Clinical Case Manager

Your new company
A multi-award-winning UK insurance brand. They have recently been recognised as one of the "Top 10 Best Places to Work" in The Sunday Times Awards 2024.

Your new role
Number of positions available: 5 Contract Type: Permanent Working Pattern: 35 hours per week, hybrid - 2 days per week in either the Bournemouth or Stockport offices. Within the Complex Care Team, you will provide world-class customer service while assessing and managing claims for customers who require long-term care for complex conditions. This role is essential in ensuring our customers have access to their entitled benefits and treatments, while also identifying cost-saving opportunities.Assess claims eligibility throughout the duration of the claim, including conducting introductory calls to members, explaining case management, and obtaining an AMI.Proactively manage cases and navigate care, which includes regular contact with care providers (consultants, hospitals, clinics, etc.).Analyse relevant information to make appropriate technical decisions within your level of authority, ensuring that claims policies are always followed, and decisions are made by the appropriate team.Serve as an expert point of reference for customers, their representatives, colleagues, CSD, and the wider business to resolve complex claim queries and escalations.Maximise possible savings through proactive claims management. This includes but is not limited to: NHS and extended NHS cash benefits, offering home care providers where appropriate, identifying ineligible claim costs, care navigation to preferred partners, and regular provider management contact.Assist management in meeting business requirements, such as audits and specific projects.
What you'll need to succeed
UK-registered healthcare professionals: nurses, physiotherapists, or occupational therapists.Active registration with the NMC or HCPC.Proven clinical background and secondary care experience in the UK.Applications are welcome from those who have worked as Continuing Healthcare Assessors (CHCA) or Care Coordinators.Proficient with computers, with excellent knowledge of Word and Excel applications.Excellent communication, written, interpersonal, and organisational skills.Strong understanding of medical conditions, their treatments, and medical specialities.Proactive, can-do attitude.Team player who is willing to share knowledge and expertise within the team.***Please note: We do not offer sponsorship. Applications from outside the UK will be rejected.***
What you'll get in return
Competitive annual salary: £39,110 - £46,150, depending on experience.Bonus Schemes: Regularly rewards you for your performance.Pension: Up to 12% - the company will match your contributions up to 6% of your salary.Health Insurance: With its own set of rewards and benefits.Life Assurance: Four times your annual salary.Additional perks and benefits available.
What you need to do now
If you're interested in this role, click 'apply now' to forward an up-to-date copy of your CV. To find out more about this job please contact Agne on .

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