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Health Insurance Subject Matter Expert (Fully Remote)

1 month, 3 weeks ago
Spain, Italy
Full-time
Lead
Business Analyst
Product Management
Apply Now
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
View All Jobs 2

Description

  • Support the product team throughout the feature development lifecycle with health insurance domain expertise and operational insight.
  • Translate end-to-end health insurance processes, including 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 to validate functionality, workflows, and business logic.
  • Design for maximum Straight-Through Processing by minimizing manual intervention through intelligent system design.
  • Define automation rules, decisioning frameworks, and exception handling flows that reflect real-world insurance operations.
  • 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 a bridge between Product, Engineering, and Business teams by translating business needs into product requirements and technical execution.
  • Contribute to product roadmap discussions and prioritization from a health insurance perspective.
  • Engage with clients, partners, insurers, and internal stakeholders to gather feedback and validate product direction.
  • Support go-to-market, sales, and pre-sales efforts with deep functional expertise 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 real product features.
  • Strong systems thinking with the ability to understand process connections, automation opportunities, and rule 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 handle clients and stakeholders confidently.
  • Experience with life and/or P&C insurance is preferred.
  • Chartered Insurance Institute (CII) Certificate in Insurance or equivalent is preferred.
  • Experience with digital transformation initiatives or insurance systems is preferred.
  • Insurtech experience as an SME or consultant is a strong plus.
  • Exposure to multiple markets or global health insurance products is preferred.

Benefits

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

Interested in this position?

Apply directly on the company website

Apply Now

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