At Triple-S, we are committed to providing meaningful job experiences for Valuable People (Gente Valiosa). We strive for excellence in everything we do, from the way we work together to the way we serve our customers.
When you join Triple-S, you will be key to our efforts on delivering high-quality and affordable healthcare as well as contribute to our purpose to enable healthier lives. We serve more than 1 million consumers in Puerto Rico through our Medicare Advantage, Medicaid, Commercial, Life and Property & Casualty Businesses.
Let's build healthier communities together, join now!
JOB SUMMARY
Responsible for compiling information, performing analysis and giving recommendations. Calculate premiums and ASO quotes for large new and renewing groups and new products. Estimate claims reserves and prepares reserve analysis, trend analysis, and the rating factors and formulas for community, merit, and experience groups. Estimate the cost impact of proposed changes to health plans.
ESSENTIAL FUNCTIONS
- Applies knowledge of mathematics, probability and statistics to complete tasks and demonstrates sound financial acumen during the process.
- Compile statistical data for a variety of projects such as monitoring monthly variance analysis reports, revenue forecasting, identifying medical trends and performing premium and membership trend analysis.
- Gathers and prepares actuarial analysis based on information from internal and external sources.
- Model, quantify, and value insurable risks faced by our company.
- Draft reports documenting the methods, assumptions and results of our work with direct supervision of senior actuaries within the company.
- Extracts and validates data as needed for applications and modeling reports.
- Performs both routine and ad hoc actuarial and statistical analyses to estimate financial outcomes.
- Calculate premiums for large new and renewing groups, individual products, and new products,
- Estimate claims reserves and prepare reserve analysis and trend analysis. Develop rating factors and formulas for community, merit, and experience groups.
- Assist with rate development for Medicare Advantage and HMO capitation. Determine rating factors for merit and experience group rating.
- Analyze incurred claims and trend by coverage and line of business.
- Collaborate with programmers, underwriters, Product Development, and senior management to help develop plans for acquiring new business or improving existing business.
- Estimate the cost impact of proposed changes.
- Provide reporting and analytical support to Finance Division, Sales and Marketing Division and Underwriting Department.
EDUCATION
- Bachelor's Degree in Mathematics or Statistics
EXPERIENCE
- Bachelor’s degree in Mathematics, Statistics, Finance or related discipline degree level with strong Mathematical background.
- Must have approved at least one actuarial test sponsored by the Society of Actuaries.
LICENSES AND CERTIFICATIONS
COMPETENCIES
It is company policy to seek for the qualified applicants for positions throughout the company without distinction of race, color, national origin, religion, sex, gender identity, real or perceived sexual orientation, civil status, social condition, political ideologies, age, physical or mental disability, veteran status or any other characteristic protected by law. Drug-free company.
Equality Employment Opportunity/Affirmative Action for People with Disabilities/Veterans. Employer with E-Verify to verify the eligibility of employment of all the new employees.
We encourage Veterans and Disabled to Apply.