Maintain internal CMS HCC and RxHCC models for calculating member level risk scores.
Support the monthly close process, including the development of actuarial risk adjusted revenue accruals and analysis of results.
Build reports to track ROI on various risk adjustment initiatives.
Clover Health is reinventing health insurance by combining the power of data with human empathy to keep their members healthier. They are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.
Own and maintain the company’s rating manual, including documentation, assumptions, updates, and ongoing enhancements.
Perform pricing analysis for new and renewing business, ensuring consistency with actuarial standards and internal guidelines.
Conduct ad-hoc actuarial and financial analyses to support business questions and strategic initiatives.
Optimyl Benefits provides accessible, high-quality, and easy-to-use healthcare plans for small employers. They partner closely with the broker community to help employers offer competitive benefits without unnecessary complexity and are committed to creating a diverse and inclusive work environment.
Understand At-Bay’s internal data structure and develop key relationships across the business.
Review existing Cyber and Tech E&O product structures, related tools, and related data sources to track and analyze product performance.
Complete a quarterly rate indication and present your recommendation to key stakeholders.
At-Bay is the world’s first InsurSec provider designed to help businesses tackle cyber risk. As a full-stack insurance company, At-Bay offers multiple lines of specialty insurance and has over 35,000 customers.
Understand At-Bay’s internal data structure and develop key relationships across the business
Utilize the existing Cyber and Tech E&O rate plans, rater, forecasting tools and related data sources to analyze product performance and recommended actions to leadership based on your findings
Identify areas of improvement in our systems and processes and suggested solutions
At-Bay is the world’s first InsurSec provider designed to help businesses tackle cyber risk. With 35,000+ customers, they offer end-to-end prevention and protection for the digital age, providing integrated solutions to help manage risk.
Develop, maintain & enhance non-life pricing models using GLMs/ machine learning techniques and actuarial methods.
Build dashboards in Power BI to communicate pricing insights and performance metrics.
Prepare price monitoring report to track price trends and identify potential areas of adjustment.
WNS (Holdings) Limited is a Business Process Management (BPM) company that combines industry knowledge with technology and analytics expertise to co-create innovative solutions. They have over 44,000 employees and serve over 400 clients across 10 industries, delivering BPM services in finance, accounting, procurement, customer interaction, and human resources.