Actuarial Statistician/ Analyst

Summary

Analyzes, evaluates and synthesizes all data necessary to supply plan management with (1) the statistical information needed in making corporate decisions, (2) the identification of operational trends, (3) the development of financial and claims projections and outstanding claims liabilities.  In conjunction with Accounting and Finance staff, participates in the creation of GAAP and SAP financial statements.  Supports all necessary regulatory filings to NYSID, NYSDOH and applicable entities.  Proposes and assists in the development of process improvements utilizing system and software applications to full potential.

 

Essential Responsibilities/Accountabilities

 · Develops and analyzes claims reserves using the EHP standardized methodology.

 · Assists in explaining fluctuations in the business that support the financial reporting.

 · Develops and explains product line forecasts on a quarterly basis.

 ·  Reconciles paid claims to the general ledger for product line.

 · Makes recommendations and proposes corporate Actuarial policies.

 · Assists in preparation of the EHP actuarial reporting for the NYS Insurance Department quarterly and annual blanks.


· Assists in preparation of small group regulatory reporting according to regulation 146.


· Participates in the production of annual HIDE reports to NYS Insurance Department.

 · Provides audit support for work performed.


· Proposes and assists in development of process improvements and automation of processes within the pricing area.

 · Participates in cross training of Staff as well as the Actuarial Peer Review program.

 · Performs other functions as assigned by management.

 · Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values and adhering to the Corporate Code of Conduct.

 · Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.

 

Minimum Qualifications 

 

· BS in Math, Economics, Actuarial Science or allied field. 

· Good analytical skills with a focus on meeting the expectations and requirements of both internal and external customers. 

· Self-motivated individual who needs little supervision and an ability to perform under pressure.  Strong PC skills including proficiency in Microsoft Excel, Access, Word, Power play and Impromptu required.

· Knowledge of financial and risk health arrangements. 

· Strong verbal and written communication skills.

· Background using Milliman USA Guidelines for health rating strongly desired. Continued professional growth in Actuarial/Rating & Underwriting field as evidenced by successful passing of a minimum number of Actuarial Exam preferred.

 EOE