Actuary - Health-9395
Description
Client seeking a Health Actuary to assist with actuarial rate review for a variety of health products, such as: accident and sickness, long-term care, disability, major medical (ACA and non-ACA compliant), dental, vision, stop loss, and Medicare Supplement.
Health Rate Review Responsibilities include but are not limited to:
· Review and analyze actuarial rate filings to determine compliance with applicable state and/or federal regulations and ensure that the proposed rates are reasonable in relation to the benefits provided, not excessive, not inadequate, and not unfairly discriminatory.
· Create requests for additional information when further clarification on rate filing submissions is needed.
· Negotiate rate adjustments with carriers as indicated by actuarial analysis or as requested by regulatory partners.
· Submit rate review summaries and recommendations to regulatory partners.
· Provide training and education seminars to regulators.
· Assist in drafting, reviewing, and quantifying the cost impact of insurance-related legislation.
· Collaborate with regulatory partners on all other regulatory needs.