Case Manager - Health Insurance

Role OverviewKey responsibilities:



Establish the current reason for ill health/injury and identify any underlying cause or contributory factors

Support the multidisciplinary assessment process by providing thorough and accurate information to assess personal and occupational risk factors.

To advise the member on the reason(s) and multifactorial issues associated with their current episode of ill health-injury and how they can take control of mitigating these.

Follow managed care pathways, NICE and other evidence based clinical guidelines

Where appropriate, review private and NHS treatment options when making onward referrals for consultations, investigations and treatment.

Source appropriate treatment providers, in line with the rules and benefits of their health insurance plan.

Keep up to date with the latest rules and benefits of each plan offered by our Corporate Customers, including changes, amendments and exceptions

Work seamlessly with our onsite Functional Health team to manage referrals and provide three-dimensional service

About the RoleHealthcare Plan Case Manager



Location - Tewkesbury (hybrid and remote options available)



Salary - £25,000 - £28,000



Our HCP Case Managers provide an effortless journey for all members making claims through their company Healthcare Plan, ensuring they receive the best support, advice and treatment in line with the rules and benefits offered through their healthcare plan scheme. Our aim is to help our members live a healthier, happier life and reduce things like long-term sickness and workplace absence. This role is particularly suited to someone with experience in the insurance or claims industry, or with a solid clinical background coordinating care and treatment outcomes for the corporate market.



Benefits

25 days annual leave

Your birthday off

6% company pension contribution

Bike to Work Scheme

Medicash Health plan

Enhanced Maternity/Paternity/Adoption and Shared Parental leave

2 voluntary days per year

Long Service Awards

Employee Wellbeing Seminars

CPD opportunities

Professional memberships paid for (role dependent)

Essential SkillsKey skills/experience:



Proficient with Microsoft Office packages and confident using IT systems in general

Excellent communication skills, both telephonically and in written communications

Adopt an investigatory and problem solving mindset

Manage workloads effectively to deliver against customer service deadlines and expectations

Essential experience:

Experience working in an insurance or claims environment (healthcare strongly )

Understanding of clinical and non-clinical pathways

Ability to conduct telephone assessmentsDesirable experience:



Clinical qualification such as Sports Therapy, Physiotherapy, Nutrition, Counselling

Knowledge of GDPR, DPA and ICO rules and guidelines, and how they relate to protecting customers and their information