JOB SUMMARY
This job supports the Underwriting department and applies actuarial techniques and statistical analysis to several functions, including insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis, wellness studies, predictive modeling, benefit benchmarking, claim reserving and strategic client support that is both client facing and supportive to Sales leadership, Client Management, Underwriting leadership and market underwriters. This role is a critical component in fulfilling the Trusted Advisor role the Underwriting department provides to our clients and Sales.
ESSENTIAL RESPONSIBILITIES
- Initiate and lead the development of strategic client studies, analyses, and presentation materials needed to appropriately inform decision makers. Make appropriate recommendations to senior management across teams both within the underwriting department and across other departments.
- Prepare client presentations and analyses (internal and external) that apply actuarial techniques and statistical analysis to several functions, including insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis, wellness studies, predictive modeling, benefit benchmarking, claim reserving and strategic client support.
- Provide actuarial support to market underwriters in the form of a deeper understanding of the client's trend drivers, changing risk composition, emerging trends, client profitability, rating method, industry changes, etc.
- Manage own time and resources across many projects, focusing on quality, time, scope, usefulness, and appropriateness of work. Routinely plan and organize work. Keep manager informed.
- Use effective communication to present information and provide decision support to team members and executive management. Appropriately balance the need for clarity and brevity with the need to fully inform customers of all aspects of a situation which may be material to a decision.
- Other duties as assigned or requested.
EDUCATION
Required
- Bachelor’s degree in Actuarial Science, Mathematics or related field, or relevant experience and/or education as determined by the company in lieu of bachelor's degree.
Preferred
- None
EXPERIENCE
Required
- 5 years in Healthcare Underwriting or Actuarial
To Include
- 1 year of Eternal Client interaction
Preferred
- None
LICENSES or CERTIFICATIONS
Required
- Associate of the Society of Actuaries (ASA)
Preferred
- Fellow of the Society of Actuaries (FSA)
SKILLS
- Written and Oral communications
- Self motivated, good anticipation of client/management's needs
Languages (Other than English)
None
Travel Required
0% - 25%
PHYSICAL, MENTAL AND WORKING CONDITIONS
Position Type
Office Based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Occasionally
Works primarily out-of-the office selling products/services (sales employees)
Occasionally
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Never
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$78,900.00Pay Range Maximum:
$147,500.00Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
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Top Skills
What We Do
Highmark Health, a Pittsburgh, PA based enterprise that employs more than 40,000 people who serve millions of Americans across the country, is the second largest integrated health care delivery and financing network in the nation based on revenue. Highmark Health is the parent company of Highmark Inc., Allegheny Health Network, and HM Health Solutions. Highmark Inc. and its subsidiaries and affiliates provide health insurance to nearly 5 million members in Pennsylvania, West Virginia and Delaware as well as dental insurance, vision care and related health products through a national network of diversified businesses that include United Concordia Companies, HM Insurance Group, and Visionworks. Allegheny Health Network is the parent company of an integrated delivery network that includes eight hospitals, more than 2,800 affiliated physicians, ambulatory surgery centers, an employed physician organization, home and community-based health services, a research institute, a group purchasing organization, and health and wellness pavilions in western Pennsylvania. HM Health Solutions focuses on meeting the information technology platform and other business needs of the Highmark Health enterprise as well as unaffiliated health insurance plans by providing proven business processes, expert knowledge and integrated cloud-based platforms.
A national blended health organization, Highmark Health and our leading businesses support millions of customers with products, services and solutions closely aligned to our mission of creating remarkable health experiences, freeing people to be their best.
Headquartered in Pittsburgh, we're regionally focused in Pennsylvania, Delaware, West Virginia and New York, with customers in all 50 states and the District of Columbia.
We passionately serve individual consumers and fellow businesses alike. Our companies cover a diversified spectrum of essential health-related needs, including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative technology solutions.
We’re also proud to carry forth an important legacy of compassionate care and philanthropy that began more than 170 years ago. This tradition of giving back, reinvesting and ensuring that our communities remain strong and healthy is deeply embedded in our culture, informing our decisions every day.
