Health Insurance Subject Matter Expert

🕒 April 14

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CoverGo | Insurtech

WebsiteLinkedInAll Job Openings

51 - 200 employees

☁️ SaaS

💰 $15M Series A on 2022-05

SaaS • Insurance

CoverGo is a leading insurtech company that specializes in providing next-generation digital solutions for health, life, and property & casualty (P&C) insurance sectors. It offers a comprehensive, AI-powered, no-code platform that allows insurers to build and distribute insurance products quickly, manage policies and claims efficiently, and overcome the limitations of legacy systems. CoverGo serves a global clientele, including insurers, managing general agents (MGAs), and insurtechs, empowering them to achieve digital transformation and enhance customer experiences. With a strong focus on flexibility and scalability, CoverGo enables the deployment of its platform in various configurations, such as standalone, integrated with existing systems, or as a greenfield solution, ensuring insurers stay competitive in the fast-evolving market.

📋 Description

• 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.

🎯 Requirements

• 12+ years of experience in the insurance industry • At least 5 years of hands-on experience in health insurance • 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. • Nice-to-have (other advantages) • Experience with other lines of business such as life and/or P&C insurance. • Chartered Insurance Institute (CII) Certificate in Insurance or equivalent. • Technology-savvy — worked on digital transformation initiatives or has exposure to insurance systems. Insurtech experience as SME/Consultant is a strong plus. • Exposure to multiple markets or global health insurance products.

🏖️ Benefits

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