Patient Advocate

As a Clinical Support Specialist, you will play a crucial role in providing an effortless journey for all members making claims through their company Healthcare Plan. Your primary responsibility will be to ensure that they receive the best support, advice and treatment in line with the rules and benefits offered through their healthcare plan scheme.

The ideal candidate will have experience in the insurance or claims industry, or a solid clinical background coordinating care and treatment outcomes for the corporate market. You will work closely with our onsite Functional Health team to manage referrals and provide three-dimensional service.

• 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