Health Insurance Subject Matter Expert

This is a fully remote position, open to applicants in Czechia.

📋 Description

• Provide support to the product team throughout the entire feature development lifecycle, leveraging extensive expertise in health insurance and operational insights.

• Convert comprehensive health insurance processes — including underwriting, policy administration, claims, renewals, and billing — into precise product requirements and functional documentation.

• Validate and establish business rules, decision engines, and workflow logic.

• Engage actively in User Acceptance Testing (UAT) to verify functionality, workflows, and business logic.

• Design to maximize Straight-Through Processing (STP) across product flows.

• Define automation rules, decision-making frameworks, and exception handling processes.

• Convert regulatory and policy requirements into system logic and product features.

• Conduct research on market trends and competitors to identify feature gaps and emerging opportunities.

• Serve as a liaison between Product, Engineering, and Business teams.

• Contribute to discussions and prioritization of the product roadmap.

⛳️ Requirements

• A minimum of 12 years of experience in the insurance sector.

• At least 5 years of direct experience in health insurance.

• Experience in two or more health insurance functions: product setup, underwriting, pricing, policy administration, endorsements, billing, claims, or renewals.

• Proven ability to work cross-functionally with product, technology, and business teams in a dynamic environment.

• Hands-on, results-driven, and enthusiastic about transforming domain knowledge into tangible product features.

• Systems thinker with an innate ability to comprehend how processes interconnect.

• Critical, analytical, forward-thinking, and innovative.

• Excellent verbal and written communication skills.

• Proven capability in client-facing roles, confidently managing clients and stakeholders.

🏝️ Benefits

• Fully Remote

• Flexible Leave

• International Environment

• Competitive remuneration package

• Performance Bonus

• Company activities and events

• Learning and development plan

• Remote work allowance