Key Responsibilities:
Undertake clerical duties for your clinical team, letters to GP's, reports, discharge correspondence, and clinical activity data inputting. Be the first point of contact for face-to-face, written, and telephone enquiries on behalf of your clinical team, using judgement to establish validity and priority of the contact. Deal with any admission enquiries using judgement and observing patient confidentiality at all times. Liaise with General Practitioners and outside agencies, including other hospitals, general and geriatric medical services, service users, and their relatives using their knowledge and judgement of any given situation. As required by your clinical team, record activity onto appropriate systems meeting all required deadlines. Track all service users from referral to discharge ensuring all correspondence is within local and national targets. Ensure all discharge notification and summaries are generated and sent to GP within agreed time frames. Check the patient's status, ensuring demographic details are correct and amended where necessary.
We are aspiring to ensure our workforce is representative of the diverse communities that we serve, and we are strongly committed to removing barriers to employment for candidates from under-represented groups, for example, BAME, Disabled, and LGBT+ communities. If you would like to have an informal chat about the recruitment process for this role or would value some additional support, we'd love to hear from you.
Applicants are encouraged to apply for posts at Greater Manchester Mental Health who have direct experience of mental health, learning disability, or drug and alcohol services either as a service user or a carer.
If you are offered a role with us and you require sponsorship, we will check your eligibility in line with the information on the above website. Your offer of employment could be withdrawn if the role is not eligible for sponsorship, and you are not otherwise able to evidence your right to work in the UK.
Do you have experience outside the NHS? We want to attract and retain people with diverse skills and experience, to deliver inclusive healthcare services to our communities. We will consider relevant experience outside the NHS to calculate your salary on appointment. Please contact our Recruitment Team for more information.
Greater Manchester Mental Health (GMMH) Foundation Trust employs over 6,400 members of staff, who deliver services from more than 160 locations. We provide inpatient and community-based mental health care for people living in Bolton, the city of Manchester, Salford, Trafford, and the borough of Wigan, and a wide range nction with the relevant Lead Lawyer to achieve the best possible results in a commercially sound manner. The role requires both an ability to follow defined processes and a forensic and analytical approach to dealing with evidence. In addition, a high level of commercial awareness is essential. A key element of this role is decision-making, to be reached within a set timeframe in accordance with the case strategy and within the best interests of the client. You will work with strategic foresight to ensure all litigation and opportunities are taken in order to work towards shaping the future of the counter-fraud arena. The caseload will consist of a range of suspected fraudulent insurance claims, including: Bogus Passenger Staged/Contrived Fraudulent Exaggeration Induced accidents Low Speed Impact Late Notification Claims Credit Hire Fraud MIB Linked & Organised Crime
Key Responsibilities
It will be the responsibility of the NDA File Handler to run fraud cases from the point of litigation through to the resolution of the case. Responsibilities in case management include, but are not limited to: Strategic Excellence
Detailed review and analysis of evidence throughout the life of the case Setting and agreeing the case strategy on files with clients, ensuring adherence to any KYO or generic strategies that may be put in place by Lead Lawyer and Technical Leads Adhering to all work type process stages Identifying strategic litigation opportunities and complex cases when appropriate Identifying client trends and any opportunities to raise profile with clients Client Excellence
Handling files in accordance with agreed client guidelines on a non-delegated basis Ensuring maximum client satisfaction on each case Ensuring accurate and timely completion of all client and internal MI Achieving both client and internal KPIs Technical Excellence
Reporting to Insurer client throughout the lifetime of the claim Liaising with all appropriate involvements on the case in order to carry out agreed investigations to meet the set strategy Compliance with all procedural and investigative deadlines Achieving the best result in litigation – protecting the client’s position in relation to proceedings, ensuring full compliance with the court timetable utilising procedural tactical advantages where possible. Undertaking advocacy where required and cost-effective to do so Dealing pro-actively and achieving the best results with the case investigations and strategy from receipt until point of resolution Delegating tasks as appropriate to assistants to take the case forward Timely and accurate maintenance of all Case Management Systems from opening to closure Adherence to file management policies Complying with the SRA Standards & Regulations Financial Excellence
Be commercially aware, by working in an efficient and effective manner Achieve financial targets Ensure timely and accurate billing Cultural Excellence
Adhere to our Values
WORKING HOURS 35 hours per week Monday – Friday 9am – 5.00pm with 1 unpaid hour for lunch. Primary location for this role is Bolton, Parklands Office. We are agile workers with attendance at our offices at least 1 day a week.
Skills, Knowledge and Expertise
Experience in civil litigation claims handling / as a legal File Handler or suitably qualified (ILEX, LPC etc.) Experience in one of the following: Experience of handling RTA pre-litigated and/or litigated case load An understanding of insurance litigation practice and processes together with indemnity principles Knowledge of the litigation process / working knowledge of the CPR Good advocacy skills Good client care skills and evidence of working to client guidelines High level of analytical skills Excellent listening, verbal and written communication skills Ability to prioritise work, keep to deadlines and work under pressure Ability to anticipate problems and identify solutions Experience of time recording and billing systems
Benefits
Davies Incentive Plan 25 days holiday per year which increases with level of service (opportunity to buy & sell 3 days) Family Cover Private Medical Insurance (Bupa) - will automatically be at single cover level but can opt into family option within first month of joining. Simply Health Care Cash Plan WeCare – 24/7 online GP, mental health support and virtual wellbeing covering a whole host of topics to do with health, mental health, wellbeing & healthy living and financial & legal wellbeing Death in Service Critical Illness Cover PHI/Income Protection (Private health insurance) Pension Contribution based 5% Employee / 3% Employer Cycle to Work Scheme* Tech Scheme* Season Ticket Loan* Gym Flex* Access to Online Discount Sites Discounted Gourmet Society Membership Discounted Tickets for Merlin Attractions nationwide Discounts at local retail outlets * after successfully completing probation
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