Tcs Bengaluru is Hiring For Claims Processing and Adjudication

6 - 8 years

0 Lacs

Posted:1 month ago| Platform: Naukri logo

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Work Mode

Work from Office

Job Type

Full Time

Job Description

Claims Processing and Adjudication

6 to 8 years

Bengaluru

Kindly refer to the end of the post

Interested candidates please mail with EP ID (registration number process mentioned) in the mentioned Email ID (subhasish.g@tcs.com)

“#Claims Processing and Adjudication_Bengaluru”

Mandatory Requirements (How to generate your EPCN)

EPCN number is mandatory for eligibility of the interview

  • Step 1: Visit https

    ://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. 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 (10 + 2 + 3)
  • 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.

  • 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.

  • 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.

  • 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.

  • 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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