Job description

Job responsibilities

The opportunity:

We are recruiting for an experienced Claims Auditor on a permanent basis who will primarily be auditing internal and external complex clinical and non-clinical claims files external suppliers. This key role within our Claims Function provides an exciting opportunity for the right candidate to help the Audit Team shape future developments and promote quality improvement within the Claims function at NHS Resolution.

What we’re looking for:

• Extensive personal injury and/or clinical negligence claims handling experience or equivalent knowledge and skills or post graduate qualification.
• Auditing experience.
• Excellent written and oral communication skills with the ability to communicate at all levels, sometimes in sensitive and or hostile environments.
• An ability to make decisions and be willing to highlight poor service delivery.
• Outstanding interpersonal, skills requiring diplomacy and professionalism.
• Ability to manage several priorities at the same time.
• Ability to work under pressure and to tight and immovable deadlines.

What do the current auditors say:

“Joining the audit team is an excellent opportunity to work with fantastic managers and colleagues to review and maintain the high quality of case handling expected from our case managers whilst also identifying and driving areas for improvement.

As an auditor, I, along with colleagues have been empowered to create, lead and contribute towards new audit projects for the benefit of the organisation. The encouragement provided to develop new audit projects, whilst performing everyday tasks is a testament to the professional and supportive nature of the audit managers and team members where everyone feels comfortable to contribute and assist in the success of various projects.”

‘Working in the audit team has helped broaden my understanding of claims management, the internal claims processes, and NHS Resolution’s vision and values. The scope and nature of audits vary from auditing claims from across the different indemnity schemes that NHSR operate to auditing Panel performance. The team is close knit, extremely friendly and regularly collaborate’. A former NHSR Case Manager

“In my previous role as a Claimant PI solicitor, I found myself always thinking about my files during the evenings / weekends – there was nothing quite like the feeling of sitting down to watch television on a Sunday evening and suddenly remembering the vast schedule of loss which had to be drafted the following day. Before going on annual leave, I would work long days to make sure my caseload was all up to date, only to return to the office and be faced with all of the work my pre-holiday efforts had generated. What I enjoy so much about my role in audit is that fact that once I have audited a file, that is it and I no longer have to think about it. I now have a much better work / life balance.”

"What I enjoy about working in the audit team, aside from how friendly (and it might surprise you to know fun) and supportive the team are, is the exposure to a really diverse range of work."

Additional information

Please submit a CV outlining your work history and key responsibilities, along with a supporting statement explaining what you will bring to the role and how you meet the essential criteria, including your background, experience and career achievements.

Closing date: Sunday 20th September 2026.

We encourage applicants to apply promptly, as we reserve the right to close vacancies early should sufficient applications be received

If you use AI to assist with any part of your application, please clearly indicate where it was used.

You must have the right to live and work in the UK. If you require a Visa, NHS Resolution is currently unable to support sponsorship requests.

Person Specification

Qualifications

Essential

• Degree level or equivalent
• A relevant post-graduate level professional qualification (such as Solicitor, CILEX or ACII) or equivalent experience in auditing personal injury claims.

Experience

Essential

• Extensive personal injury or clinical negligence claims handling experience or equivalent knowledge and skills or post graduate qualification
• Experience of working directly with senior leaders across a number of specialised departments, achieving delivery of common standards concerning effective and efficient stakeholder management
• Experience in change management and operational redesign or equivalent knowledge and skills or post graduate qualification

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer details

Employer name

NHS Resolution

Address

Leeds/Hybrid or homeworking

Leeds

West Yorkshire

LS1 4AP

United Kingdom

Employer's website

https://resolution.nhs.uk/careers/ (Opens in a new tab)

Job description

Job responsibilities

Why This Role Matters This role is central to ensuring we can demonstrate:

• Robust and credible assuranceto Boards and regulators
• Improved visibility and management of risk
• Delivery of national safety and quality requirements
• A consistent and standardised approach across the

• Have strong experience in governance, assurance, or quality improvement
• Are confident working with complex data and intelligence
• Can communicate clearly with senior leaders and committees
• Are highly organised, analytical and detail-focused
• Are motivated to improve outcomes for women, babies and families

Person Specification

Training

Essential

• Degree level qualification or equivalent experience gained in a large, complex healthcare organisation.
• Evidence of continuing professional development relevant to governance, assurance, quality improvement, service improvement or programme delivery.

Desirable

• Postgraduate qualification or equivalent experience in a relevant field, with training or qualification in quality improvement, project or programme management, governance, audit or risk management.

Experience

Essential

• Substantial experience of leading assurance, compliance, governance, quality improvement or service . Knowledge of NHS governance, assurance, quality and risk arrangements. Application, Interview improvement activity within a healthcare setting.
• Experience of developing and maintaining action plans, assurance frameworks, governance reports and evidence systems to support delivery and oversight.
• Experience of preparing high-quality reports, presentations and updates for senior leaders, committees and boards.
• Experience of working with complex qualitative and quantitative information, triangulating evidence and presenting clear conclusions and recommendations.
• Experience of managing competing priorities, working to deadlines and influencing delivery across multidisciplinary teams and organisational boundaries
• Experience of audit, service review, risk management or quality improvement methodology to support assurance and service development.
• Evidence of achieving transformation which has resulted in positive change in the health and/or social care setting
• Management experience to include experience of having undertaken change management.
• Project management at a senior level with evidence of leading and managing improvement projects.
• Experience of analysing complex data with multiple components of information in both qualitative and quantitative formats
• Experience of undertaking audits and using improvement methodology within change projects.
• Experience of working with a wide range of stakeholders
• Knowledge of research, audit, data collection and analysis methodologies
• Specialist knowledge, practical application and experience in change management, modernisation, service redesign, facilitation and successful implementation of service improvements at a senior level
• Competent in theory and application of service improvement tools and techniques.
• Ability to manage competing demands, deadlines and a pressured environment.

Desirable

• Knowledge of NHS governance, assurance, quality and risk arrangements.
• Knowledge of national maternity and neonatal policy, recommendations and review programmes relevant to perinatal services
• Understanding of NHS structures, system working and the wider health and care landscape.
• Knowledge and understanding of NHS commissioning and benchmarking.
• Knowledge of perinatal services and the NHS national delivery plan for maternity and neonatal services

Communication and relationship skills

Essential

• Highly developed communication, influencing and negotiation skills, with the ability to work credibly with senior clinical, operational and corporate leaders.
• Ability to communicate complex, sensitive or contentious information clearly and appropriately to a wide range of audiences.
• Ability to prepare and present concise, evidence -based written and verbal reports for committees, boards and external stakeholders.
• Ability to present complex and sensitive information to groups of staff from multidisciplinary backgrounds at all levels of the organisation
• Ability to present to large groups including the public as necessary.

Analytical and Judgement skills

Essential

• Strong analytical and problem - solving skills, with the ability to interpret complex information, identify themes, risks and gaps, and develop practical options and recommendations.
• Ability to exercise sound judgement on complex and sometimes contentious issues, balancing risk, evidence and organisational priorities.
• Ability to anticipate issues, take a strategic view and respond proactively to emerging requirements.
• Ability to analyse complex facts and situations and develop a range of options and solutions.
• Takes decisions on contentious issues where there may be a number of courses of action.
• Strategic thinking - ability to anticipate and resolve problems before they arise.

Skills

Essential

• Strong skills in project coordination, report writing, data interpretation, stakeholder engagement and the use of governance, audit and quality improvement tools to support delivery, oversight and service improvement.

Planning and organisation skills

Essential

• Demonstrable ability to plan and organise work programmes over the short, medium and long term, managing multiple priorities and deadlines effectively.
• Ability to coordinate complex work across teams and organisations, ensuring actions, risks, evidence and reporting requirements are delivered in a timely way

Equality, Diversity and Inclusion

Essential

• Able to demonstrate a commitment to equality, diversity and inclusion and to treating all individuals with dignity and respect, supporting equitable access, inclusive practice and culturally sensitive care

Other requirements specific to the role

Essential

• Ability to travel across UHL sites and work flexibly to meet the needs of the service.
• Commitment to maintaining confidentiality, professional credibility and a high standard of accuracy in all assurance and compliance work

Desirable

• Experience of working across more than one site, organisation or system footprint
• Knowledge of perinatal services across maternity and neonatal pathways.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Employer details

Employer name

University Hospitals of Leicester NHS Trust

Address

UHL

Leicester

LE1 5WW

United Kingdom

Employer's website

https://www.jobsatleicestershospitals.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Make recommendations, provide advice, prepare and present strategic reports/briefings for the Board and its committees, divisional management teams and clinical leads as required.

Collate and present qualitative and quantitative information and lead appropriate analysis to make robust recommendations arising from litigation and inquests.

Analyse, interpret and present claims and inquest data highlighting issues and risks to support decision making and service development, particularly in relation to quality improvement.

Identify and bring to the attention of clinical leads any immediate concerns about activity of individual staff, including where action may be needed to retrain or otherwise ensure the continuing safety of patients and others.

Represent the Trust within the NHS and community, and with other related individuals and organisations, including in criminal, civil and coroners courts.

Arrange and attend meetings and Court hearings involving lawyers, NHS Resolution and Trust staff to provide information on the matters under investigation and to support staff.

Manage a portfolio of high risk claims providing specialist advice and support to clinicians on liability and quantum to further the aim of defending such claims against the Trust. Advocating the position of the Trust as the Defendant where there may be opposing views with external stakeholders.

Provide settlement authority on behalf of the Trust on clinical negligence claims, worth over £5million.

Arrange and provide training as needed for staff. Assist and support staff at all levels across the organisation who are required to give evidence at Court on behalf of the Trust including offering pre hearing briefings and feedback as necessary.

Advise on management of complaints and serious incidents where there are complex and potential legal issues.

Provide legal and other professional advice on policies adopted by the Trust in its delivery of healthcare activities and in compliance with Health legislation.

Give legal and other professional advice on the proposed formation and adoption of new policies in respect of healthcare.

Provide training to any employees within the Trust on aspects of healthcare law relevant to them, including the senior leadership as appropriate.

Must have the ability to attend inquests and represent the Trust in complex matters.

Must be competent to manage and advise on Court of Protection matters to assist clinical staff in the care of patients.

Person Specification

Qualifications and Education

Essential

• Educated to Masters Level in Law or completion of substantial years articles of clerkship or training contract, equivalent to Masters level education or equivalent level of experience of working at a senior level in specialist area
• Qualified Solicitor or Barrister or Chartered Legal Executive with extensive PQE experience. Experience must be at required level to supervise and assess trainee Solicitors (equivalent to Partner level in private practice).
• This should include in depth knowledge of the following general and NHS disciplines:
• In depth practical expertise and knowledge in healthcare law including medical ethics, clinical negligence and personal injuries law.
• Extensive evidence of post qualifying and continuing professional development.
• In-depth demonstrable knowledge of the NHS and interrelated systems.
• In-depth demonstrable understanding of the background to and aims of patient safety and improvement methodologies.

Professional Registration

Essential

• Member of relevant Professional Body with Practicing Certificate.

Experience

Essential

• In-depth demonstrable knowledge and experience as a legal advisor on healthcare matters.
• Extensive experience of appearing in court and representing clients in contentious matters including Coroner's inquests.
• Extensive experience of managing complex clinical negligence claims on behalf of the Claimant and/or Defendant
• Extensive experience of drafting legal proceedings and instructing Counsel in High Court/Court of Protection applications.
• In-depth management experience/knowledge in a legal healthcare setting.
• Extensive demonstrable experience of writing reports, performance and data analysis and delivering training

Desirable

• Employment law and contract law experience

Knowledge and Skills

Essential

• Able to provide, receive and present highly complex, sensitive and contentious information.
• Highly developed negotiating skills with the ability to be authoritative and persuasive when appropriate.
• Strong organisational and management skills with a methodical approach in all aspects of work.
• Highly developed interpretative and analytical skills with the ability to analyse complex facts and develop a range of options.
• The ability to assimilate and analyse complex and sensitive clinical information.
• Previously responsible for a budget, involved in budget setting
• Able to take decisions when required on difficult and contentious issues where there may be a number of courses of action.
• The ability to act under pressure and provide appropriate, immediate and reasoned legal advice in any given circumstance.
• The ability to engender trust and to develop and maintain constructive relationships with staff at all levels within the Trust and with external organisations.
• Strategic thinking - skills and ability to anticipate and resolve problems before they arise.
• Proven skills to present highly detailed, arguments that require analysis, comparison and assessment of complex facts.
• Ability to plan and organise a broad range of complex activities, formulating and adjusting plans to reflect changing circumstances.
• Ability to work under pressure and to tight and often changing deadlines.
• Ability to work on own initiative and organise workload, allocating work as necessary.
• Able to demonstrate emotional resilience.
• Ability to make decisions autonomously, when required, on difficult issues.
• Acutely aware of the confidentiality of patient identifiable information.
• IT skills and understanding of Microsoft Office, including Word, PowerPoint and email.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

University Hospital Lewisham

Lewisham High Street

London

SE13 6LH

United Kingdom

Employer's website

https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Please see the attached supporting document which contains more information about the role and contact Siobhan Harding as hiring manager for more information.

Interview date: TBC

Person Specification

EDUCATION AND QUALIFICATIONS

Essential

• First level registered Midwife
• Clinical experience relevant to the post
• Post-graduate qualification relevant to the role

Desirable

• Masters Qualification relevant to health care
• Professional Midwifery Advocate

KNOWLEDGE AND UNDERSTANDING

Essential

• Clear understanding of the national and local Healthcare agenda.
• Record of achievement in managing performance.
• Experience of chairing multidisciplinary meetings.
• Sound knowledge of Ockenden recommendations, Maternity Transformation, Better Births, Saving babies lives and NHS Resolution Maternity incentive Scheme
• Sound understanding of clinical Risk Management

EXPERIENCE

Essential

• Significant experience at Senior Management level in maternity services.
• Expertise within the Delivery Suite setting
• Proven track record of clinical management in a multi-disciplinary environment
• Proven track record of planning and implementing service change
• Proven track record of staff and budget management
• A good understanding of the changing NHS environment

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Croydon Health Services NHS Trust

Address

Croydon University Hospital

530 London Road, Thornton Heath, CR7 7YE

Thornton Heath

CR7 7YE

United Kingdom

Employer's website

https://www.croydonhealthservices.nhs.uk/recruitment/ (Opens in a new tab)

Job description

Job responsibilities

Please see the attached supporting document which contains more information about the role and contact Siobhan Harding as hiring manager for more information.

Interview date: TBC

Person Specification

EDUCATION AND QUALIFICATIONS

Essential

• First level registered Midwife
• Clinical experience relevant to the post
• Post-graduate qualification relevant to the role

Desirable

• Masters Qualification relevant to health care
• Professional Midwifery Advocate

KNOWLEDGE AND UNDERSTANDING

Essential

• Clear understanding of the national and local Healthcare agenda.
• Record of achievement in managing performance.
• Experience of chairing multidisciplinary meetings.
• Sound knowledge of Ockenden recommendations, Maternity Transformation, Better Births, Saving babies lives and NHS Resolution Maternity incentive Scheme
• Sound understanding of clinical Risk Management

EXPERIENCE

Essential

• Significant experience at Senior Management level in maternity services.
• Expertise within the Delivery Suite setting
• Proven track record of clinical management in a multi-disciplinary environment
• Proven track record of planning and implementing service change
• Proven track record of staff and budget management
• A good understanding of the changing NHS environment

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Croydon Health Services NHS Trust

Address

Croydon University Hospital

530 London Road, Thornton Heath, CR7 7YE

Thornton Heath

CR7 7YE

United Kingdom

Employer's website

https://www.croydonhealthservices.nhs.uk/recruitment/ (Opens in a new tab)

Job description

Job responsibilities

Please see the attached supporting document which contains more information about the role and contact Chloe Bruney as hiring manager for more information.

Interview date: TBC

Person Specification

EDUCATION AND QUALIFICATIONS

Essential

• First level registered Midwife
• Clinical experience relevant to the post
• Post-graduate qualification relevant to the role

Desirable

• Masters Qualification relevant to health care
• Professional Midwifery Advocate

KNOWLEDGE AND UNDERSTANDING

Essential

• Clear understanding of the national and local Healthcare agenda.
• Record of achievement in managing performance.
• Experience of chairing multidisciplinary meetings.
• Sound knowledge of Ockenden recommendations, Maternity Transformation, Better Births, Saving babies lives and NHS Resolution Maternity incentive Scheme
• Sound understanding of clinical Risk Management

EXPERIENCE

Essential

• Significant experience at Senior Management level in maternity services.
• Expertise within the outpatient maternity setting
• Proven track record of clinical management in a multi-disciplinary environment
• Proven track record of planning and implementing service change
• Proven track record of staff and budget management
• A good understanding of the changing NHS environment

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Croydon Health Services NHS Trust

Address

Croydon University Hospital

530 London Road, Thornton Heath, CR77YE

Thornton Heath

CR7 7YE

United Kingdom

Employer's website

https://www.croydonhealthservices.nhs.uk/recruitment/ (Opens in a new tab)