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Health claims lead

FFeather
NEW
Seniority
Senior
Model
Remote
Sector
Fintech
Salary
€50,000 – €80,000
Contract
Full-Time

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 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.

What you'll do

  • Make claims decisions: interpret coverage, decide declines, settlement amounts, and goodwill within policy terms, with real authority, not recommend-and-wait.
  • 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.
  • Own claims reporting and bordereaux, contentious cases, and coverage disputes with insurance partners.
  • Keep audit-ready records throughout, so nothing surprises the carrier.
  • Decide where using third-party administrators (TPAs) makes sense, and manage instructions, quality, turnaround, and commercial performance where we use them.
  • Close gaps with product and engineering across intake, documents, decision support, payout, and automation.
  • Run audits and fraud checks, working toward semi-automated monitoring with the data team.
  • Write the playbook so health claims stops depending on one person, and train whoever joins the team next.

What you'll need

  • Hands-on experience handling health claims across borders or internationally.
  • Familiarity with medical coding and provider billing.
  • An instinct for automation and AI tooling, and you use it daily.
  • Take tough decisions daily, including saying no to customers, and still enjoy the work.
  • Pragmatic in an unfinished system: you improve it while running it.
  • Fluent English speaker.

Nice to have

  • German, Spanish, or French language skills.
  • Experience with moratorium underwriting.
  • Medical background.
  • Experience in an MGA or delegated authority setup.
  • Experience managing third-party administrators (TPAs).

What they offer

  • Remote-first work environment, hiring across Europe via Employer of Record.
  • Company retreats, team dinners, and meetups for in-person time together.
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ABOUT FEATHER

Fintech · Seed stage

20+ employees

This role is English-speaking. No German required.

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