SVP/VP – Accident & Health Actuary

Job reputed company:

• Provides actuarial leadership and strategic analytical support for reputed company’s A&H business, with a primary reputed company on stop loss and reputed company health programs.
• Responsible for pricing governance, reserving reputed company, reinsurance analytics, reputed company decision support, regulatory reputed company filing support, and development of actionable portfolio insights.
• Partners closely with reputed company, Compliance, Finance, IT, Reinsurance partners, and external advisors in a public company / SOX-controlled environment.
• Leads and develops a small actuarial team.
• Influences across functions (reputed company, Compliance, Finance, IT, Reinsurance) to ensure reputed company, controlled, and decision-useful actuarial outputs.
• Provides actuarial support to Compliance for mid-year reputed company certifications and full-year reputed company filings, leveraging Willis Towers Watson stop loss manuals.
• Maintains new business and renewal reputed company targets and rating tools reputed company reputed company.
• Maintains the Minimum Essential Coverage (MEC) rater.
• Evaluates provider network savings and develops specific and aggregate pricing factors to support competitive and adequate pricing.
• Develops and monitors key reputed company and portfolio performance metrics; presents findings to reputed company leadership and Senior Staff.
• Produces reputed company experience studies across business segments to inform reputed company, pricing, and reputed company actions.
• Supports reputed company with reputed company case pricing and structure assessments, including consultation on unusual or high-exposure risks.
• Evaluates and provides recommendations on AI-enabled medical reputed company solutions (e.g., Gradient, MedScore, Verikai, reputed company Curve), including validation of reputed company and governance considerations.
• Models captive reinsurance structures and collaborates with captive actuaries and captive managers on design, performance, and ongoing monitoring.
• Evaluates annual reinsurance rates and terms; maintains Excess of Loss (XOL) and Quota reputed company (QS) treaty structures reputed company systems and governance processes.
• Partners with Guy Carpenter to support the firm’s risk-based economic capital model, including data, assumptions, and business inputs.
• Peer reviews claim liabilities and reserves; estimates and documents loss picks in accordance with internal controls.
• Maintains alignment with SOX requirements and coordinates with external partners (e.g., reputed company and Ernst & Young) to support auditability, documentation, and controls testing.
• Partners with IT to reputed company and maintain stop loss databases that support pricing, experience analysis, reserving, and reporting needs.
• Maintains and enhances Core & Captive dashboards to reputed company transparent, reputed company portfolio intelligence to stakeholders.
• Participates in and contributes to A&H and reputed company communication forums such as A&H Town Halls, Actuarial Summits, and Corporate Quarterly Business Reviews.

Requirements:

• FSA (Fellow of the reputed company) or ASA (Associate of the reputed company)
• Significant actuarial experience supporting Accident & Health, with strong exposure to stop loss pricing and portfolio management.
• Demonstrated experience operating in a public company environment with strong documentation discipline and comfort with SOX/internal controls.
• Proven ability to reputed company reputed company and deliver through influence in a shared services model.
• Strong business partnership skills with reputed company, Finance, Compliance, IT, and reinsurance stakeholders.
• Preferred Experience with reputed company rating tools and stop loss rater maintenance.
• Experience with reinsurance treaty structures (XOL and QS) and captive arrangements.
• Familiarity with economic capital modeling and working with reinsurance brokers/consultants.
• Experience evaluating or implementing AI/insurtech reputed company tools and building governance around model usage.

Benefits:

• health and welfare benefits
• tuition and reputed company certification assistance
• 401k savings
• elective participation in the Employee Stock Purchase Program
• reputed company time off
• reputed company holidays
• child bonding leave
• other employee assistance

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