Data and Claims Analyst - #141702

Job Title: GOS Claims Analyst (Temporary)

Location: Head office, Swindon

Reporting to: Head of Process Improvement

Salary: Competitive

Hours: Monday to Friday 37.5 hours per week

Travel: Swindon-based

Background

OutsideClinic was founded in 1997 and has developed to become a leading provider of ‘at home’ eye care and hearing care. The business has revenues of £40m and employs 400 people. The business provides services to the older population group, that find it challenging to visit the high street.

Job Summary

We are seeking a highly analytical and curious individual to join us on a short-term basis as a GOS Claims Analyst. The primary aim of this role is to investigate outstanding GOS (General Ophthalmic Services) claims within our system that are either unable to be submitted or have not yet been claimed due to specific blockages or errors.

By thoroughly reviewing and categorising these cases, you will help us reconcile what we can submit and significantly enhance the accuracy of our monthly claims reporting. In doing so, you will also play a key role in identifying areas for process improvement and supporting the implementation of more robust claim workflows going forward.

Principle Accountabilities

• Investigate outstanding or blocked GOS claims, identifying the reasons they have not progressed.
• Categorise claims based on common issues such as insufficient notification time, patient ineligibility, or prescription substitutions.
• Work cross-functionally with internal teams—including IT, process improvement, scheduling, and bookings—to trace claim journeys and identify failure points.
• Utilise internal systems including our bespoke database, SQL, and the NHS portal to access and interpret claim data.
• Compile and present clear, structured reports that highlight findings, trends, and recommended actions.
• Contribute to the development and implementation of process improvements to reduce future claim issues and enhance claims submission efficiency.
  
  

Skills & Attributes

• Proven experience in a similar analytical or process-focused role, ideally within healthcare, insurance, or public services.
• Strong analytical skills with a problem-solving mindset and a keen eye for detail.
• Confidence in working with data systems, including some exposure to SQL.
• Strong interpersonal and communication skills – able to work effectively across departments and present findings clearly.
• Naturally curious, proactive, and able to work independently to investigate and resolve issues.
  
  

Desirable (but Not Essential)

• Familiarity with GOS forms or NHS claims processes or similar.
• Previous experience in a healthcare, optometry, or NHS-related setting.
  
  

This is an exciting short-term role that will directly impact the accuracy of our reporting and help ensure we recover revenue - while laying the groundwork for long-term process improvements.

We’re on a mission to change lives through better sight and hearing - one home visit at a time. Since 1987, our team of dedicated professionals has been delivering life-enhancing care where it’s needed most.