Claims Management Analyst

Overview

Manage and resolve workmen compensation claims end-to-end.

Key Responsibilities

• claim computation
• claims handling
• legal compliance
• regulatory compliance
• peer interaction
• claims settlement

Tasks

-Claim Computation: Accurately calculate compensation based on disability type (temporary, partial, permanent, or fatal), wages, and applicable statutory provisions. -End-to-End Claims Handling: Independently handle WC claims from First Notification of Loss (FNOL) through investigation, assessment, computation, and final settlement. -Your day to day interaction is with peers within Accenture before updating supervisors -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? -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).

Requirements

• 3 years
• workmen compensation
• insurance cert
• compensation calc
• labour codes
• law degree

What You Bring

-You will be given moderate level instruction on daily work tasks and detailed instructions on new assignments -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 -In this role you may have limited exposure with clients and/or Accenture management -Exposure to legal proceedings involving WC claims or coordination with labour courts. -Experience: Minimum 3 years of experience in Workmen Compensation or Liability Claims handling. -Please note that this role may require you to work in rotational shifts -Education: Graduate/Postgraduate in any discipline; preference for degrees in Law, Commerce, or Insurance. -Experience handling claims under industrial accident policies or group personal accident insurance is a plus. -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.

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