Health Insurance Subject Matter Expert (Fully Remote)

CoverGo

About the Company

Job Description

Required Skills

Key Responsibilities

• Support the product team throughout the feature development lifecycle with deep health insurance expertise and operational insight.
• Translate end-to-end health insurance processes — underwriting, policy administration, claims, renewals, billing — into clear product requirements and functional documentation.
• Validate and define business rules, decision engines, and workflow logic to ensure all outputs are accurate, compliant, and usable in real-world scenarios.
• Participate actively in User Acceptance Testing (UAT) to validate functionality, workflows, and business logic.
• Design for maximum Straight-Through Processing (STP) across product flows — minimising manual intervention through intelligent system design.
• Define automation rules, decisioning frameworks, and exception handling flows that reflect real-world insurance operations.
• Ensure the product accurately reflects how the business operates, embedding efficiency and scalability directly into the system.
• 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 — translating business needs into product requirements into technical execution.
• Contribute to product roadmap discussions and prioritisation from a health insurance perspective.
• Engage with internal and external stakeholders, including clients, partners, and insurers, to gather feedback and validate product direction.
• Support GTM, sales, and pre-sales efforts with deep functional expertise when needed.

Qualifications

• 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 understanding of the full health insurance lifecycle, with domain expertise inside and out.
• Experience across 2 or more health insurance functions: 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, and passionate about translating domain knowledge into real product features.
• Systems thinker with a natural ability to understand how processes connect, where automation can replace manual work, and how rules translate into logic.
• Critical, analytical, forward-thinking, and innovative — able to identify gaps others miss and propose solutions, not just observations.
• Strong verbal and written communication skills — able to explain complex insurance concepts to technical and non-technical audiences alike.
• Demonstrated client-facing capability to handle clients and stakeholders confidently, even without formal sales experience.
• Experience with other lines of business such as life and/or P&C insurance (Nice-to-have).
• Chartered Insurance Institute (CII) Certificate in Insurance or equivalent (Nice-to-have).
• Technology-savvy — worked on digital transformation initiatives or has exposure to insurance systems. Insurtech experience as SME/Consultant is a strong plus (Nice-to-have).
• Exposure to multiple markets or global health insurance products (Nice-to-have).

Benefits & Perks

• Fully Remote
• Flexible Leave
• International Environment
• Competitive renumeration package
• Performance Bonus
• Company activities and events
• Learning and development plan
• Remote work allowance

How to Apply

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Posted Date

April 14, 2026