Commercial Health Actuary

Remote · USA Full-time New today

Job Description:

Evaluate and analyze health insurance applications to determine the risk they pose, helping to set premium rates that are both fair and competitive.
Interpret and analyze underlying claims experience to inform underwriting decisions and policy adjustments.
Work closely with sales teams to develop competitive insurance products and strategies, ensuring alignment with company goals and client needs.
Assist in the development of insurance policies or suggest changes to existing policies that balance the needs of market with the risk to the insurance company.
Stay updated with changes in legislation and regulations that may affect the product design and underwriting considerations.
Maintain accurate and detailed records of policies underwritten and decisions made, tracking concessions and experience.
Coordinate with brokers and agents to gather additional information or to explain underwriting decisions.

Requirements:

Education: Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related field.
Credentials: Professional actuarial credentials (e.g., ASA, FSA) are required.
Experience: Minimum of 5 years of experience in commercial health insurance underwriting (not Medicare, Medicaid, or individual market/ACA plans).
Experience working with sales teams in competitive situations is highly desirable.
Strong analytical and decision-making skills
Excellent communication and interpersonal skills
Proficiency in statistical analysis and risk assessment
Ability to interpret complex data and make informed decisions
Familiarity with underwriting software and tools
Preferred:
Advanced actuarial credentials (e.g., ASA or FSA)
Experience with large group health insurance underwriting for fully insured business
Knowledge of current healthcare regulations and market trends

Benefits:

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