Claims Audit Consultant

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VN-11790

Permanent

Hove

from £32,000

1 March 2019

The Technical Claims Audit Consultant will provide a comprehensive technical appeals & audit service for the Group Protection benefits area ensuring that set rules & regulations for products and processes are consistent with strategy and philosophy.

  • Provide a comprehensive assessment of Group Protection Product claims appeals, deciding whether to accept or reject the appeal, whilst meeting the expectations of our customers
  • Conduct and deliver regular monthly audits of the decisions made by the Claims teams in relation to the Group Protection products.
  • Produce & circulate audit and complaint reports and feedback to appropriate managers, individuals and group forums relating to findings and claims activity
  • Ensuring that set rules & regulations for products and processes are consistent with our strategy and philosophy.
  • Provided detailed complaints handling and resolution
  • Financial Ombudsman Service (FOS) cases are handled fairly and that action is taken to reduce the causes of complaints
  • 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
  • Demonstrate significant levels of knowledge on all technical benefits issues and regulatory/legislative issues and be a point of reference

The jobholder requires a good working knowledge of the financial services market including:

  • Group Protection market and its products
  • Equality Act (2010)
  • GDPR
  • Financial Ombudsman Service
  • Access to Medical Reports Act
  • Good understanding of medical conditions and the effect these can have on an individual’s ability to work

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.

For more information, please contact Rachel Chima, Resourcing Consutlant - rachel.chima@landg.com. Please note I cannot accept direct applications via email.

About L&G

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.

About the business area

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.

We are an equal opportunities employer and welcome applications from all suitably qualified persons regardless of their race, sex, disability, religion/belief, sexual orientation or age.

About L&G

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.

About the business area

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.

We are an equal opportunities employer and welcome applications from all suitably qualified persons regardless of their race, sex, disability, religion/belief, sexual orientation or age.