Nurse Case Manager, Clinical Injury Support

About the role

AXA Health is seeking a dedicated Nurse Case Manager to join its Clinical Injury Support team in Tunbridge Wells (or Bristol). In this full‑time permanent position you will guide members who have experienced clinical or medical negligence, collaborate with solicitors and the Third‑Party Recovery team, and help protect AXA’s financial interests while delivering high‑quality support.

Key responsibilities

• Manage and prioritise clinical negligence referrals, ensuring thorough assessment, appropriate action and escalation when needed.
• Support the delivery of the TPR 2026 savings target by referring cases and members to the TPR team.
• Contribute to the Clinical Injury Support team’s objectives by assisting with financial recovery and improving member satisfaction.
• Contact and support members affected by clinical negligence or faulty products, providing clear advice to achieve satisfactory resolutions.
• Handle cases from initial diary entry to resolution, ensuring compliance with SLAs and GDPR.
• Liaise with internal stakeholders, answer queries about ongoing CIS cases and share relevant provider information in meetings.
• Conduct detailed research on claims, recalled products and high‑risk surgical cases under investigation.
• Use medical expertise to support the TPR team, especially when reviewing medical records or complex cases.
• Assist the CIS and TPR Team Manager with strategic initiatives aimed at increasing case leads, enhancing recoveries and improving operational efficiencies.

Required profile

• Registered Nurse with case‑management experience.
• Experience handling clinical negligence referrals.
• Knowledge of subrogation law and financial recovery processes.
• Familiarity with GDPR and SLA compliance.
• Ability to collaborate with solicitors, internal teams and external stakeholders.

Required skills