Copy Passport Size Photo, Hard copy of TCS online application form, Original and photocopy of Govt. ID proof.

Mandatory Requirements (How to generate your EPCN)

EPCN number is mandatory for eligibility of the interview. Follow the below steps to register and mention the EPCN number on your resume

• Step 1: Visit ibegin.tcs.com/iBegin/
• 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. would be generated which starts from EP2025XXXX.
• Step 6: You will receive the EP number on your personal e-mail ID.