Risk Engineering Specialist - Insurance Claims

Risk Engineering Specialist

Skill required: Insurance Services - Insurance Claims
Designation: Risk Engineering Specialist
Qualifications:BE/BTech
Years of Experience:7 to 11 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 784,000 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. Scope of work is to review the Insurance certificates and track the Insurance Information from the certificate or other proof of insurance received in Insurance tracking tool. Team will perform comparative review of borrower’s proof of insurance coverage against the requirement as per the loan documents to verify adherence and create exception records in the system based on client requirements and approved matrixes. Generate Letters and Reports, communicate non-adherence to the Borrowers/Agents and follow up on based on the Client approved matrixes. You will be responsible for developing and delivering business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery.
What are we looking for? •Ability to meet deadlines •Ability to work well in a team •Adaptable and flexible •Collaboration and interpersonal skills •Written and verbal communication
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