Customer Service Analyst

Skill required: Property & Casualty - Property and Casualty Insurance

Designation: Customer Service Analyst

Qualifications:Any Graduation

Years of Experience:3 to 5 years
About AccentureAccenture 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 worlds 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 help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Fraud Investigation:Reviewing claims to identify potential fraudulent activities, analyzing evidence, and conducting investigations to determine the validity of claims. Claims Processing:Handling claims related to fraud, ensuring they are processed accurately and efficiently while adhering to process Documentation:Maintaining detailed records of investigations, findings, and actions taken for each claim.Communication:Collaborating with other departments, investigators, to resolve fraud cases. Communicating findings to stakeholders and providing updates on claim statuses.Risk Assessment:Identifying patterns or trends in fraudulent activities and recommending measures to mitigate risks.Compliance:Ensuring all actions taken during investigations comply with legal and regulatory requirements.Fraud Investigation:Reviewing claims to identify potential fraudulent activities, analyzing evidence, and conducting investigations to determine the validity of claims. Claims Processing:Handling claims related to fraud, ensuring they are processed accurately and efficiently while adhering to process Documentation:Maintaining detailed records of investigations, findings, and actions taken for each claim.Communication:Collaborating with other departments, investigators, to resolve fraud cases. Communicating findings to stakeholders and providing updates on claim statuses.Risk Assessment:Identifying patterns or trends in fraudulent activities and recommending measures to mitigate risks.Compliance:Ensuring all actions taken during investigations comply with legal and regulatory requirements.

What are we looking for? Ability to handle disputesAbility to establish strong client relationshipAbility to meet deadlinesAgility for quick learningCommitment to qualityFraud Investigation:Reviewing claims to identify potential fraudulent activities, analyzing evidence, and conducting investigations to determine the validity of claims. Claims Processing:Handling claims related to fraud, ensuring they are processed accurately and efficiently while adhering to process Documentation:Maintaining detailed records of investigations, findings, and actions taken for each claim.Communication:Collaborating with other departments, investigators, to resolve fraud cases. Communicating findings to stakeholders and providing updates on claim statuses.Risk Assessment:Identifying patterns or trends in fraudulent activities and recommending measures to mitigate risks.Compliance:Ensuring all actions taken during investigations comply with legal and regulatory requirements.Customer Interaction:Handling inquiries or disputes from customers related to fraud claims, providing clear explanations, and resolving issues professionally.Use of Technology:Utilizing fraud detection tools, software

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