Actuary - Health-8285
Client is seeking an Actuary to take the lead for claim reserving, provider reimbursement analytics, manual rating model development and maintenance, actuarial reporting (financial, utilization, forecasting) actuarial database development and maintenance and numerous ad-hoc analysis.
Lead claim reserving for company and its subsidiaries (Enterprise)
Opine or assist in the opining upon statutory reserves for regulatory purposes as well as complete additionally required statutory actuarial filings
Develop and maintain rating models for dental and vision business
Assist Underwriting and Finance with specific requests
Responsible for development and maintenance of actuarial databases
Analyze dental and vision provider reimbursement
Develop and maintain standard reports analyzing utilization, discounts, claim costs, revenue and margins
Develop/update/maintain/create other models used to support Enterprise
Assist in annual claims/revenue budget planning process and ongoing forecasting
Complete rate and other DOI filings and actuarial memorandums required in various states that the Enterprise operates
Develop IBNR estimates and actuarial memorandums
Complete ad-hoc analytical analysis
· Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) credential is preferred.
· Member of the American Academy of Actuaries (MAAA) is preferred.
· Five or more years of actuarial work experience in the health insurance industry required
· Advanced knowledge of Microsoft Excel required along with SQL and Microsoft Access.