Medical Claims Specialist
1 week ago
Job Title: Medical Claims Specialist
Job Summary:
We are seeking a skilled Medical Claims Specialist to join our Group Protection team. As a Medical Claims Specialist, you will be responsible for assessing and managing Group Protection claims, providing comprehensive claims assessment and management services for a defined account portfolio.
Key Responsibilities:
- Assess and triage Group Protection claims, deciding what medical evidence to obtain in line with Legal & General's philosophies.
- Provide a comprehensive assessment of Group Protection claims and determine liability, while meeting the expectations of our clients and stakeholders.
- Cultivate effective relationships with IFA's and Policyholders (employers), to maximise the effectiveness of our benefit management processes.
- Assist in the provision of Management Data on portfolio accounts which analyses performance and identifies key trends.
- Train, mentor, and develop other members of the claims team.
- Develop processes that deliver compliant and consistent levels of service, such that our customer and client expectations are met.
Requirements:
- In-depth knowledge of Group Protection or Income Protection products.
- Understanding of medical conditions and the effect these can have on someone's ability to work.
- 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.
What We Offer:
- 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.
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