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Commercial Health Actuary

Work from home Full-time role Hiring

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:

  • Competitive salary
  • Comprehensive health, dental, and vision insurance
  • Retirement savings plan with company match
  • Professional development opportunities
  • Flexible work environment

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