Health Insurance Subject Matter Expert

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CoverGo | Insurtech

Site WebLinkedInTous les Emplois

51 - 200 employés

☁️ SaaS

🛡️ Assurance

💰 €15 000 000 Series A en 2022-05

SaaS • Insurance

CoverGo est une insurtech de premier plan, spécialisée dans les solutions digitales de nouvelle génération pour les secteurs de l’assurance santé, vie et IARD (Property & Casualty, P&C). Elle propose une plateforme no-code complète, propulsée par l’IA, qui permet aux assureurs de concevoir et de distribuer rapidement des produits d’assurance, de gérer efficacement les polices et les sinistres, et de dépasser les limites des systèmes legacy. CoverGo accompagne une clientèle mondiale — assureurs, MGAs (Managing General Agents) et insurtechs — en leur permettant de réussir leur transformation digitale et d’améliorer l’expérience client. Avec un fort accent sur la flexibilité et la scalabilité, CoverGo permet de déployer sa plateforme selon différents modèles — en standalone, intégrée aux systèmes existants ou en greenfield — afin d’aider les assureurs à rester compétitifs sur un marché en évolution rapide.

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.

🎯 Exigences

• 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.

🏖️ Avantages

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