Nurse Clinical Case Manager

7 Days Old

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 incl...
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Location:
Bournemouth
Salary:
£45,000
Job Type:
FullTime
Category:
Accounting & Finance

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