Health Insurance Subject Matter Expert

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

📋 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.

• Assess and establish business rules, decision engines, and workflow logic to guarantee that all outputs are accurate, compliant, and applicable in real-world situations.

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

• Design processes to maximize Straight-Through Processing (STP) across product flows, minimizing manual intervention through intelligent system architecture.

• Establish automation rules, decision frameworks, and exception handling flows that mirror actual insurance operations.

• Ensure that the product accurately represents the business's operational methods, integrating efficiency and scalability directly into the system.

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

• Perform market and competitor analysis to pinpoint feature gaps, best practices, and emerging trends in global health insurance.

• Serve as a liaison between Product, Engineering, and Business teams, translating business requirements into product specifications and technical execution.

• Participate in product roadmap discussions and prioritization from a health insurance viewpoint.

• Collaborate with internal and external stakeholders, including clients, partners, and insurers, to gather insights and validate product direction.

• Provide support for GTM, sales, and pre-sales initiatives with in-depth functional expertise as required.

⛳️ Requirements

• 12+ years of experience in the insurance sector, with significant exposure to end-to-end insurance operations.

• A minimum of 5 years of practical experience in health insurance, possessing an in-depth understanding of the entire health insurance lifecycle, with domain expertise both in theory and practice.

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

• Experience collaborating cross-functionally with product, technology, and business teams in a dynamic environment.

• Proactive, results-driven individual, passionate about transforming domain knowledge into tangible product features.

• Systems-oriented thinker with an innate ability to comprehend how processes interlink, where automation can substitute manual tasks, and how rules convert into logic.

• Critical, analytical, innovative, and forward-thinking — capable of identifying gaps that others overlook and suggesting solutions rather than merely stating observations.

• Excellent verbal and written communication abilities — capable of articulating complex insurance concepts to both technical and non-technical audiences.

• Proven client-facing skills to manage clients and stakeholders confidently, even in the absence of formal sales experience.

🏝️ Benefits

• Fully Remote

• Flexible Leave

• International Environment

• Competitive remuneration package

• Performance Bonus

• Company activities and events

• Learning and development plan

• Remote work allowance