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Health Insurance Subject Matter Expert (Fully Remote)

CoverGo

LocationBelgium, Germany
SenioritySenior / expert
CompanyCoverGo
Verified recentlyChecked today
Compensation

Salary not listed

Salary details are shown when available from the source listing. Sign in before applying so the role can be reviewed against your resume, salary goals, seniority, timezone, and location eligibility.

Requirements and working style

Decision details from the source listing

Experience

12+ years stated

Education

CII Certificate in Insurance or equivalent is listed as an advantage, not a requirement.

Schedule

unspecified

Benefits stated
Flexible leavePerformance bonusCompany activities and eventsLearning and development planRemote work allowance

These fields are normalized from the employer's text. Confirm details on the employer site before applying.

WFH.team analysis

What this posting tells you

CoverGo seeks a highly experienced health insurance SME for a fully remote, full-time role open to candidates in Belgium or Germany. The role translates health insurance operations into product requirements, workflows, automation rules, and compliance logic, working closely with product and engineering teams. The listing requires 12+ years in insurance and at least 5 years of hands-on health insurance experience. Compensation is described as competitive, but no salary amount or range is provided.

Role lane

Insurance claims, Data, Design and creative, Legal, Marketing, Medical billing, Operations, Product, QA and testing, Sales, Security, Software, Customer support

Where you can work

Belgium, Germany

Working hours

Timezone overlap is not stated.

Arrangement

Senior / expert · Full-time

Required signals
Health insurance domain expertiseEnd-to-end insurance operationsHands-on health insurance experienceExperience in at least two health insurance functionsProduct requirements and functional documentationInsurance workflow and business-rule designStraight-Through Processing (STP) and automation designUser Acceptance Testing (UAT)Compliance and regulatory requirementsCross-functional collaboration with product, technology, and business teamsClient and stakeholder communication
Preferred signals
Life or property and casualty (P&C) insurance experienceChartered Insurance Institute (CII) Certificate in Insurance or equivalentDigital transformation or insurance systems experienceInsurtech SME or consultant experienceExperience with multiple markets or global health insurance products
Confirm before applying
  • Required timezone overlap is not stated
  • Compensation is not listed
Market context

Insurance claims hiring on WFH.team

791active related roles
301new in the latest period
1027.3jobs per 100 candidates
$159kmedian of comparable listed ranges

Category counts come from WFH.team's latest published remote job market snapshot.

Explore the remote job market
Skills and signals
Health insurance domain expertiseEnd-to-end insurance operationsHands-on health insurance experienceExperience in at least two health insurance functionsProduct requirements and functional documentationInsurance workflow and business-rule designStraight-Through Processing (STP) and automation designUser Acceptance Testing (UAT)Compliance and regulatory requirementsCross-functional collaboration with product, technology, and business teamsClient and stakeholder communicationLife or property and casualty (P&C) insurance experienceChartered Insurance Institute (CII) Certificate in Insurance or equivalentDigital transformation or insurance systems experienceInsurtech SME or consultant experienceExperience with multiple markets or global health insurance productsFully remote; current eligible countries are Belgium and Germany
Job description

Health Insurance Subject Matter Expert (Fully Remote) at CoverGo

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

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Company context

Working remotely at CoverGo

CoverGo is a leading provider of cutting-edge technology to the insurance industry. Since 2017, CoverGo supplies insurance enterprise software solutions to insurers, MGAs, brokers and bancassurance in Asia and beyond.

Headquarters
Singapore, Hong Kong, Vietnam, Pakistan, Hungary, Bangladesh, India, Canada, United Arab Emirates, Japan, Belgium, Belarus, Poland, Georgia, Iran, Thailand, Nepal, and United...
Team size
51-200
Founded
2016
Remote policy

Remote hiring signal is inferred from active confirmed-remote job listings.

Application process

Review current openings on CoverGo's official careers page before applying.

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