Senior Case Manager

Description:

Job Summary

NHS Resolution is a not-for-profit part of the NHS working for health care providers to resolve claims fairly and to share learning across the NHS and beyond. We provide a supportive environment for our staff with specialist training and the opportunity for personal development.

NHS Resolution operates a number of indemnity schemes, on behalf of the Secretary of State for Health and Social Care, primarily for the handling of liability claims against English NHS Trusts and other commissioners and/or providers of NHS care.

The claims teams manage claims emanating from former PCTs and Strategic Health Authorities, which transferred to the Secretary of State. The Claims teams work in an interesting and dynamic climate, all contributing to a continually improving claims service.

The NHS Resolution Claims Management function is entering a phase of transformation and expansion with a vision to deliver a single, integrated claims function, with a supportive organisational structure that avoids duplication of effort and allows teams to develop their skills.

This is an exciting time for the function with a wide range of opportunities available to support our aims in delivering our future vision.

We are therefore recruiting to Senior Case Manager roles to join the Claims Management teams on a permanent contract basis.

Main duties of the job

The Senior Case Manager is an experienced claims management expert responsible for managing a caseload of complex claims. You will be expected to work closely with the Team Leader and other department members to ensure the highest possible standard of claims settlement and claims cost containment by:

• Triaging new claims to include the setting of initial reserves and providing guidance on early case strategy and the appropriate management pathway (settlement or investigation).
• Acting as Technical expert within the team, reviewing and dealing with complex, contentious and sensitive issues
• Assisting in examining trends/potential issues/risk alerts
• Identifying and addressing development needs and providing guidance, training, coaching and mentoring team members and secondees.
• Working with the Team Leader to implement and direct the strategy and improvement plans
• Act as member liaison
• Main referral point for indemnity queries