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Click here or scroll down to respond to this candidateCandidate's Name , ASA MAAAStreet Address PHONE NUMBER AVAILABLEEMAIL AVAILABLE_HEALTH CARE ACTUARY/EXECUTIVEAssociate of the Society of Actuaries and Member of the American Academy of Actuaries, with over 20 years of experience in the health care industry. Extensive experience in management, including all actuarial services, operations, and sales. Worked with diverse products, including HMO, PPO, Medicare Supplement, Student Health, Indemnity, STD/LTD and Group Life. Also skilled in programming VBA, SQL, Foxpro and Python.PROFESSIONAL EXPERIENCEGLOBAL BENEFITS GROUP, PRINCETON, NJ 2020 - PRESENTActuary, North America 2020-presentResponsible for all actuarial functions related to the North America, Tiecare and CAA profit centers, including pricing, reserving, reporting and forecasting.Evaluate M&A opportunities based on financial projections and deal variables.Work with reinsurers to communicate results and projections and to receive approval on pricing actions.Build rate manuals for use by Underwriting, while ensuring that corporate targets and goals are met.Act as part of management team for profit centers, developing strategy and interpreting financial results.Interact with Executive Committee to present findings and recommend actions related to profit centers.NATIONAL GUARDIAN LIFE INSURANCE CO, UTICA, NY 2002 - 2020AVP and Actuary National Guardian Life 2018-presentInteract extensively with senior management of NGL to help meet the strategic goals of the corporation, as well as external partners to promote sales.Negotiate contracts on the companys behalf, including risk sharing, reinsurance, drug and ancillary vendors.Oversee all actuarial functions related to valuation, trends, rate filings, experience studies and product development for student health plans.Manage rate filing process for over 40 states, including extensive interaction with DOI representatives.VP and Actuary Commercial Travelers Mutual Life Insurance Co. (CTMIC) 2012-2018In 2012, the advent of the Affordable Care Act led to an agreement for National Guardian Life Insurance Co to take over management and eventually demutualize and purchase CTMIC.Responsible for Sales, Underwriting, IT, premium and policy administration staff, with 3 direct reports and approximately 14 indirect reports.Grew business from a portfolio of $25 million to over $100 million.Wrote Rate Manual program for Underwriters to use in developing premium rates.Wrote IBNR reserving program to extract claims data, organize it in triangles and calculate completion factors at the push of a button.COO and Actuary CTMIC 2011-2012Disruption in claims department management required temporarily taking over all operations, in addition to regular actuarial functions, with approximately 30 reporting directly or indirectlySuccessfully reengineered claims functions to move from paper to electronic records using scanning tools. Changed structure of department to meet current needs, shifting clerical functions away from processors to newly created scanning and validating positions.Sole actuary responsible for all actuarial functions for the company, reporting directly to the President.VP & Actuary CTMIC & Monitor Life (subsidiary) 2005-2011AVP & Actuary CTMIC, VP Monitor Life (subsidiary) 2002-2005Oversaw the 2008 sale of life insurance subsidiary, Monitor Life, to Morgan White Group in Jackson Mississippi.Sole actuary responsible for all actuarial functions for the company, reporting directly to the President.Performed required actuarial tasks related to Student Health, Group and Individual Life, Group LTD and STD and Individual A&H businessEXCELLUS, INC. (BCBS), ROCHESTER, NY 19942002DIRECTOR OF PRICING 20012002Responsible for pricing a premium portfolio of approximately $4 billion, reporting directly to senior management.Responsible for all actuarial functions related to trends, rate filings, experience studies and product development for all Blue Cross Blue Shield business.Managed a staff of fifteen employees including three managers.Worked on all Blues products including Large and Small Group HMO, PPO, Indemnity, Medicaid, Child Health Plus and Medicare Supplement.MANAGER OF ACTUARIAL SERVICES 1997 2001Managed a staff of 4-5 actuaries, reporting to senior management.Responsible for all actuarial functions, including valuation, trends, rate filings, experience studies and product development.Extensive interaction with all departments including Claims, IT, Provider Contracting and Utilization Management.Participated in year-long corporate reengineering project with Milliman USA to better align functions with current market needs.SENIOR ACTUARIAL ANALYST 1995-1997INSURANCE SERVICES OFFICE, INC., NEW YORK, NY 1994 - 1995ACTUARIAL ANALYSTPrepared loss cost manuals for homeowners insurance clients to use in property/casualty pricing and filings.MIDLANTIC NATIONAL BANK, PHILADELPHIA, PA 1989 - 1994MANAGER OF CREDIT ANALYSIS 1993-1994Managed a staff of approximately 10 credit analysts, reviewing credit presentations and providing direction.COMMERCIAL CREDIT ANALYST 1989-1993Prepared credit analysis presentations which were used by banking committees to make lending decisions to corporate clientsRequired understanding of accounting principles, ability to analyze cash flows and asset/debt ratios, and ability to convey conclusions in written form._EDUCATIONB.A. FINANCE AND ECONOMICS, TEMPLE UNIVERSITY, PHILADELPHIA, PA 1989_OTHER RELEVANT EXPERIENCE_Extensive programming using VBA, SQL and Foxpro, of rate manuals, experience studies, databases, and other analytical tools as needed. Also knowledgeable in Python and its libraries.Participated in Society of Actuaries task force advising on the potential impact of the ACA law prior to passage.Presented Student Health Webinar in conjunction with Milliman USA and the Society of Actuaries. |
