Health Insurance Subject Matter Expert

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

📋 Description

• Provide support to the product team throughout the feature development lifecycle by leveraging extensive health insurance knowledge 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 all outputs are accurate, compliant, and applicable in real-world situations.

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

• Design for optimal Straight-Through Processing (STP) across product workflows — minimizing manual intervention through smart system design.

• Define automation rules, decision-making frameworks, and exception handling processes that mirror real-world insurance operations.

• Ensure the product faithfully represents business operations, incorporating efficiency and scalability into the system.

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

• Conduct market and competitor analysis to identify feature gaps, best practices, and emerging trends within global health insurance.

• Serve as a liaison between Product, Engineering, and Business teams — translating business needs into product requirements and facilitating 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 collect feedback and validate product direction.

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

⛳️ Requirements

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

• A minimum of 5 years of hands-on experience in health insurance with a thorough understanding of the complete health insurance lifecycle, possessing domain expertise both theoretically and practically.

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

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

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

• A systems thinker with an innate ability to comprehend how processes interconnect, where automation can replace manual tasks, and how rules convert into logical frameworks.

• Critical, analytical, forward-thinking, and innovative — capable of identifying gaps that others overlook and suggesting solutions, not just observations.

• Excellent verbal and written communication skills — able to articulate complex insurance concepts to both technical and non-technical audiences.

• Proven client-facing capability to confidently manage clients and stakeholders, even without 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