HRO – Claims Processing and Adjudication
Job Code # 336
Job Location- Bangalore
Salary- 3 LPA to 5 LPA
Key skills-
a) Any Graduate
b) Min 1 Year Exp in Indian/Global Claims processing
c) Expertise in verifying and validating claim-related documents
d) Knowledge of Workday/Darwin
Job Description-
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
• 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.
Qualification & Skillset:
• Graduate and specialization in Human resources
• 1–5 years of experience in India / Global claims processing and adjudication.
• Strong understanding of various types of claims, advances ,reimbursements and benefits eligible for claims
• Expertise in verifying and validating claim-related documents.
• Exceptional command of English, with the ability to communicate fluently and professionally.
• Attention to detail
• 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:
• Claims Processing experience including gym reimbursement claims, vaccination claims, wellbeing benefits claims, school reimbursement claims, Salary advance claims etc. for global regions
• Knowledge of Darwin and Workday tool – is an advantage
• Documentation Validation
• Global Stakeholder Management
• Process Improvement and Compliance
• SLA & KPI Adherence
• Excellent Communication and Analytical Skills
Working Conditions:
• Work Shift will be dependent on geography/region coverage requirements across a 24-hour * 7 service delivery
• Work from Office (No work from home)
• Agile to extended work hours when needed to meet deadlines without prompting