Claims Operations Manager
Progyny, Inc.
full-time
Posted on:
Location Type: Hybrid
Location: Berlin • Germany
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Salary
💰 €53,000 - €58,000 per year
About the role
- Claims Operations
- Review, assess, and process claims end-to-end, applying benefit rules, documentation requirements, and validation logic.
- Monitor quality metrics and operational performance.
- Coordinate escalations and complex case resolution in close collaboration with internal stakeholders (e.g. Member Experience, Leadership Team, Legal).
- Identify recurring issues and drive continuous improvement across claims workflows and partner collaboration.
- Benefit Interpretation & Documentation
- Apply benefit and policy logic to real-world claims scenarios.
- Partner with Member Experience and subject matter experts to ensure benefit interpretation is consistent, accurate, and member-friendly.
- Support the maintenance of clear documentation for claims logic and operational guidelines.
- Claims Processes & Product Support
- Contribute to the ongoing development of claims processes and the Wallet product.
- Translate benefit rules into clear, scalable operational workflows.
- Support process updates as new markets, benefit types, or regulatory requirements are introduced.
Requirements
- Strong understanding of regulatory, compliance, and legal considerations, ideally in a global or multi-market context.
- Bachelor’s degree in a relevant field (e.g. business, healthcare, insurance, law, or operations), or equivalent practical experience, plus 5+ years of professional experience in claims operations, insurance, benefits administration, or a related operational role.
- Experience collaborating with senior stakeholders across Legal, Product, Tech, and global operations teams.
- Highly structured, systems-oriented mindset with a strong sense of ownership and accountability.
- Strong attention to detail, analytical thinking, and clear, professional communication skills.
Benefits
- 💰 Competitive Base Salary: From €53,000 – €58,000 per year.
- 🎯 Bonus Program & Company Equity: Bonuses and ownership opportunities to share in Progyny’s success.
- 👶 Fertility & Family-Building Benefits: Access to the Progyny Global Platform with a €5,000 annual benefits budget.
- 🧘 Mental Health Support: 1:1 psychologist sessions and wellness tools via Nilo Health.
- 🚲 Sustainable Mobility Benefit: Choice between a Dance e-bike subscription or a BVG public transport ticket.
- 💪 Urban Sports Club Discount: Access to discounted fitness and wellness activities.
- 🌴 Paid Leave: 30 days of paid leave per year.
- 🏡 Hybrid Work: Work from home up to two days per week.
- ✈️ Remote Work: Up to 8 weeks of remote work per year.
- 🍽️ Weekly Team Lunches: Team lunch every Thursday.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims processingbenefit interpretationdocumentation requirementsoperational workflowsquality metricsregulatory complianceanalytical thinkingclaims operationsbenefits administrationcase resolution
Soft Skills
attention to detailprofessional communicationcollaborationownershipaccountabilitycontinuous improvementstructured mindsetproblem-solvingstakeholder engagementorganizational skills
Certifications
Bachelor's degree