Commercial Health Actuary

RemoteFull-Timemid

OtherCommercial

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Overview

We are seeking a highly skilled and experienced certified Actuary to join our dynamic team for commercial health insurance underwriting. This role reports to the Chief Actuary.

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OtherCommercial

We are seeking a highly skilled and experienced certified Actuary to join our dynamic team for commercial health insurance underwriting. This role reports to the Chief Actuary. The ideal candidate will be an actuary with a deep understanding of commercial health insurance underwriting, capable of working closely with sales teams in competitive situations, and proficient in interpreting underlying claims experience for various groups. Should have experience with clinical data and related analytics to recognize catastrophic versus chronic or spot outliers of prevalence of common disease states and comorbidities (e.g. hypertension and diabetes). While this is a remote role, you must reside in the United States and in the Eastern or Central time zone.

We are on a mission to bring humanity to health insurance. Our high-technology health plans expand benefits, increase access and transparency, and feature a personalized, human approach. We strive to ensure members live happier, healthier lives.

Evry Health is the major medical division of Globe Life (NYSE:GL). Globe Life has 16.8 million policies in force, and more than 3,000 corporate employees and 15,000 agents. For more than 45 consecutive years, Globe Life has earned an A (Excellent) rating or higher from A.M. Best Company.

Risk Assessment: Evaluate and analyze health insurance applications to determine the risk they pose, helping to set premium rates that are both fair and competitive.

Claims Analysis: Interpret and analyze underlying claims experience to inform underwriting decisions and policy adjustments.

Collaboration: Work closely with sales teams to develop competitive insurance products and strategies, ensuring alignment with company goals and client needs.

Policy Development: Assist in the development of insurance policies or suggest changes to existing policies that balance the needs of market with the risk to the insurance company.

Regulatory Compliance: Stay updated with changes in legislation and regulations that may affect the product design and underwriting considerations.

Documentation: Maintain accurate and detailed records of policies underwritten and decisions made, tracking concessions and experience.

Communication: Coordinate with brokers and agents to gather additional information or to explain underwriting decisions.

Education: Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related field.
Credentials: Professional actuarial credentials (e.g., ASA, FSA) are required.
Experience: Minimum of 5 years of experience in commercial health insurance underwriting (not Medicare, Medicaid, or individual market/ACA plans).
Experience working with sales teams in competitive situations is highly desirable.
Strong analytical and decision-making skills
Excellent communication and interpersonal skills
Proficiency in statistical analysis and risk assessment
Ability to interpret complex data and make informed decisions
Familiarity with underwriting software and tools

Preferred:

Advanced actuarial credentials (e.g., ASA or FSA)

Experience with large group health insurance underwriting for fully insured business

Knowledge of current healthcare regulations and market trends

Competitive salary

Comprehensive health, dental, and vision insurance

Retirement savings plan with company match

Professional development opportunities

Flexible work environment

This is a remote position. Our whole company works remotely. Company headquarters are in Dallas, Texas. Company business hours are weekdays 9-5 CST. We will only consider candidates in the United States who reside in the CST or EST time zones.

Required to have a dedicated work area established that is separate from other living areas and provides information privacy.

Ability to keep all company sensitive documents secure.

Must live in the United States.

Must live in a location that receives an existing high-speed internet connection/service.