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League

Mid-sized

League is a health technology company that provides a platform for building consumer-facing digital health experiences, enabling healthcare organizations, payers, and providers to deliver personalized health engagement, benefits navigation, and care management. It is known for its healthcare experience platform used by major partners in the healthcare and insurance industries.

1 interview note · updated Jul 2026

League·Software Engineer·Onsite - System Design / Architecture

Jul 2026
System design round at League for a Software Engineer position. The whole thing was one big design question about an insurance claims processing system, end to end. Pretty involved, lots of moving parts.
  • Design an end-to-end insurance claims processing system for a health insurer, covering the full claim lifecycle from submission through validation, human review, and payment.
  • Walk through the state machine for claim processing and explain how you'd make each state transition atomic while preventing two adjusters from processing the same claim simultaneously.
  • How do you avoid the dual-write problem when a claim approval needs to both update the database and trigger a payment?
  • A pending-info SLA timer fires on a claim waiting for member documents. What does your system do, and why might auto-denying by the clock be the wrong call for a health insurer?
  • A payment request to the external processor times out with no response. How does your system guarantee the provider gets paid exactly once when you retry?
  • An admin tightens a coverage rule. Should that change retroactively affect claims already adjudicated under the old rule, and how do you version rules to prevent silent re-adjudication?
  • Adjuster search across claims gets slow as data grows. How do you serve queries like 'all under-review claims for member X over $500, sorted by age' without hammering the transactional database?

“Big open-ended one.”

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