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 decisions on whether to accept or decline them.

Key Responsibilities:
  • Assess medical claims and gather evidence to support decisions
  • Consider customer expectations and ensure claims decisions are fair and consistent
  • Manage claims from end to end, adhering to service standards and processes
  • Deal with customer communication, including phone calls, letters, and emails
  • Identify appeals and complaints and take ownership of resolving them
  • Support colleagues with training, mentoring, and development
  • Manage claims of a contentious or sensitive nature, including those involving fraud or litigation
Requirements:
  • Experience in medical claims assessment or a related field
  • Good medical knowledge and understanding of underwriting
  • Ability to handle difficult calls and make decisions based on evidence
  • Good communication and interpersonal skills
  • Ability to work independently and as part of a team
What We Offer:
  • A competitive salary and bonus scheme
  • A generous pension contribution
  • Life assurance and private medical insurance
  • At least 25 days holiday, plus public holidays
  • Competitive family leave
  • Participation in our electric car scheme
  • Discounts on our products and at high street stores

Legal & General is a leading financial services group and major global investor. 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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