Walk-in TCS Mumbai Hiring for Claim Adjudication Specialist

Walk-in TCS Mumbai Hiring for Claim Adjudication Specialist

Job Title: Claim Adjudication Specialist

Date: January 18th, 2026

Timings: 10:00 AM 12:30 PM

Venue: Rodas Enclave, Park Ln, Hiranandani Estate, Thane West, Thane, Maharashtra

Shift: Should be comfortable with Night Shift & 24x7 Rotational Support. Work from Office only

Experience Required: 4-8 years

Employment Type: Full-Time

JD : Kindly refer to the end of the post

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 EP2026XXXX.
• Step 6: You will receive the EP number on your personal e-mail ID .

Mandatory Documents to carry :

• TCS Online Application Form
• Hard Copy of Resume
• 2 Copy Recent Passport Size Photographs
• Original and photocopy of Govt. ID proof (Aadhaar Card or PAN Card)

Eligibility:

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

Position Overview :

We are seeking a skilled Senior Executive - India HRO Benefits and Claims Processing with 4-8 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 & 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.

1. 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.

1. 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.

1. 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.
• 48 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.
• 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:

• Benefits & Reimbursement Claims Adjudication and Processing
• Knowledge of Darwin and Workday tool - Mandatory
• Documentation Validation
• Global Stakeholder Management
• Process Improvement and Compliance
• SLA & KPI Adherence
• Excellent Communication and Analytical Skills

Working Conditions:

• Flexible working 24*7 shift timings.
• Work from Office (No work from home)

Agile to extended work hours when needed to meet deadlines without prompting.