Clinical Claims Process Advisor

Aviva Group; Eastleigh, Sheffield, Glasgow; Remote; GBP 42,000 - 45,000; Part time

Benefits offered by this job

Bonus programme

Pension

Holiday allowance

Private Medical Benefit

Share plan

Volunteer days

Cycle to work

Job summary

Aviva plc is looking for a Claims & Clinical Process Advisor to join our Clinical team on a 6-month secondment, working part-time (2 days per week). The role focuses on using insight and data to improve referral quality, reduce friction and support better customer outcomes across Health Claims.

You will influence processes and collaborate with Clinical, Technical Claims and Claims teams to develop guidance and knowledge tools, driving simplification and smarter ways of working.

Qualifications

• Clinical experience in health claims or related field.
• Strong understanding of private medical insurance and health claims processes.
• Ability to analyse data and translate insights into improvements.
• Excellent stakeholder management and communication skills.
• Experience shaping guidance and referral pathways is a plus.

Responsibilities

• Identify opportunities to improve referral quality and reduce friction.
• Collaborate with Clinical, Technical Claims and Claims teams.
• Develop guidance, referral pathways and knowledge tools.
• Support improvement initiatives and automation ideas.

Skills

Clinical experience

Healthcare insurance knowledge

Data analysis

Stakeholder management

Communication

Job description

Claims & Clinical Process Advisor

Salary circa £42,000 - £45,000 pro-rated (depending on location and experience)

Locations: Sheffield, Eastleigh, Glasgow

This role is Part Time (2 days per week) and is a 6 month Secondment

This is a great role for someone has strong Health Claims experience and enjoys using insight, analysis and collaboration to improve customer outcomes. You'll be naturally curious, comfortable working with data and passionate about identifying opportunities to make processes simpler and more effective. This role would suit someone who enjoys building relationships across teams, influencing positive change and helping colleagues deliver great customer experiences. If you're looking to broaden your experience, gain exposure to the Clinical function and play a key role in shaping future ways of working, we'd love to hear from you.

A bit about the job:

Join our Clinical team and help strengthen the way Clinical, Technical Claims and Claims teams work together to deliver better outcomes for customers. You'll use insight, operational data and colleague feedback to identify opportunities to improve referral quality, manage clinical demand more effectively and reduce friction in customer journeys. Working closely with a variety of stakeholders, you'll support the development of guidance, referral pathways and knowledge management tools that help colleagues make informed decisions. You'll also contribute to improvement initiatives, helping to identify opportunities for simplification, automation and more efficient ways of working across Health Claims. This is an exciting opportunity to influence a high-profile test-and-learn initiative while developing valuable skills in analysis, continuous improvement and stakeholder management.

Skills and experiencewe’relooking for:

• Clinical experience within healthcare, private medical insurance, clinical operations, case management, or a related environment.
• Strong understanding of private medical insurance, health claims processes, and the interpretation of clinical information to support customer outcomes and funding decisions.
• Proven ability to analyse data, identify trends, manage risk, and translate insights into meaningful improvements and positive customer outcomes.
• Excellent stakeholder management, communication, and influencing skills, with the confidence to challenge constructively and drive positive change.
• Strong organisational skills and a collaborative mindset, with experience developing or improving clinical guidance, referral pathways, or colleague support materials being advantageous.

What you’ll get for this role:

Our purpose - with you today, for a better tomorrow – is a promise we make to our colleagues too. And one of the ways we live up to that promise is by investing in you. We have so much to offer when it comes to being an Aviva colleague.

• Starting salary circa £42,000 - £45,000 pro-rated (depending on location, skills, experience, and qualifications)

• Bonus opportunity – 8% (C grade)of annual salary, (actual amount depends on your performance and Aviva’s.)

• Generouspensionscheme e.g. if you put in 8%, Aviva adds 14%

• 29 days holiday plus bank holidays, and you can choose to buy or sell up to 5 days

• Aviva-funded Private Medical Benefit to help you get expert support when you need it

• Make your money go further - Up to 40% discount on Aviva products, and other retailer discounts

• Up to £1,200 of free Aviva shares per year through our Matching Share Plan and share in the success of Aviva with our Save As You Earn scheme

• Brilliantly supportive policies including parental and carer’s leave

• Flexible benefits to suit you, including sustainability options such as cycle to work

• Make a difference, be part of our Aviva Communities and use your 3 paid volunteering days to help others

• We take your wellbeing seriously with lots of support and tools

Take a look to learn more. Put a salary into this calculator to see what your total Aviva Reward could be.

Aviva is for everyone:

We’re inclusive and welcome everyone – we want applications from all backgrounds and experiences. Excited but not sure you tick every box? Even if you don’t, we would still encourage you to apply. We also consider all forms of flexible working, including part time and job shares.

We flex locations, hours and working patterns to suit our customers, business, and you. Most of our people are smart working – spending at least 50% of their time in our offices every week - combining the benefits of flexibility, with time together with colleagues.

To find out more about working at Aviva take a look here