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Claims Assessor

Employer
Legal & General
Location
Hove, East Sussex
Salary
12 month fixed term contract - Competitive salary & benefits
Closing date
21 Jun 2019

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Job Details

Job Duties

The Claims Assessor is responsible for providing a pro-active and comprehensive claims assessment and management service for a defined account portfolio, authorising and processing the payment of claims on all Group Protection Products.

This is a 12 month fixed term contract based in our Hove office.

  • Triage and assessment of new Group Protection claims, determining what medical evidence to obtain in line with Legal & General’s philosophies.
  • Provide a comprehensive assessment of Group Protection claims, deciding whether to accept or reject liability and authorise payment as per individual authority limits as agreed by the Head of Claims, whilst meeting the expectations of the IFA’s and our corporate clients.
  • Develop and build effective relationships with IFA’s and Policyholders (employers), in order to maximise the effectiveness of our claims management processes including the provision of support for the portfolio management of defined schemes.
  • Authorise expenditure on appropriate external medical evidence to support the assessment of individual claims up to £5,000.
  • Propose expenditure on rehabilitation or work re-integration programmes where there is a suitable cost/benefit justification for doing so.
  • Where appropriate, 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, to improve their skill level
  • Ensure a consistent, timely and accurate level of service is maintained in line with service level agreements and promises made to meet customers’ expectations, and that are within scope of Legal & General’s Customer Experience and Treating Customers Fairly policies. Where failures are identified, provide information and feedback to the relevant areas to enable changes and improvements to be made.
  • Adhere to processes and systems to ensure that all customer data is dealt with appropriately in accordance with legislation, in particular the Data Protection Act (1995), the Access to Medical Reports Act (1988) and Legal & General’s Confidentiality Policy.

Skills Required

Qualifications:

The job holder is encouraged to obtain the Life & Disability Claims Diploma and the Group Risk GR1 module of the FPC qualification both of which are qualifications supported by the Chartered Insurance Institute.

Knowledge:

Specific Experience:

The jobholder requires extensive legislative and regulatory knowledge

Skills:

  • In depth knowledge of all Group Protection products past and present
  • Good understanding of medical conditions and the effect these can have on an individual’s ability to work
  • Awareness of the investigative and rehabilitation services provided by external organisations.
  • The job holder requires excellent communication, both verbal and written, skills; analytical and risk management skills; ability to be creative and strategic thinking.
  • Strong claims assessment skills

Benefits

Whatever your role, we reward ability, performance and attitude with a package that looks after all the things that are important to you. Our employees have a wide range of benefits including a generous pension scheme, life assurance, 25 days’ holiday, an annual supplement for private medical insurance, discretionary performance related bonuses, paid overtime, discounts at both a huge range of high street stores and our own great products, your hard work will be rewarded when you join us.

Company

At Legal & General, we are so much more than your typical finance business. Today we are a builder, insurer, investor, landlord and city regenerator. Tomorrow? Who knows? Whether you are into numbers, digital, data or people, we offer a wide range of opportunities that will take you on a journey that is anything but familiar.

What's the best thing about working at Legal & General? In addition to being part of a business that enables you to have impact and career progression, you get to actively drive change that matters. From addressing our climate crisis and supporting our ageing population to tackling our affordable housing shortage, you will be able to actively participate in driving societal change. At the same time you will be given the opportunity to grow and enjoy our excellent benefits offering while being part of a team of straightforward, collaborative and purposeful individuals that make your actions and ideas come to life in exciting and meaningful ways.

So take a closer look. Get involved. Be curious. You may be surprised!

Click below to find out more about us:

Company info
Website
Telephone
01273 375 524
Location
Pod 6, Ground Floor
The Droveway, City Park,
Hove
Sussex
BN3 7PY
GB

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