Customer Service Associate

Skill required: Property & Casualty - Property and Casualty Insurance
Designation: Customer Service Associate
Qualifications:Any Graduation
Years of Experience:1 to 3 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 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 company policies and legal regulations. Documentation: Maintaining detailed records of investigations, findings, and actions taken for each claim. Communication: Collaborating with other departments, investigators, to resolve fraud cases. 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 company policies and legal regulations. Documentation: Maintaining detailed records of investigations, findings, and actions taken for each claim. Communication: Collaborating with other departments, investigators, to resolve fraud cases.
What are we looking for? •Ability to establish strong client relationship •Ability to manage multiple stakeholders •Adaptable and flexible •Collaboration and interpersonal skills •Agility for quick learning 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 company policies and legal regulations. 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 solve routine problems, largely through precedent and referral to general guidelines • Your expected interactions are within your own team and direct supervisor • You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments • The decisions that you make would impact your own work • You will be an individual contributor as a part of a team, with a predetermined, focused scope of work • Please note that this role may require you to work in rotational shifts