• Risk Assessment:
• Analyze statistical data to estimate the probability and financial impact of future healthcare events.
• Evaluate the financial risks associated with health insurance policies and medical treatments.
• Policy Design and Pricing:
• Price health insurance products, ensuring they are competitive and financially viable.
• Data Analysis and Modeling:
• Create and maintain actuarial models to predict healthcare costs and trends.
• Analyze claims data to identify patterns and inform pricing strategies.
• Financial Reporting:
• Prepare detailed reports on financial performance, including loss ratios, reserves, and profitability.
• Collaborate with finance and accounting teams to ensure accurate financial reporting.
• Carry out audits as and when required
• Regulatory Compliance:
• Stay updated on changes in healthcare regulations and ensure compliance with all applicable laws.
• Collaboration and Consultation:
• Work closely with underwriters, claims managers, and other stakeholders to develop and refine insurance products.
• Provide expert advice on actuarial matters to senior management and other departments.
• Research and Development:
• Conduct research on medical advancements, healthcare trends, and demographic changes.
• Develop new methodologies for evaluating healthcare risks and costs.
Qualifications
Qualifications
• Bachelor or Master degree in Actuarial Science, Mathematics, Statistics, Economics or Finance
• Professional actuarial certification (e.g., FSA, ASA) or progress towards certification.
• Prior experience in data analytical/pricing role in an insurance/reinsurance setup
• Strong analytical and problem-solving skills.
• Proficiency in statistical analysis software and actuarial modeling tools.
• Excellent communication and interpersonal skills.
• Knowledge of healthcare industry regulations and standards.
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