Jobs at Risk Strategies

Analyze financial data, prepare reports, assist with month-end close and reconciliations, ensure GAAP compliance and internal controls, and support budgeting, forecasting, and process improvements.

Perform high-level reviews of aggregate stop loss and accommodation claims, validate eligible expenses under stop loss contracts, evaluate enrollments and attachment calculations, produce audit reports and exhibits within company timeframes, and support process improvements and implementation.

Lead data-driven initiatives to analyze complex datasets, build dashboards, present insights to leadership, and drive continuous improvement projects to improve operational performance and inform strategic decisions.

Conduct detailed audits of high-complexity stop-loss claims to ensure accuracy, compliance, and adherence to procedures. Document findings, recommend corrective actions, identify trends, collaborate with departments, and support audit reporting and analytics.

Lead actuarial support for reinsurance and healthcare clients by developing proformas, evaluating new products, conducting rate and reserve analyses, supporting reinsurer negotiations, monitoring regulatory impacts, and providing ad-hoc actuarial and underwriting analysis across medical and supplemental health products.

Manage day-to-day pretax administration for employer groups and partners, handle inbound calls and emails, resolve escalations, assist with billing and renewals, generate reporting, document activity in CRM, and liaise with IT and internal teams to ensure service and plan changes are communicated and resolved.

Serve as primary claims advisor for brokerage clients across multiple lines of coverage. Provide strategic guidance on reporting, development, settlement, and resolution; advocate on complex or disputed claims; analyze trends and reserves; conduct stewardship reviews; support renewal and placement with claims insights; prepare client reports and dashboards; coordinate consulting projects and collaborate with producers, account teams, carriers, TPAs, and defense counsel to improve outcomes and reduce total cost of risk.

Lead and manage actuarial projects for healthcare clients, provide technical and strategic actuarial advice, build financial models, mentor junior actuaries, and support practice development and client relationships to drive financial decision-making.