Health claims lead (f/m/x)

Intro As our Health Claims lead, you'll own claims decisions on Feather's health MGA books from day one: coverage, declines, settlement amounts, all within policy terms. You'll manage our insurance carrier relationships, decide how we work with service providers, and build the playbook, automations and systems that let the function scale as we grow MGA health claims fast across expat and international health. At Feather, we're building insurance that actually matters to our customers. It rests on three principles: a fully digital experience, modern and flexible plans, and reliable human support. And because we build it all for expats living abroad, we're a genuinely different kind of insurer. Why work at Feather? • We're small, lean, and we love what we do. The usual buzzwords here, except we actually mean them. Staying small helps us focus on what matters, and we want to keep it that way. • You'll work on a product that is loved by customers. Our excellent Trustpilot and Google reviews speak for themselves. • There's plenty of space to grow. We trust you to take ownership and make real decisions from day one, and you'll have all the support you need to succeed. • You'll have the freedom to build something from scratch. You're not inheriting a finished system. You're building the decision logic, reporting, and playbook that let health claims scale. • Flexible remote work policy. We offer a remote-first work environment, hiring across Europe via an Employer of Record. We host company retreats, team dinners, and meetups to spend in-person time together. What you bring to the table • You have hands-on experience handling health claims across borders or internationally. • You are familiar with medical coding and provider billing. • You have an instinct for automation and AI tooling, and you use it daily. • You take tough decisions daily, including saying no to customers, and you still enjoy the work. • You are pragmatic in an unfinished system: you improve it while running it. • You are a fluent English speaker. Nice to have: • German, Spanish, or French language skills. • Experience with moratorium underwriting. • A medical background. • Experience in an MGA or delegated authority setup. • Experience managing third-party administrators (TPAs). You'll be responsible for • You will make claims decisions • You will interpret coverage, decide declines, settlement amounts, and goodwill within policy terms, with real authority, not recommend-and-wait. • You will handle expat and international health claims: cross-border invoices across languages and billing conventions, currency and tax, and coordination with statutory and private cover in the country of residence. • You will manage our carrier relationships • You will own claims reporting and bordereaux, contentious cases, and coverage disputes with our insurance partners. • You will keep audit-ready records throughout, so nothing surprises the carrier. • You will decide how we work with service providers • You will decide where using third-party administrators (TPAs) makes sense, and manage instructions, quality, turnaround, and commercial performance where we use them. • You will build the operating model • You will close gaps with product and engineering across intake, documents, decision support, payout, and automation. • You will run audits and fraud checks, working toward semi-automated monitoring with the data team. • You will build capability • You will write the playbook so health claims stops depending on one person. • You will train whoever joins the team next. What will the interview process look like? • CV screening • Initial phone call with our People team. We'll have a chat and get to know each other (30m) • Hiring manager call. We'll cover the role, skills needed, and answer your questions (1 hour) • Case study. We'll give you a case study to work on, which will give you an idea of the type of projects you'd take on at Feather (3-4h) • Case study discussion. We'll go through your reasoning and approach together (90min) • Call with our Head of Ops. We'll talk through our async, remote-first way of working and how our team operates day to day (45min) • Final interview. You'll be speaking to one member of our leadership team (45min) Does this sound like a good fit for you? Apply now! At Feather, we actively foster inclusive representation within our teams and embrace a diverse mix of talent. We encourage applicants from all educational paths to apply: we believe that what you’ve built, worked on, and achieved is far more important than on-paper qualifications. Find more English Speaking Jobs in Germany on Arbeitnow Health claims, insurance, Assessment, Risk, MGA, TPA