Health Insurance Subject Matter Expert (Fully Remote)

1 day, 8 hours ago
Full-time
Lead
Product Management
CoverGo

CoverGo

CoverGo offers a modular, no-code insurance platform that enables insurance providers to efficiently build, launch, and manage products across health, life, and property & casualty sectors.

Insurance
51-250
Founded 2016
$18M raised

Description

  • Support the product team through the full feature development lifecycle with health insurance domain expertise and operational insight.
  • Translate end-to-end health insurance processes such as underwriting, policy administration, claims, renewals, and billing into product requirements and functional documentation.
  • Validate and define business rules, decision engines, and workflow logic to ensure outputs are accurate, compliant, and usable in real-world scenarios.
  • Participate in User Acceptance Testing (UAT) to validate functionality, workflows, and business logic.
  • Design automation rules, decisioning frameworks, and exception handling flows to maximize Straight-Through Processing and reduce manual work.
  • Ensure product workflows reflect real insurance operations and support efficiency, scalability, and compliance.
  • Translate regulatory and policy requirements into system logic and product features.
  • Conduct market and competitor research to identify feature gaps, best practices, and emerging trends in global health insurance.
  • Act as the bridge between Product, Engineering, and Business teams to translate business needs into technical execution.
  • Contribute to roadmap discussions and prioritization from a health insurance perspective and support GTM, sales, and pre-sales efforts when needed.

Requirements

  • 12+ years of experience in the insurance industry with strong exposure to end-to-end insurance operations.
  • At least 5 years of hands-on experience in health insurance with deep knowledge of the full health insurance lifecycle.
  • Experience across 2 or more health insurance functions such as product setup, underwriting, pricing, policy administration, endorsements, billing, claims, or renewals.
  • Experience working cross-functionally with product, technology, and business teams in a fast-paced environment.
  • Hands-on, results-oriented approach with the ability to translate domain knowledge into product features.
  • Strong systems-thinking ability with an understanding of how processes connect and how rules translate into logic.
  • Critical, analytical, forward-thinking, and innovative mindset with the ability to identify gaps and propose solutions.
  • Strong verbal and written communication skills for both technical and non-technical audiences.
  • Demonstrated client-facing capability to work confidently with clients and stakeholders.
  • Nice to have: experience with life and/or P&C insurance, CII Certificate in Insurance or equivalent, digital transformation or insurance systems exposure, insurtech SME/consultant experience, and exposure to multiple markets or global health insurance products.

Benefits

  • 100% remote work.
  • Flexible leave.
  • Competitive remuneration package.
  • Performance bonus.
  • Company activities and events.
  • Learning and development plan.
  • Remote work allowance.
  • International work environment.

Interested in this position?

Apply directly on the company website

Apply Now

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