Business Advisory Associate - Insurance Claims

Business Advisory Associate

Skill required: Insurance Services - Insurance Claims
Designation: Business Advisory Associate
Qualifications:BTech/Any Graduation/Bachelors of Information Technology
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 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? Credit risk assessment and reinsurer exposure monitoring using financial and operational datasets. •Detection of duplicate claims, premium mismatches, and reconciliation exceptions using machine learning. Predictive analytics for recoverability, collections prioritization, and dispute resolution •Design and deployment of AI-powered workflows to improve operational efficiency across reinsurance and claims.
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