Medical Claims Assessor

2 weeks ago

Hove, Brighton and Hove, United Kingdom LegalAndGeneral Full time

Company Description
Life can sometimes be unpredictable, and it pays to plan ahead.

Our aim at
Legal & General Retail is to help our customers plan for the unexpected, achieve financial security for their tomorrow, and protect everything that's important to them.

To better understand our customers and meet their needs, we've brought our protection, retirement income, savings, lending and advice, fintech and mortgage businesses under one umbrella.

Created at the start of 2022 through the merging of our long-standing and trusted retail retirement and insurance businesses, we're a fast-growing division with big, customer-centered ambitions.


We are looking for an experienced Medical Claims Assessor with
Group Claims experience to join us on a 12 month fixed term contract.


Working on either a
hybrid basis in our Hove office or completely
Homebased with a salary of up to £40,000 dependant on experience.


What you'll be doing

  • In this role, you'll provide proactive and comprehensive claims assessment and management services for a defined account portfolio, and determining liability with your authority level.
  • Assessing and triaging Group Protection claims, determining what medical evidence to obtain in line with L&G's philosophies.
  • Providing a comprehensive assessment of Group Protection claims and determining liability, while meeting the expectations of our clients and stakeholders.
  • Cultivating effective relationships with IFA's and Policyholders (employers), to maximise the effectiveness of our benefit management processes, including the provision of support for the portfolio management of defined schemes.
  • Assisting in the provision of Management Data on portfolio accounts which analyses performance and identifies key trends.
  • Training, mentoring, and developing other members of the claims team.
  • Developing processes that deliver compliant and consistent levels of service, such that our customer and client expectations are met.

Qualifications

  • In depth knowledge of Group Protection or Income Protection products.
  • Understanding of medical conditions and the effect these can have on an individual's ability to work.
  • Awareness of the investigative and rehabilitation services provided by external organisations.
  • Extensive legislative and regulatory knowledge including
  • Finance Act 2004, Equality Act, Employer Law, DWP State Benefits, HMRC rules relating to Life and Pensions products, Data Protection Act, Financial Ombudsman Service
  • Strong written and verbal communication skills; analytical and risk management skills; ability to be creative and strategic thinking.
  • Proficiency in Microsoft office suite and IT savvy.
  • Strong claims medical assessment skills

Additional Information
The brand with the brolly is choosing today to change tomorrow.

Since 1836, we've grown to become one of the world's largest asset managers, homebuilders, pension providers and insurance brands.


We're all here to improve the lives of our customers, build a better society for the long term, and create value for our shareholders - helping to shape a better future for society and the planet.

We need people who share our ambitions, agility and entrepreneurial spirit to help us do it.

At L&G, you'll find a balance that helps you be your best. Empowered by hybrid working, we're supported by technology and workplaces that enable us to work effectively wherever we are. We come together in offices to collaborate and connect, and use time at home for individual, focused activities. And, when we achieve great things, we celebrate our success and reward strong performance.


Today, there's over 10,000 of us, working towards our mission, with plenty of opportunities to grow your career as we grow L&G.

Will you join us?

Great minds don't have to think alike, so we welcome voices from all backgrounds. Bringing together people with different life experiences helps us build empathy with our customers and drive innovation.

We don't just talk about it, we actively promote diversity and equitable opportunities for all.

That means our employment decisions are made without regard to race, colour, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability or protected veteran status.

In fact, we embrace every dimension of diversity to reflect the customers and communities we serve.


We think it's important to create an inclusive environment where we can all belong, contribute and drive progress, where you can develop and grow, and be empowered.

We want you to use your voice to help us build a better tomorrow.

So whoever you are, wherever you are, whatever your story, we'd love to hear from you.

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