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For Companies At a Glance
- Tasks: Help members navigate health claims and provide support for their wellbeing.
- Company: Join a dynamic healthcare team focused on improving lives through effective insurance solutions.
- Benefits: Enjoy 25 days off, your birthday off, and a generous pension contribution.
- Why this job: Make a real impact on people's health while working in a supportive, flexible environment.
- Qualifications: Experience in insurance or healthcare is essential; strong communication skills are a must.
- Other info: Hybrid work options available, plus opportunities for professional development.
The predicted salary is between 20000 - 24000 £ per year.
Role Overview
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.
- 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.
About the Role
Healthcare Plan Case Manager
Location - Tewkesbury (hybrid and remote options available)
Salary - 24,000 - 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.
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.
Case Manager - Health Insurance employer: Health Case Management Limited
Contact Detail:
Health Case Management Limited Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Case Manager - Health Insurance
✨Tip Number 1
Familiarise yourself with the latest healthcare regulations and guidelines, especially those related to health insurance. This knowledge will not only help you in interviews but also demonstrate your commitment to staying updated in a rapidly changing field.
✨Tip Number 2
Network with professionals in the health insurance and claims industry. Attend relevant seminars or workshops, and connect with people on platforms like LinkedIn. Building relationships can often lead to job opportunities that aren't advertised.
✨Tip Number 3
Prepare for potential interview scenarios by practising how you would handle specific case management situations. Think about how you would approach assessing a member's needs and coordinating their care, as this will showcase your problem-solving skills.
✨Tip Number 4
Research StudySmarter’s values and mission. Understanding our approach to healthcare and member support will allow you to align your answers during interviews, showing that you're a great fit for our team.
We think you need these skills to ace Case Manager - Health Insurance
Some tips for your application 🫡
Tailor Your CV: Make sure your CV highlights relevant experience in the insurance or claims industry, particularly in healthcare. Emphasise any clinical qualifications or experience that align with the role of a Case Manager.
Craft a Compelling Cover Letter: In your cover letter, explain why you are passionate about helping members navigate their health insurance claims. Mention specific skills such as communication and problem-solving that are essential for this role.
Showcase Relevant Skills: Highlight your proficiency with Microsoft Office and any IT systems you've used. Provide examples of how you've effectively managed workloads and met customer service deadlines in previous roles.
Research the Company: Familiarise yourself with the company's healthcare plans and benefits. Understanding their approach to member support will help you tailor your application and demonstrate your enthusiasm for the role.
How to prepare for a job interview at Health Case Management Limited
✨Understand the Role Thoroughly
Before the interview, make sure you have a solid grasp of the responsibilities and expectations outlined in the job description. Familiarise yourself with terms like 'managed care pathways' and 'multidisciplinary assessment process' to demonstrate your knowledge and enthusiasm for the role.
✨Showcase Your Communication Skills
As a Case Manager, excellent communication is key. Prepare examples from your past experiences where you effectively communicated complex information, both verbally and in writing. This will highlight your ability to advise members clearly and support their needs.
✨Demonstrate Problem-Solving Abilities
The role requires an investigatory mindset. Be ready to discuss situations where you've successfully identified issues and implemented solutions, especially in a healthcare or insurance context. This will show your potential employer that you can handle the challenges of the position.
✨Stay Updated on Industry Knowledge
Familiarise yourself with the latest trends and regulations in health insurance, including GDPR and DPA guidelines. Being knowledgeable about these topics will not only impress your interviewers but also show your commitment to protecting customer information.
