Global Case Manager

Job Description: Global Case Manager Hybrid (up to 3 days WFH per week) Brighton Permanent Full time (35 hours per week) £38,000 - £47,700 fantastic benefits We consider all types of flexibility, including locations, hours and working patterns. We make health happen Bupa Global is the international health insurance division of Bupa. We provide customers who want premium international coverage with products and services to access the healthcare they need anytime, around the world, whether at home or when studying, living, travelling or working abroad. Bupa Global has offices around the world including London and Brighton (UK), Dublin (Europe), Miami (USA), Dubai (UAE, in partnership with OIC), Egypt and Hong Kong (China) as well as regional offices in mainland China, Singapore, the Dominican Republic, Bolivia, Panama, Guatemala and Ecuador. The Global Case Management Consultant will join our global team of specialists who support individual case management of medical cases to ensure quality care. You’ll help us make health happen by: Investigate, and respond to enquiries for complex medical pre-authorization and high value claims from different internal and external stakeholders including but not limited to members, providers, service providers and intermediaries in the appropriate method, in line with Bupa Global policy and management style Pro-actively contact members, providers, service partners and intermediaries via telephone, email, fax and letter to advise on the decision of requests and fully explain benefit entitlement to all parties. Ensure the correct interpretation of Bupa Global’s policy and rules, using the correct compatible combinations of codes for accurate processing of data, in accordance with our service standards and customer expectations Liaise with Global clinical staff to interpret condition and treatment to the rules and regulations of Bupa Global Prepare case reports for each investigation performed. Keeps records of daily activity for monthly reporting. Proactively negotiate medical costs and/or medical treatment to achieve both reduced cost to the business and most appropriate treatment for the member where appropriate. Develop and maintain an up to date and accurate knowledge of appropriate Bupa products, policies and initiatives in order to ensure that all queries are answered accurately. Key Skills / Qualifications needed for this role: Registered nurse or allied professional of the same standing Current registration nursing pin or equivalent allied health professional registration Excellent analytical and critical thinking skills Respects diversity and embraces cultural difference Highly customer focussed and able to place the customer’s at the heart of all their decision making. Prepared to visit patients at healthcare providers premises in various locations Excellent record keeping and reporting skills, with the ability to deliver reporting requirements on time. Benefits Our benefits are designed to make health happen for our people. Viva is our global wellbeing programme and includes all aspects of our health – from mental and physical, to financial, social and environmental wellbeing. We support flexible working and have a range of family friendly benefits. Joining Bupa in this role you will receive the following benefits and more: • 25 days holiday, increasing through length of service, with option to buy or sell • Bupa health insurance as a benefit in kind • An enhanced pension plan and life insurance • Annual performance-based bonus • Onsite gyms or local discounts where no onsite gym available • Various other benefits and online discounts Why Bupa? We’re a health insurer and provider. With no shareholders, our customers are our focus. Our people are all driven by the same purpose – helping people live longer, healthier, happier lives and making a better world. We make health happen by being brave, caring and responsible in everything we do. We encourage all of our people to “Be you at Bupa”, we champion diversity, and we understand the importance of our people representing the communities and customers we serve. That’s why we especially encourage applications from people with diverse backgrounds and experiences. As a Disability Confident employer, we offer a guaranteed interview for every disabled applicant who meets the minimum criteria for the job. We’ll make sure you are treated fairly and offer reasonable adjustments as part of our recruitment process to anyone that needs them. Time Type: Full time Be at the heart of helping people live longer healthier, happier lives and making a better world. We employ more than 80,000 people globally who are making this a reality. If you've got the belief, the drive and the talent to help us in our ambition then we’d like to hear from you. Wherever you work, one thing stands out about Bupa people. Our customers are our passion – they’re at the heart of our positively different culture of care. At Bupa you’ll be challenged, you’ll be encouraged to innovate, and collaborate with colleagues who are committed to delivering exceptional experiences. We trust, respect and consider everyone, knowing your difference will make the difference. 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