Job
Description
About The Role
Skill required: Property & Casualty- Claims Processing - Insurance Claims
Designation: Claims Management Analyst
Qualifications:Any Graduation
Years of Experience:3 to 5 years
What would you do? We are seeking a dedicated and detail-oriented Workmen Compensation Claims Adjuster to manage and resolve Workmen Compensation (WC) claims end-to-end. The ideal candidate should have in-depth knowledge of applicable labor laws, a strong grasp of claim computation methodologies, and experience handling claims related to permanent disability, temporary disability, medical reimbursement, and death benefits. This role requires excellent analytical skills and the ability to interpret medico-legal reports, wage records, and compensation eligibility.End-to-End Claims Handling:Independently handle WC claims from First Notification of Loss (FNOL) through investigation, assessment, computation, and final settlement.Claim Computation:Accurately calculate compensation based on disability type (temporary, partial, permanent, or fatal), wages, and applicable statutory provisions.Legal & Regulatory Compliance:Ensure all claims are managed in line with local labor laws, WC Act, and relevant court rulings or authority guidelines (e.g., Commissioner of Labour).End-to-End Claims Handling:Independently handle WC claims from First Notification of Loss (FNOL) through investigation, assessment, computation, and final settlement.Claim Computation:Accurately calculate compensation based on disability type (temporary, partial, permanent, or fatal), wages, and applicable statutory provisions.Legal & Regulatory Compliance:Ensure all claims are managed in line with local labor laws, WC Act, and relevant court rulings or authority guidelines (e.g., Commissioner of Labour).
What are we looking for? Education:Graduate/Postgraduate in any discipline; preference for degrees in Law, Commerce, or Insurance.Experience:Minimum 3 years of experience in Workmen Compensation or Liability Claims handling.Technical Knowledge:oProficient in compensation calculations and understanding of wage structures.oKnowledge of Permanent Partial Disability (PPD), Permanent Total Disability (PTD), Temporary Total Disability (TTD), and fatal accident compensation.oFamiliar with labour codes, WC Act, ESIC provisions, and IRDAI guidelines related to liability claims.Experience handling claims under industrial accident policies or group personal accident insurance is a plus.Exposure to legal proceedings involving WC claims or coordination with labour courts.Certifications from insurance bodies (CII, III, IRDAI) in general insurance or liability lines are desirable.
Roles and Responsibilities: In this role you are required to do analysis and solving of lower-complexity problems Your day to day interaction is with peers within Accenture before updating supervisors In this role you may have limited exposure with clients and/or Accenture management You will be given moderate level instruction on daily work tasks and detailed instructions on new assignments The decisions you make impact your own work and may impact the work of others You will be an individual contributor as a part of a team, with a focused scope of work Please note that this role may require you to work in rotational shifts
Qualification
Any Graduation
