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Accenture in India
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Claims Management Analyst

Claims Management Analyst

Accenture in India

3 - 5 years

0 Lacs

Bengaluru Karnataka India

Posted:1 day ago| Platform:

Apply

Skills Required

management processing strategy consulting technology network power compensation resolve reimbursement reports assessment compliance calculations coordination certifications analysis updating

Work Mode

On-site

Job Type

Full Time

Job Description

Skill required:

Property & Casualty- Claims Processing - Insurance Claims

Designation:

Claims Management Analyst

Qualifications:

Any Graduation

Years of Experience:

3 to 5 years

About Accenture

Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song— all powered by the world’s largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com

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: o Proficient in compensation calculations and understanding of wage structures. o Knowledge of Permanent Partial Disability (PPD), Permanent Total Disability (PTD), Temporary Total Disability (TTD), and fatal accident compensation. o Familiar 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

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Claims Management Analyst