Healthcare Plan Case Manager

Location - Tewkesbury (hybrid and remote options available)

Salary - £24,000 - £27,000

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.

Key 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

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)

Key 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 preferred)
Understanding of clinical and non-clinical pathways
Ability to conduct telephone assessments

Desirable 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.

DE&I

HCML is committed to equality of opportunity for all staff and applications from individuals are encouraged regardless of age, disability, sex, gender reassignment, sexual orientation, pregnancy and maternity, race, religion or belief and marriage and civil partnerships