Legal Claims Team Lead

10 hours ago


Telford, Telford and Wrekin, United Kingdom NHS Shropshire, Telford and Wrekin Integrated Care... Full time
Job Title: Legal Claims Team Leader

The Legal Claims Team Leader will be responsible for managing the coordination and monitoring of complex packages of care and NHS funded placement. This role will require close collaboration with patients and their relatives to ensure they understand the process, eligibility criteria, and provide empathy to patients.

The postholder will have a flexible approach to care and work across inter-agency boundaries, maintaining good communication and liaison skills with all professionals and members of the public. They will undertake care reviews for people whose care is fully or partially funded by the NHS, ensuring patient-focused support and facilitating the most appropriate and cost-effective pathway for individuals.

The Legal Claims Team Leader will lead the management of packages of care for people in various care and support settings. They will work closely with the management team to support the day-to-day operational management and ongoing development of the team and services.

Key Responsibilities:
  • Manage the coordination and monitoring of complex packages of care and NHS funded placement.
  • Work closely with patients and their relatives to ensure they understand the process and eligibility criteria.
  • Undertake care reviews for people whose care is fully or partially funded by the NHS.
  • Lead the management of packages of care for people in various care and support settings.
  • Support the day-to-day operational management and ongoing development of the team and services.
Key Working Relationships:

The postholder will need to build and maintain constructive working relationships with internal and external stakeholders, including:

  • Individual Commissioning management team
  • Individual Commissioning team members
  • Safeguarding teams
  • Local Authority
  • Service users and relatives
  • Solicitors and other legal representatives
  • NHSE/I
  • Care providers from all sectors
  • NHS STW colleagues
  • Educational establishments
  • Finance team
  • Commissioning team

The postholder will be expected to work across the breadth of specialties according to their competency levels and have case management responsibility for a group of assigned patients. They will also undertake formal and informal teaching and training as needed and provide representation to a variety of multidisciplinary team meetings and panels.

The postholder will ensure accurate and open communication and coordination with a range of organisations and individuals. They will also support teams to ensure that the portfolio of tasks/projects are planned, managed, and delivered effectively.

Requirements:

The postholder will need to have a qualification as a registered nurse and possess a current NMC registration. They will also need to have the ability to travel within the locality and have a full understanding of the National Framework for NHS Continuing Healthcare and Funded Nursing Care, Who Pays guidance, and relevant sections of the Mental Health Act and commissioning and contracting principles.

Ideally, the postholder will be an experienced CHC assessor; however, if they are an experienced case manager and do not have CHC experience, they would still be considered.

The postholder will be expected to have skills in staff management, managing caseloads, developing reports for quality monitoring, and IT and digital solutions.

The postholder will also be expected to attend National and local forums to positively contribute towards NHS change and development.



  • Telford, Telford and Wrekin, United Kingdom NHS Shropshire, Telford and Wrekin Integrated Care... Full time

    Job Title: Legal Claims Team LeaderThe Case Management Team is responsible for coordinating care provision for patients with complex needs, ensuring that their needs are met and regularly reviewed in line with national requirements. As a Team Leader, you will be responsible for leading a team of case managers in facilitating needs assessments, monitoring...


  • Telford, Telford and Wrekin, United Kingdom NHS Shropshire, Telford and Wrekin Integrated Care... Full time

    Job Title: Legal Claims Team LeaderThe Case Management Team is responsible for coordinating care provision for patients with complex needs, ensuring that their needs are met and regularly reviewed in line with national requirements. As a Team Leader, you will be responsible for leading a team of case managers in facilitating needs assessments, monitoring...


  • Telford, Telford and Wrekin, United Kingdom Diligenta Full time

    Exciting Opportunity as a Health Claims AssessorAbout Diligenta:Diligenta is a leading provider of innovative life and pensions administration services, with a strong focus on customer satisfaction and operational excellence. We are dedicated to driving positive change and development within our organization.Job Summary:We are currently seeking a Claims...

  • Health Claims Examiner

    10 hours ago


    Telford, Telford and Wrekin, United Kingdom Diligenta Full time

    About the RoleWe are seeking a skilled Claims Assessor to join our operations team at Diligenta. As a Claims Assessor, you will play a crucial role in managing individual protection claims from initial notification to final settlement, ensuring that all claims are processed within agreed service standards and regulatory requirements.Key...


  • Telford, Telford and Wrekin, United Kingdom Diligenta Full time

    About the RoleWe are seeking a skilled Claims Assessor to join our operations team at Diligenta. As a Claims Assessor, you will play a crucial role in managing individual protection claims from initial notification to final settlement, ensuring that all claims are processed within agreed service standards and regulatory requirements.Key...


  • Telford, Telford and Wrekin, United Kingdom Diligenta Full time

    About DiligentaDiligenta is a leading provider of life and pensions administration services, committed to delivering exceptional customer experiences and transforming client operations.Job SummaryWe are seeking a skilled Claims Assessor to join our operations team, responsible for managing individual protection claims from initial notification to final...


  • Telford, Telford and Wrekin, United Kingdom Diligenta Full time

    About DiligentaDiligenta is a leading provider of life and pensions administration services, committed to delivering exceptional customer experiences and transforming client operations.Job SummaryWe are seeking a skilled Claims Assessor to join our operations team, responsible for managing individual protection claims from initial notification to final...


  • Telford, Telford and Wrekin, United Kingdom Diligenta Full time

    About the RoleWe are seeking a skilled Claims Assessor to join our operations team at Diligenta. As a Claims Assessor, you will play a key role in managing individual protection claims from initial notification through to final settlement.Key ResponsibilitiesExamine and evaluate insurance claims for accuracy, completeness, and eligibility based on policy...


  • Telford, Telford and Wrekin, United Kingdom Diligenta Full time

    About the RoleWe are seeking a skilled Claims Assessor to join our operations team at Diligenta. As a Claims Assessor, you will play a key role in managing individual protection claims from initial notification through to final settlement.Key ResponsibilitiesExamine and evaluate insurance claims for accuracy, completeness, and eligibility based on policy...


  • Telford, Telford and Wrekin, United Kingdom Diligenta Full time

    About the RoleWe are seeking a skilled Claims Assessor to join our operations team at Diligenta. As a Claims Assessor, you will play a crucial role in managing individual protection claims from initial notification to final settlement, ensuring timely and accurate decision-making within agreed service standards.Key ResponsibilitiesExamine and evaluate...


  • Telford, Telford and Wrekin, United Kingdom Diligenta Full time

    About the RoleWe are seeking a skilled Claims Assessor to join our operations team at Diligenta. As a Claims Assessor, you will play a crucial role in managing individual protection claims from initial notification to final settlement, ensuring timely and accurate decision-making within agreed service standards.Key ResponsibilitiesExamine and evaluate...


  • Telford, Telford and Wrekin, United Kingdom Diligenta Full time

    About the RoleWe are seeking a skilled Claims Assessor to join our operations function at Diligenta. As a key member of our team, you will play a crucial role in managing individual protection claims from initial notification through to final settlement.Key ResponsibilitiesExamine and evaluate insurance claims for accuracy, completeness, and eligibility...


  • Telford, Telford and Wrekin, United Kingdom Diligenta Full time

    About the RoleWe are seeking a skilled Claims Assessor to join our operations function at Diligenta. As a key member of our team, you will play a crucial role in managing individual protection claims from initial notification through to final settlement.Key ResponsibilitiesExamine and evaluate insurance claims for accuracy, completeness, and eligibility...


  • Telford, Telford and Wrekin, United Kingdom Diligenta Full time

    Join Our Team as a Claims Evaluation SpecialistAbout Us:Diligenta stands at the forefront of Platform-based Life and Pensions Administration Services, emphasizing unparalleled customer service and operational excellence. Our commitment is to foster positive transformations and growth within our organization.Position Overview:We are on the lookout for a...


  • Telford, Telford and Wrekin, United Kingdom Diligenta Full time

    Join Our Team as a Claims Evaluation SpecialistAbout Us:Diligenta is a premier provider of Platform-based Life and Pensions Administration Services, committed to excellence in customer service and operational efficiency. We strive to foster positive transformations and growth within our organization.Position Overview:We are on the lookout for a Claims...


  • Telford, Telford and Wrekin, United Kingdom Diligenta Full time

    Exciting Opportunity as a Claims Evaluation SpecialistAbout Us:Diligenta stands as a premier provider of Platform-based Life and Pensions Administration Services, emphasizing exceptional customer service and operational excellence. Our commitment lies in fostering positive transformation and growth within our organization.Position Overview:We are on the...


  • Telford, Telford and Wrekin, United Kingdom Diligenta Full time

    Join Our Team as an Insurance Claims EvaluatorAbout Us:Diligenta stands as a premier provider of Platform-based Life and Pensions Administration Services, emphasizing outstanding customer service and operational excellence. Our commitment lies in fostering positive transformations and growth within our organization.Position Overview:We are on the lookout for...


  • Telford, Telford and Wrekin, United Kingdom Sanderson Full time

    Job Title: Health Claims AssessorWe are seeking a skilled Health Claims Assessor to join our operations team at Diligenta. As a Health Claims Assessor, you will be responsible for assessing new claim notifications across a range of benefits, including Income Protection, Critical Illness, and Total Permanent Disability.Key Responsibilities:Examine and...


  • Telford, Telford and Wrekin, United Kingdom Sanderson Full time

    Job Title: Health Claims AssessorWe are seeking a skilled Health Claims Assessor to join our operations team at Diligenta. As a Health Claims Assessor, you will be responsible for assessing new claim notifications across a range of benefits, including Income Protection, Critical Illness, and Total Permanent Disability.Key Responsibilities:Examine and...


  • Telford, Telford and Wrekin, United Kingdom Sanderson Recruitment Plc Full time

    Job Title: Health Claims AssessorWe are seeking a skilled Health Claims Assessor to join our operations team at Diligenta. As a Health Claims Assessor, you will be responsible for assessing new claim notifications across a range of benefits, including Income Protection, Critical Illness, and Total Permanent Disability.Key Responsibilities:Examine and...