Technical Claims Audit Consultant

Recruiter
Legal & General
Location
Hove
Salary
25900.00 - 41100.00 GBP Annual
Posted
20 Sep 2017
Closes
14 Oct 2017
Category
Accounting
Function
Consultant
Contract Type
Permanent
Hours
Full Time


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  • Company Info
  • We take pride in being there for our customers. We help them deal with whatever life has in store and support them in achieving financial security; and that's thanks to the talented and dedicated people who work with us. For us, 'social responsibility' is not just a buzzword. It defines us and runs through everything we do for our customers and as an employer. And working with us, you'll get a competitive reward package and have the flexibility and autonomy to deliver your personal, business and career goals.
  • Department Info
  • At Legal & General Insurance we look after our customers throughout life, death and everything in between so that you know that everything that's important to you is protected. With over 180 years' experience in providing Insurance policies, our customers trust us to be there and to do the right thing.
  • Job Duties
    • Provide a comprehensive assessment of Income Protection and Critical Illness claims appeals, deciding whether to accept or reject the appeal, whilst meeting the expectations of the IFA's and our corporate clients
    • Conduct and deliver regular monthly audits of the decisions made by the benefits teams in relation to the Workplace Health and Protection products. Ensuring that a consistent, fair & acceptable level of decision making & service is provided to our customers
    • Deliver processes and systems to ensure that a consistent, acceptable level of service is provided to customers, that complaints and Financial Ombudsman Service (FOS) cases are handled fairly and that action is taken to reduce the causes of complaints in line with our Customer Experience and Treating Customers Fairly policy
    • Develop, document and review our benefits philosophies, techniques & practices, reviewing competitor activities, in order to ensure that we remain at the forefront of best industry practice
    • Maintain an expert level of knowledge on all technical benefits issues and regulatory/legislative issues and be a point of reference for the teams
    • Compile & analyse statistical data and case studies to identify trends and produce & circulate reports and feedback to appropriate managers, individuals and group forums relating to findings and claims activity
    • Undertake a technical development role, representing the benefits and medical underwriting area, when new business opportunities arise
    • Define, develop & deliver processes & 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), Legal & General's Confidentiality Policy and Group Financial Crime guidelines.


  • Skills Required
    • The jobholder requires a good working knowledge of legislative and regulatory aspects including Finance Act 2004, Equality Act (2010), Employment Law, HMRC rules relating to Life and Pensions products and Access to Medical Reports Act
    • The job holder requires excellent technical knowledge of the WHP products, good communication, both verbal and written, skills; analytical and risk management skills.
    • 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

  • 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, 22 days' (with potential to rise to 26 days) holiday, discretionary performance related bonuses, paid overtime, a variety of share schemes, 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.

    Please contact Helen Brockbank, Resourcing Lead, Legal & General - for further information.