Nurse Case Manager, Clinical Injury Support

We’re looking for a dedicated and experienced Nurse Case Manager to join our team in Tunbridge Wells or Bristol on a full-time, permanent basis. In this rewarding role, you’ll provide expert guidance and support to members who have experienced clinical or medical negligence. You’ll also collaborate with solicitors and the Third-Party Recovery (TPR) team to help recover AXA Health’s financial outlay, using your knowledge of the law of subrogation to protect our interests—while ensuring our members receive the highest level of support throughout their journey. If you’re passionate about making a difference and have the relevant experience, we’d love to hear from you!

Key responsibilities:

• Manage and prioritise clinical negligence referrals from other departments, ensuring thorough assessment, appropriate action, and escalation when needed.
• Support the delivery of the TPR 2026 savings target by referring cases and members to the TPR team.
• Contribute to the Clinical Injury Support (CIS) team’s objectives by helping with financial recovery and improving member satisfaction.
• Contact and support members affected by clinical negligence or faulty products, providing clear advice to achieve satisfactory resolutions.
• Handle cases from initial diary entry to resolution, ensuring compliance with SLAs and GDPR.
• Liaise with internal stakeholders, answer queries about ongoing CIS cases, and attend internal meetings to share relevant provider information.
• Conduct detailed research on cases, including claims, recalled products, and high-risk surgical cases under investigation.
• Use medical expertise to support the TPR Team, especially when reviewing medical records or complex cases.
• Assist the CIS and TRP Team Manager with strategic initiatives aimed at increasing case leads, enhancing recoveries, and improving operational efficiencies.

Work arrangements:

At AXA we work smart, empowering our people to balance their time between home and the office in a way that works best for them, their team and our customers. You'll work at least two days a week (40%) away from home, moving to three days a week (60%) in the future. Away from home means attending the office, visiting clients or attending industry events. We’re also happy to consider flexible working arrangements, which you can discuss with Talent Acquisition.

Working hours & shift pattern:

You’ll work full time, 37.5 hours per week, Monday to Friday, between 8am and 5pm.

Your skills & experience:

• Current registration with the Nursing Midwifery Council (NMC).
• Substantive post registration clinical experience.
• Nursing diploma or Bachelor of Science (BSc) degree in nursing.
• Experienced in discussing, reassuring, and supporting individuals with a wide range of medical issues.
• Understanding of clinical negligence with the ability in explaining its meaning to others.
• Ability to identify valid medical negligence cases and advise on next steps, including complaints and legal processes.
• Sound relationship-building skills.
• Excellent written and verbal communication skills together with proficiency in MS Office, especially Excel.

As a precondition of employment for this role, you must be eligible and authorised to work in the United Kingdom. This position has been defined as an Insurance Distribution Directive (IDD) role under the IDD regime which means that in addition to pre-employment screening checks, the successful candidate will be subject to background screening every 4 years with an annual declaration in interim years. Please also note that you'll be screened through an enhanced DBS Check.

Equal Opportunities

We’re proud to be an Equal Opportunities Employer and don’t discriminate against employees or potential employees based on protected characteristics. If you have a long-term condition or disability and require adjustments during the application or interview process, we’re proud to offer access to the AXA Accessibility Concierge. For our support, please send an email to laura.venables@axa-uk.co.uk.