Medical Claims Assessor

2 days ago


Brighton, Brighton and Hove, United Kingdom Legal & General Full time £46,000
Job Title: Medical Claims Assessor

We are seeking an experienced Medical Claims Assessor to join our team in Hove. As a Medical Claims Assessor, you will be responsible for assessing medical claims and making informed decisions to ensure that our customers receive fair and timely resolutions.

Key Responsibilities:
  • Assess medical claims and gather evidence to support decisions
  • Consider customer expectations and ensure that claims decisions are fair and consistent
  • Manage claims from end to end, adhering to service standards and processes
  • Deal with customer communication, including taking and making calls, dealing with letters and emails
  • Identify appeals and complaints and take ownership for resolving them
  • Support colleagues with training, mentoring, and development
  • Manage claims of a contentious or sensitive nature, including those involving fraud, litigation, or prospect for litigation
Requirements:
  • Experience in medical claims assessment and income protection
  • Good medical knowledge and understanding of underwriting, including new business process
  • Ability to handle difficult calls and research circumstances that may lead to a claim being refused
  • Good understanding of financial calculations to support claims payment, including awareness of state benefit
What We Offer:
  • Competitive salary and performance-related bonus plan
  • Generous pension contribution and life assurance
  • Private medical insurance and at least 25 days holiday, plus public holidays
  • Competitive family leave and option to buy and sell holiday
  • Participation in our electric car scheme and discounts on 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. We aim to build a better society for the long term by investing our customers' money in things that make life better for everyone. We strive to be open, mindful, and inclusive, and are always willing to discuss flexible working arrangements and reasonable accommodations for candidates with specific needs.



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