Claims Assessor

2 days ago

Brighton East Sussex, United Kingdom Legal & General Full time €46,000

Legal & General supports the savings, protection and retirement needs of around 14 million people, through our portfolio of retail and workplace businesses.
Our Retail division helps people enjoy a more colourful retirement, both directly and through their employers, including Lifetime Mortgages, Retirement Interest Only Mortgages and financial advice on our range of lending products.

We are the UK’s number one individual life insurer, and also provide Group Protection products for employers – all helping people to plan for the unexpected. We support home buying through our Mortgage Club – the UK’s largest – and our award-winning Surveying Services team. And our fintech team finds and supports socially useful start-ups and scale-ups working in the workplace, home, insurance and wealth areas.

Joining us means helping create brighter financial futures for all our customers.
Are you an experienced Medical Claims Assessor with Income Protection experience?

Were looking for an Individual Income Protection Assessor to join the team in Hove on either a hybrid or homebased basis with a salary of up to £46,000 dependant on experience.

Gather appropriate evidence and assess information in order to accept or decline claims displaying logical reasoning. Consider the customers’ expectation of the product so that claims decisions are fair and Legal and General does not suffer unnecessary financial loss or reputational loss
Manage claims from end to end, processing within claims guidelines so that quality and consistency across the area can be maintained, adhering to service standards and processes
Deal with all aspects of customer communication by taking and making calls, dealing with letters and emails, and using the most appropriate method of keeping customers informed eg: phone, letter, email, text, so that unnecessary incoming contact is minimised
Ensure that customers’ expectations of service are met whilst providing a positive impression of Legal and General. Utilise customer focused language
Identify appeals and complaints and take ownership for trying to resolve them with urgency, so that complaints are acted upon quickly, root causes are escalated and customer satisfaction is achieved
Take responsibility for supporting colleagues with training, mentoring and development of other members of the claims team, to improve their skill level
Take responsibility for managing claims of a contentious or sensitive nature, such as those involving fraud, litigation or prospect for litigation, liaising with Managers, GFC, and legal services so that the claim is effectively resolved
Experience of handling Income Protection claims is desirable. Good medical knowledge and understanding of Underwriting, including New Business process
Good understanding of financial calculations to support Claims Payment, including awareness of state benefit
Ability to handle difficult calls, when researching circumstances which may lead to a claim being refused
Whatever your role, we reward performance and behaviour with a package that looks after all the things that are important to you. The opportunity to participate in our annual, performance-related bonus plan and valuable share schemes
Generous pension contribution
Life assurance
Private medical insurance (permanent employees only)
At least 25 days holiday, plus public holidays, 26 days after 2 years’ service. There’s also the option to buy and sell holiday
Competitive family leave
Participate in our electric car scheme, which offers employees the option to hire a brand-new electric car through tax efficient salary sacrifice
There are the many discounts we offer – both for our own products and at a range of high street stores and online
Legal & General is a leading financial services group and major global investor, named Britain’s Most Admired Company in 2023, for the second year running. Rated top in our sector and top for inspirational leadership, we have a strong heritage and an exciting future.

We aim to build a better society for the long term by investing our customers’ money in things that make life better for everyone.

Empowered through initiatives which support people to develop their careers and excel.

We strive to be open, mindful and inclusive, so are always willing to discussing flexible working arrangements and reasonable accommodations for candidates with specific needs.

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