Claims Assessor - Hove, East Sussex, United Kingdom - Legal & General

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    Description

    Our aim at Legal & General Retail is to help our customers plan for the unexpected, achieve financial security for their tomorrow, and protect everything that's important to them.

    To better understand our customers and meet their needs, we've brought our protection, retirement income, savings, lending and advice, fintech and mortgage businesses under one umbrella.

    Created at the start of 2022 through the merging of our long-standing and trusted retail retirement and insurance businesses, we're a fast-growing division with big, customer-centered ambitions.

    Are you an experiencedMedical Claims Assessorwith Income Protection experience? Werelooking for an Individual Income Protection Assessor to join the team in Hove on either a hybrid or homebased basis with a salary of up to £46,000 dependant on experience.

    Gather appropriate evidence and assess information in order to accept or decline claims displaying logical reasoning.

    Consider the customers' expectation of the product so that claims decisions are fair and Legal and General does not suffer unnecessary financial loss or reputational loss.

    Manage claims from end to end, processing within claims guidelines so that quality and consistency across the area can be maintained, adhering to service standards and processes.

    Deal with all aspects of customer communication by taking and making calls, dealing with letters and emails, and using the most appropriate method of keeping customers informed eg: phone, letter, email, text, so that unnecessary incoming contact is minimised.

    Ensure that customers' expectations of service are met whilst providing a positive impression of Legal and General. Utilise customer focused language

    Identify appeals and complaints and take ownership for trying to resolve them with urgency, so that complaints are acted upon quickly, root causes are escalated and customer satisfaction is achieved.

    Take responsibility for supporting colleagues with training, mentoring and development of other members of the claims team, to improve their skill level.

    Represent the claims team in claims projects or other team or department initiatives by sharing knowledge and ideas and giving feedback in order to promote continuous improvement.

    Take responsibility for managing claims of a contentious or sensitive nature, such as those involving fraud, litigation or prospect for litigation, liaising with Managers, GFC, and legal services so that the claim is effectively resolved.

    Experience of handling Income Protection claims is desirable. Claims processes
    Claims Philosophy
    Insurance products and policy conditions
    Good medical knowledge
    Good understanding of financial calculations to support Claims Payment, including awareness of state benefits
    Ability to handle difficult calls, when researching circumstances which may lead to a claim being refused.

    Legal & General is a leading financial services organisation, named Britain's Most Admired Company in 2023, for the second year running.

    Rated top in our sector and top for inspirational leadership, we have a strong heritage and an exciting future.
    We're one of the world's largest asset managers, homebuilders, pension providers and insurers. Empowered through initiatives which support people to develop their careers and excel.

    We strive to be open, mindful, and inclusive, so are always willing to discussing flexible working arrangements and reasonable accommodations for candidates with specific needs.

    Instead, think about what you excel at and what else you can bring in terms of strengths, potential and connection to our purpose.