Actuary - Valuation & Reserving

Overview

This role involves conducting actuarial analysis, pricing, and risk assessment to estimate financial outcomes. You will support the actuarial valuation team through experience and trend analysis, valuation activities, and communication of financial results.

Responsibilities

• Estimate liabilities for claims incurred but not paid
• Support monthly incurred but not paid reserves with a tight turnaround during the first week of each month
• Communicate financial results to health plans and other internal stakeholders
• Support the NAIC actuarial opinion process
• Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes
• Develop probability tables based on analysis of statistical data and other pertinent information
• Review insurance plans and calculate required premium rates
• Ensure cash reserves and liabilities enable payment of future benefits
• Determine an equitable basis for distributing money for insurance benefits
• Participate in merger and acquisition analysis
• Help develop new processes, identify operational efficiencies, and collaborate across departments
• Perform other duties as assigned and comply with all policies and standards

Requirements

• Bachelor’s Degree in a related field or equivalent experience required
• 5+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification required or 4+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required
• Strong Excel skills (e.g., VBA, arrays, PivotTables, and queries)

Preferred Qualifications

• 5+ years of actuarial experience with healthcare and valuation actuarial experience, including estimation of claims incurred but not paid
• Knowledge of NAIC actuarial opinions
• Member of the American Academy of Actuaries (MAAA)
• SQL, Python, Power BI, and ability to effectively leverage AI tools to enhance actuarial analysis and decision-making
• Creative, analytical, and innovative thinking

Compensation & Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible approach to work with remote, hybrid, field, or office work schedules
• Actual pay will be adjusted based on an individual’s skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status
• Total compensation may also include additional forms of incentives
• Benefits may be subject to program eligibility

Location

• Fully remote within the continental U.S.

Equal Opportunity Statement

Equal opportunity employer committed to diversity. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.