Senior Case Manager
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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 fixed term contract basis (10 - 12 months with the possibility of extension/ going permanent).
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
Please see the attached Job description and Person specification for more information.
About us
NHS Resolution is an Arms Length Body of the Department of Health & Social Care. As a not for profit part of the NHS, our purpose is to provide expertise to the NHS to resolve concerns fairly, share learning for improvement and preserve resources for patients. We have four key service areas:
- Claims Management: delivering expertise in handling clinical and non-clinical claims to members of our Indemnity Schemes
- Practitioner Performance Advice: providing advice, support and interventions in relation to concerns about the individual performance of Doctors, Dentists and Pharmacists.
- Primary Care Appeals: offering an impartial tribunal service for the fair handling of Primary Care contracting services.
- Safety and Learning: supporting the NHS to better understand and learn from claims, concerns and disputes; to target safety activity while sharing learning across the NHS.
What do we have to offer?
At NHS Resolution, we strive to be an employer of choice. Some of the benefits we offer include access to the NHS Pension Scheme and a minimum of 27 days Annual Leave. We are also committed to support individuals in having a work and life balance, offering flexible working arrangements. Furthermore, we can offer a chance to gain extra skills and training and with regular reviews and a clear plan, all employees can develop to their full potential.
Details
Date posted
15 June 2023
Pay scheme
Agenda for change
Band
Band 8a
Salary
£50,952 to £57,349 a year Plus HCAS (London based only)
Contract
Fixed term
Duration
12 months
Working pattern
Full-time, Flexible working, Home or remote working, Compressed hours
Reference number
M9912-NHSR-2023-63
Job locations
Nhs Resolution
10 South Colonnade
London
E14 4PU
NHS Resolution
7-8 Wellington Place
Leeds
LS1 4AP
Employer details
Employer name
NHS Resolution
Address
Nhs Resolution
10 South Colonnade
London
E14 4PU
Employer's website
Employer contact details
For questions about the job, contact:
Claims Training and Recruitment Team