Healthcare Plan Case Manager
6 days ago
At CV-Library, we are seeking an experienced Insurance Case Manager to join our team. As an Insurance Case Manager, you will play a crucial role in providing an effortless journey for our members making claims through their company Healthcare Plan.
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.
- 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.
- Work seamlessly with our onsite Functional Health team to manage referrals and provide three-dimensional service.
- 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)
- Proficient with Microsoft Office packages and confident using IT systems in general.
- Experience working in an insurance or claims environment (healthcare strongly preferred).
- Ability to conduct telephone assessments.
We are 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.
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