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Are you an experienced Claims Assessor? Do you thrive in being responsible for financial and medical decisions about claims assessments? Would you love to work from home or on an agile basis from our Hove office? If this sounds like you, then we would love to hear from you!

As a Claims Assessor, you will establish liability through accurate assessment, using your decision making and communication skills to achieve settlement. You’ll be paying out on claims that cover critical illness, disability, TIC and bereavement.

You will provide excellent customer service and claims handling through working proactively with Claims Assessors, claimants, medical professionals and 3rd parties to obtain requirements to support claims assessment so that the end-to-end time is minimised and customer satisfaction is maintained.

You will work Monday to Friday with weekends and bank holidays to relax! We offer a hybrid working model where you can work from home 3 days a week and enjoy time with your team the other 2! The salary for a Health Claims Assessor is £25,000 plus bonus. This is typically between 5% and 10% of your base salary.

We love working at Legal and General and know you will too. Here are some of the amazing benefits our colleagues get:

• Your hard work is rewarded through our company bonus scheme. This is typically between 5-10% of your salary. As your skillset grows, it’s possible your earning potential will too.
• This team has an excellent internal progression scheme- we will support your career development.
• 25 days holiday, plus bank holidays, 26 days after 2 years’ service. You can also buy and sell holiday.
• We give colleagues a 5% company pension contribution, plus match up to a further 5% of your personal contribution.
• Life assurance x8 of your annual salary.
• Free individual private medical insurance. You can also add your dependants on for a small cost.
• Recommend L&G as a great place to work and earn £500-£3500 if someone you know joins us.
• A variety of company share schemes, discounts at a huge range of high street stores and on our own products.
• We strongly believe in supporting our employees’ chosen charities, so we'll match money that you raise up to £5000.
• We have announced that our Cardiff office will move to The InterChange Building in Cardiff Central in 2023. We are completing a £400m regeneration project, the largest privately funded development in Wales. This move will see our people placed at the beating heart of the incredible £400m investment we're making in the city, and its long-term future.

What you'll be doing

• Gather appropriate evidence and medically assess information in order to accept or decline claims displaying logical reasoning on at least 2 claim types, including complex and contentious claims, or sensitive such as those involving fraud, overseas issues, litigation or the prospect of litigation, liaising with Managers, GFC and legal services so that the claim is effectively resolved and decisions made are fair and Legal and General does not suffer unnecessary financial loss or reputational loss.
• Ensure quality and consistency across the area is maintained by completing and managing claim tasks in conjunction with best practice and claims guides
• Take ownership and of maintaining an excellent knowledge and understanding of legislative and regulatory requirements, e.g. breach knowledge and adherence to L&G Company Policy and Procedures, including following L&G TCF policy, to minimise risk to L&G and its customers.
• Communicate with internal, external customers and third parties in a professional and efficient manner ensuring customer satisfaction is maximised and expectations met by obtaining and giving the correct information and keeping them fully informed of progress, so that unnecessary incoming contact is minimised .Utilise the most appropriate method of contact whilst providing a positive impression of Legal and General.
• 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. Where it is not possible to resolve, pass complaint to authorised complaint handler without delay to ensure compliance with complaints response time limits.
• Support the management team by providing ongoing training, coaching, feedback and technical support to team members, contributing fully to claims projects and identifying issues and recommending solutions for potential improvement to enhance the service given to claims customers to help ensure products continue to meet customers’ needs and claims are dealt with in a timely, efficient and competent way.

What we're looking for

• Understanding of Claims Philosophy
• Knowledge of legal aspects pertaining to claims, eg probate
• Knowledge of mainframe and support systems
• Claims Administration System (claim specific)
• Extensive knowledge of the full claims processes, customer journey and different Claim events
• Knowledge of Insurance products and policy conditions
• Awareness of Compliance regulations, and adherence to these
• Comprehensive knowledge of financial calculations to support Claims Payment, including awareness of state benefits
• Product knowledge of claims dealt with
• Medical knowledge to support the assessment of claims.
• Comprehensive understanding of Underwriting, including New Business process

Benefits

When you commit to Legal & General, we’ll commit to you too. That means we’ll recognise and reward your hard work, your performance and your contribution.

If you join us, you’ll get access to some great benefits, including private medical insurance, at least 25 days holiday (excluding bank holidays), a generous pension scheme, life assurance, and Income Protection. You can participate in our electric car scheme, which offers employees the option to hire a brand new electric car through tax efficient salary sacrifice. We’re also proud to offer competitive family leave.

You’ll have the opportunity to participate in our annual, performance-related bonus plan and valuable share schemes. And then there are the many discounts we offer that you can take advantage of – both for our own products and at a range of high street stores and online offerings.

About L&G

The brand with the brolly is choosing today to change tomorrow.

Since 1836, we’ve grown to become one of the world's largest asset managers, homebuilders, pension providers and insurance brands.

We’re all here to improve the lives of our customers, build a better society for the long term, and create value for our shareholders - helping to shape a better future for society and the planet.

We need people who share our ambitions, agility and entrepreneurial spirit to help us do it.

At L&G, you’ll find a balance that helps you be your best. Empowered by hybrid working, we’re supported by technology and workplaces that enable us to work effectively wherever we are. We come together in offices to collaborate and connect, and use time at home for individual, focused activities. And, when we achieve great things, we celebrate our success and reward strong performance.

Today, there’s over 10,000 of us, working towards our mission, with plenty of opportunities to grow your career as we grow L&G. Will you join us?

About the business area

Life can sometimes be unpredictable, and it pays to plan ahead. 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.

Our commitments to you

Great minds don’t have to think alike, so we welcome voices from all backgrounds. Bringing together people with different life experiences helps us build empathy with our customers and drive innovation.

We don’t just talk about it, we actively promote diversity and equitable opportunities for all. That means our employment decisions are made without regard to race, colour, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability or protected veteran status. In fact, we embrace every dimension of diversity to reflect the customers and communities we serve.

We think it’s important to create an inclusive environment where we can all belong, contribute and drive progress, where you can develop and grow, and be empowered. We want you to use your voice to help us build a better tomorrow.

We all work differently, and have different needs, which is why. we’re always open to discussing flexible working arrangements. Likewise, we’re committed to finding reasonable accommodations for candidates with specific needs during our recruiting process.

So whoever you are, wherever you are, whatever your story, we'd love to hear from you.

How to find out more

If this opportunity excites you but you’re not sure you meet all the requirements, or you’d like to know a bit more, please contact Clarice Wale at [email protected] (LinkedIn profile: https://www.linkedin.com/in/clarice-wale-b8511a181/).

If you’d like to be considered for this role, please submit your application through our careers website as we’re not accepting email applications.