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For Companies At a Glance
- Tasks: Help members navigate their health insurance claims and provide expert advice on treatment options.
- Company: Join a dynamic team dedicated to improving member health and wellbeing through effective case management.
- Benefits: Enjoy 25 days of annual leave, your birthday off, and a 6% pension contribution.
- Why this job: Make a real impact on people's lives while working in a supportive and flexible environment.
- Qualifications: Experience in insurance or claims is essential; clinical backgrounds are a plus!
- Other info: Hybrid and remote work options available for a better work-life balance.
The predicted salary is between 20000 - 24000 £ per year.
Job Description
Healthcare Plan Case Manager
Location – Tewkesbury (hybrid working available)
Salary – £25,000 – £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
Company 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)
Essential Skills
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.
Creating an Inclusive Environment
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
Case Manager - Health Insurance employer: Health Case Management Limited (HCML)
Contact Detail:
Health Case Management Limited (HCML) Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Case Manager - Health Insurance
✨Tip Number 1
Familiarize yourself with the healthcare insurance landscape, especially the specific plans and benefits offered by corporate customers. This knowledge will help you stand out during interviews as it shows your commitment to understanding the role.
✨Tip Number 2
Brush up on your communication skills, particularly in conducting telephone assessments. Practice active listening and clear articulation, as these are crucial for effectively advising members on their health issues.
✨Tip Number 3
Network with professionals in the insurance and healthcare sectors. Attend relevant seminars or workshops to connect with others in the field, which can provide valuable insights and potentially lead to referrals.
✨Tip Number 4
Stay updated on clinical guidelines and evidence-based practices related to health insurance. Being knowledgeable about NICE guidelines and managed care pathways will demonstrate your expertise and readiness for the role.
We think you need these skills to ace Case Manager - Health Insurance
Some tips for your application 🫡
Understand the Role: Make sure to thoroughly read the job description for the Case Manager position. Understand the key responsibilities and essential skills required, as this will help you tailor your application to highlight relevant experiences.
Highlight Relevant Experience: In your CV and cover letter, emphasize any experience you have in the insurance or claims industry, particularly in healthcare. Mention specific examples of how you've managed workloads, conducted assessments, or provided support in similar roles.
Showcase Communication Skills: Since excellent communication skills are crucial for this role, provide examples in your application that demonstrate your ability to communicate effectively, both verbally and in writing. This could include experiences where you successfully resolved issues or supported clients.
Tailor Your Cover Letter: Craft a personalized cover letter that addresses the specific requirements of the Case Manager role. Discuss your understanding of clinical pathways and your problem-solving mindset, and explain how these qualities make you a great fit for the position.
How to prepare for a job interview at Health Case Management Limited (HCML)
✨Understand the Role and Responsibilities
Make sure you thoroughly understand the key responsibilities of a Case Manager in Health Insurance. Familiarize yourself with the processes involved in assessing health conditions and the importance of following managed care pathways.
✨Showcase Your Communication Skills
Since excellent communication is crucial for this role, prepare to demonstrate your ability to communicate effectively both verbally and in writing. Consider sharing examples from your past experiences where you successfully communicated complex information.
✨Highlight Relevant Experience
Be ready to discuss your experience in the insurance or claims industry, especially if you have a clinical background. Prepare specific examples that showcase your understanding of clinical and non-clinical pathways.
✨Familiarize Yourself with Healthcare Regulations
Understanding GDPR, DPA, and ICO rules is essential for protecting customer information. Brush up on these regulations and be prepared to discuss how they apply to the role during your interview.
