Claims Management Specialist

 About The Role  

Skill required: Property & Casualty- Claims Processing - Insurance Claims

Designation: Claims Management Specialist

Qualifications:Any Graduation

Years of Experience:7 to 11 years

What would you do? As Team Manager, you will lead and oversee a claims adjudication team focused on Commercial Linesincluding Marine, Workers Compensation (WC), and Property insurance. You will ensure timely, accurate claim decisions while driving vertical-specific process improvements, compliance, and strategic performance reporting.Lead, mentor, and manage a team of claims adjudicators across Marine, WC, and Property portfolios.End-to-end adjudication authority:make final decisions on claim approvals, denials, and settlements within defined authority limits.Oversee setting reserves, conducting investigations, analyzing coverage, negotiating settlements, and executing closure decisions.Audit open and closed file reviews to ensure adherence to internal standards and regulatory requirements -identifying trends, control gaps, and areas for improvement Manage escalations from claim examiners, brokers, insureds, or legal teams, providing timely resolution and stakeholder communication.Develop and maintain performance packs (weekly, monthly) tracking key metrics (TAT, denial rates, reserve accuracy, loss ratios, escalations) for review during senior leadership calls.Lead, mentor, and manage a team of claims adjudicators across Marine, WC, and Property portfolios.End-to-end adjudication authority:make final decisions on claim approvals, denials, and settlements within defined authority limits.Oversee setting reserves, conducting investigations, analyzing coverage, negotiating settlements, and executing closure decisions.Audit open and closed file reviews to ensure adherence to internal standards and regulatory requirements -identifying trends, control gaps, and areas for improvement Manage escalations from claim examiners, brokers, insureds, or legal teams, providing timely resolution and stakeholder communication.Develop and maintain performance packs (weekly, monthly) tracking key metrics (TAT, denial rates, reserve accuracy, loss ratios, escalations) for review during senior leadership calls.

What are we looking for? Bachelors degree (Insurance, Business, Finance, Law, or equivalent); professional insurance certification preferred.Minimum 8 years experience in commercial claims adjudication across Marine, WC, and Property.Prior experience managing a team of claims professionalsdemonstrable leadership, coaching, and escalation handling.Experience within International/Marine insurance markets.Understanding of regulations and local statutory frameworks.Familiarity with Six Sigma, Lean, or process-mapping methodologies.Skilled in change management and implementing workflow automation and audit tools.

Roles and Responsibilities: In this role you are required to do analysis and solving of moderately complex problems May create new solutions, leveraging and, where needed, adapting existing methods and procedures The person would require understanding of the strategic direction set by senior management as it relates to team goals Primary upward interaction is with direct supervisor May interact with peers and/or management levels at a client and/or within Accenture Guidance would be provided when determining methods and procedures on new assignments Decisions made by you will often impact the team in which they reside Individual would manage small teams and/or work efforts (if in an individual contributor role) at a client or within Accenture Please note that this role may require you to work in rotational shifts
 Qualification Any Graduation