Senior Clinical Case Manager
Red Recruitment is recruiting a Senior Clinical Case Manager to join a long-established, successful and growing medical insurer in Taunton. You must be committed to customer service excellence and strive to go beyond the ordinary to help customers.
Benefits and Package
* Salary: £31,930 per annum (up to £35,535 after probation)
* Hours: Monday - Friday, 8am – 6pm (flexible working patterns available)
* Contract: Permanent
* Location: Taunton
* Additional leave
* Company events
* Company pension
* Cycle to work scheme
* Discounted or free food
* Employee discount
* Life insurance
* On-site parking
* Private medical insurance
* Referral programme
* Wellness programme
Key Responsibilities
* Providing advice in line with the latest clinical guidance, ensuring customers receive the correct clinical decision.
* Supporting colleagues and customers by handling front-line escalated medical queries and managing complex, challenging cases.
* Liaising with healthcare professionals by phone and email to obtain all necessary information for complex medical claims.
* Reviewing escalated complaints and recommending improvements to the healthcare offering.
* Managing complex cases and continuously seeking ways to improve service and support.
* Being part of the customer pathway, proactively reviewing eligibility for customers to use their health policy in line with coverage.
* Signposting where required to enable access to other eligible services.
* Using clinical skills to make informed decisions on highly complex treatment eligibility (e.g., levels of care, hospital length of stay, treatment options).
* Working proactively with providers to ensure care is appropriate and eligible under the customer’s policy.
* Carrying out medical research to support claim decisions and ensuring current, accurate evidence informs claims advice.
Key Skills and Experience
* Clinical background or healthcare experience required.
* Understanding of common medical terminology.
* Passion for providing excellent customer service and helping those with medical needs.
* Cert CII qualification within probation and CPD maintained per CII requirements (if not a medical qualification, must be completed).
* Excellent change‑management, problem‑solving and organisational skills.
If you are interested in this position as Senior Clinical Case Manager and have the relevant experience and qualifications required, please apply now!
#J-18808-Ljbffr