Clinical Case Manager

JR United Kingdom; Stockport; Hybrid; GBP 39,000 - 47,000; Full time

Job summary

A leading insurance provider in Stockport is looking for healthcare professionals to join their Complex Care Team. This role involves managing claims for customers with complex conditions, ensuring they access entitled benefits. Candidates should be UK-registered nurses, physiotherapists, or occupational therapists with secondary care experience. A competitive salary between £39,110 and £46,150 is offered alongside performance bonuses and additional benefits.

Benefits

Performance bonuses

Pension scheme up to 12%

Health insurance

Life assurance: four times annual salary

Qualifications

• Must be a UK-registered healthcare professional.
• Proven clinical background and secondary care experience in the UK.
• Active registration with NMC or HCPC.

Responsibilities

• Provide world-class customer service in claims management.
• Assess claims eligibility throughout the claim process.
• Manage cases proactively and maintain contact with care providers.

Skills

Nursing

Physiotherapy

Occupational Therapy

Clinical background

Communication skills

Organizational skills

Education

UK healthcare professional registration

Tools

Word

Excel

Job description

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Company Overview

A multi-award-winning UK insurance brand recognized as one of the 'Top 10 Best Places to Work' in The Sunday Times Awards 2024.

Role Details

Number of positions available: 5
Contract Type: Permanent
Working Pattern: 35 hours per week, hybrid - 2 days per week in Bournemouth or Stockport offices.

Within the Complex Care Team, you will provide world-class customer service while assessing and managing claims for customers requiring long-term care for complex conditions. Your role is vital in ensuring customers access entitled benefits and treatments, and in identifying cost-saving opportunities.

• Assess claims eligibility throughout the claim process, including conducting introductory calls, explaining case management, and obtaining an AMI.
• Proactively manage cases and navigate care, maintaining regular contact with care providers such as consultants, hospitals, and clinics.
• Analyze information to make appropriate technical decisions within your authority, ensuring claims policies are followed.
• Serve as an expert reference point for customers, their representatives, colleagues, CSD, and the wider business to resolve complex queries and escalations.
• Maximize savings through proactive claims management, including NHS benefits, home care providers, and care navigation to preferred partners.
• Assist management with audits and specific projects.

Candidate Requirements

• 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.
• Experience as Continuing Healthcare Assessors (CHCA) or Care Coordinators is welcome.
• Proficient with computers, especially Word and Excel.
• Excellent communication, interpersonal, and organizational skills.
• Strong understanding of medical conditions, treatments, and specialties.
• Proactive attitude and team-oriented mindset.

Note: We do not offer sponsorship. Applications from outside the UK will be rejected.

Benefits

• Competitive salary: £39,110 - £46,150 depending on experience.
• Performance bonuses.
• Pension scheme up to 12%, company matches up to 6%.
• Health insurance with additional benefits.
• Life assurance: four times annual salary.
• Additional perks and benefits.

Next Steps

If interested, click 'apply now' to submit your CV. For more information, contact Agne at 0788 418 6023.

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