Health Insurance Subject Matter Expert (Fully Remote)

# Health Insurance Subject Matter Expert (Fully Remote)
> CoverGo · Prague, Czechia (Remote) · Full-time · Posted 2026-04-14
**Workplace:** remote
**Department:** Product
## Description
### 
### **Top 3 Reasons To Join Us**

• Competitive Salary
• 100% Remote
• Working on the latest tech for the Insurtech Market Leader

### **About Us**
At CoverGo, our mission is to empower all insurance companies to make insurance 100% digital and accessible to everyone.

• We are a leading global no-code insurance platform for health, life, and P&C
• We’re the winner of the Insurtech of the Year in all of Asia and other awards globally
• We work with insurance enterprise clients such as AXA, Bupa, MSIG, Dai-ichi, Bank of China Group Insurance, and many more
• We're an international, diverse team of over 120 people with 30 nationalities and team members working remotely from all over the world
• We are fully funded and backed by reputable VC funds and strategic institutional investors
• We have a global presence in Asia, EMEA and the Americas
• We’ve grown our annualized revenue by over 30x since January 2021
• We’re constantly working towards making CoverGo a workplace that you love coming to. We deeply believe that bringing together a diversity of thoughts, expressions, and perspectives is key to building the best culture for equally diverse communities all over the world

### What You’ll Do

We are seeking a highly experienced Health Insurance Subject Matter Expert (SME) who has lived and breathed insurance operations and is **ready to help transform the industry through technology**. They think in systems, challenge the status quo, and are excited to translate years of operational expertise into **intelligent product features, automation logic, and scalable workflows**.

This person brings **deep health insurance domain knowledge** and the drive to change the industry. This is a hands-on, embedded role working closely with CoverGo's product and engineering teams to ensure what is built is accurate, compliant, and truly reflects how health insurance works in the real world.

**1\. Domain Expertise & Product Collaboration**

• 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.

**2\. STP, Automation & Workflow Design**

• 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.

**3\. Compliance & Risk Embedded in Product**

• 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.

**4\. Cross-Functional Collaboration & Enablement**

• 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.

### What We Need

• **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.

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.

### **Why You'll Love Working Here**

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

**CoverGo Company** [**Video**](https://www.youtube.com/watch?v=YI0ezLxvFvA)

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[](https://www.youtube.com/watch?v=YI0ezLxvFvA)

## Apply

[Apply at CoverGo](https://apply.workable.com/covergo/j/4447549125/apply)

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