Medical Claims Specialist

5 days ago


Hove, Brighton and Hove, United Kingdom Legal & General Full time

Job Summary

We are seeking a skilled Medical Claims Specialist to join our Group Protection team at Legal & General. As a Medical Claims Specialist, you will be responsible for providing comprehensive claims assessment and management services for a defined account portfolio.

Key Responsibilities

  • Assess and triage Group Protection claims, determining liability and medical evidence requirements.
  • Provide a comprehensive assessment of Group Protection claims, determining liability and meeting client expectations.
  • Cultivate effective relationships with intermediaries and policyholders to maximize benefit management processes.
  • Assist in the provision of management data on portfolio accounts, analyzing performance and identifying key trends.
  • Train, mentor, and develop other members of the claims team.
  • Develop processes that deliver compliant and consistent levels of service, meeting customer and client expectations.

Requirements

  • In-depth knowledge of Group Protection or Income Protection products.
  • Understanding of medical conditions and their impact on an individual's ability to work.
  • Strong written and verbal communication skills, analytical and risk management skills, and creative and strategic thinking.
  • Proficiency in Microsoft Office suite and IT savvy.
  • Strong claims medical assessment skills.

Benefits

  • 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.
  • 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.
  • Many discounts offered – both for our own products and at a range of high street stores and online.


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