UNKNOWN

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The Senior Analyst, Actuarial will play a key role in Oscar's valuation function, focusing specifically on risk adjustment across all Affordable Care Act (ACA) markets. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience.

YEAR

Hi, we're Oscar. We're hiring a Senior Actuarial Analyst to join our Actuarial team.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.About the role:The Senior Analyst, Actuarial will play a key role in Oscar's valuation function, focusing specifically on risk adjustment across all Affordable Care Act (ACA) markets. This role will own the maintenance and review of actuarial models used to develop risk adjustment accrual estimates, forecasting estimates, and various other analyses.  This is a very dynamic space, which makes this a great opportunity to work on interesting projects and have a BIG impact.You will report into the Director, Actuarial.Work Location: This is a remote position, open to candidates who reside in:  Hartford, CT. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-RemotePay Transparency: The base pay for this role is: $101,844 - $133,670 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.Responsibilities:<ul><li>Model Management: Maintain and enhance core risk adjustment reporting and forecasting models, ensuring consistency and standardization across all team users.</li><li>Infrastructure & Design: Serve as a key contributor in improving modeling infrastructure; develop recommendations for model design decisions, best practices, and automation/documentation standards.</li><li>Financial Strategy: Develop recommendations for the risk adjustment accrual setting process and provide data-driven insights for the financial planning process.</li><li>Trend Analysis: Identify, triage, and investigate core drivers of observed trends across plan designs, providers, vendors, and markets.</li><li>Stakeholder Engagement: Maintain strong relationships and clear lines of communication with internal and external stakeholders.</li><li>Team Development: Aid in the onboarding of new analysts by collaborating and integrating them into existing processes.</li><li>Governance: Compliance with all applicable laws and regulations.</li><li>Other duties as assigned.</li><li> </li></ul>Requirements:<ul><li>Bachelor's degree in a STEM field.</li><li>Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one.</li><li>3+ years of experience in a related field.</li></ul>Bonus points:<ul><li>Strong knowledge of core health insurance concepts and experience with actuarial applications.</li><li>Highly technical with a strong enthusiasm to apply tech-forward methods in actuarial models.</li></ul><div class="content-conclusion">This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud<a href="http://hioscar.com/careers/recruitment-fraud-alert" rel="nofollow">here</a>. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.Artificial Intelligence (AI): Our <a href="http://hioscar.com/careers/ai-guidelines" rel="nofollow noopener noreferrer" target="_blank">AI Guidelines</a> outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our <a href="https://www.hioscar.com/legal/privacy/" rel="nofollow">Privacy Policy</a>.</div>

Oscar Health

Senior Actuarial Analyst

Actuarial Skills

Analysis Skills

Artificial Intelligence (AI)

Automation

Best Practices

Communication Skills

Data Processing

Documentation Standards

Employee Benefits

Financial Planning

Financial Strategy

Forecasting

Health Insurance

Healthcare

Model Review

Onboarding

Regulations

Regulatory Compliance

Risk

Service-Oriented Architecture (fka Distributed Object Architecture)

Team Building

Trend Analysis

GreenHouseAPI

Responsible for implementing and executing Hiscox's Best Practices, including but not limited to reserve-setting and reserve timeliness, undertaking comprehensive coverage analysis, developing claim-handling strategy, in an effort to align with and deliver on Hiscox's KPIs, execute on strategies to efficiently manage claims and claim outcomes and deliver excellent service as the business scales . Approximately 50% of the portfolio comprises small commercial business sold either online or through intermediaries, and the remaining 50% represents traditionally traded business intermediated through broking partners for Property and Casualty and Specialty Lines, including Professional Liability, Cyber, Technology and Media & Entertainment.

<h5>AVP, Team Manager – GL BI and PD </h5>Build a brilliant future with Hiscox Position: AVP, Team Manager – General Liability - Business Intelligence and Professional Development Reporting to: Claims Director, Property & Casualty Location: Atlanta, Boston, Chicago, Hartford, New York, Scottsdale Flexibility: Permanent Travel: Hybrid About Hiscox USA: Hiscox USA underwrites small- to mid-market commercial risks through brokers, other insurers and distribution partners and directly to businesses. In 2023, gross written premiums for the segment will represent over $1bn. Approximately 50% of the portfolio comprises small commercial business sold either online or through intermediaries, and the remaining 50% represents traditionally traded business intermediated through broking partners for Property and Casualty and Specialty Lines, including Professional Liability, Cyber, Technology and Media & Entertainment. Hiscox USA has built the digital business through ongoing investment in the brand, technology and operational capabilities. The business has pursued an omni-channel approach from its inception and is less constrained by the channel conflict that affects some competitors. Customers have a choice of buying policies online end-to-end, by connecting with a Hiscox agent over the telephone, or alternatively through a third-party broker or insurance carrier partner. The business follows an 'all roads lead to Hiscox' philosophy, ensuring it is available to do business with target customers whichever way they choose. The Team: The Hiscox US Claims team is a dynamic and growing group of technically minded professionals working together to provide superior customer service, through exemplary claims handling leading to positive claim outcomes. The Claims staff is empowered to manage their claims within given authority to provide fair and fast resolution of claims for our policy holder and broker partners. With strong growth across the US business, the Claims team is focused on delivering first in class claims service while reinforcing Hiscox's strong brand built on a long history of outstanding claims handling. The Role: The AVP Team Manager – General Liability - is a leader in the Claims organization reporting to the Claim Director of Property & Casualty. This very important role is pivotal to the success of the Claims organization and the ability to achieve both Claims and Portfolio goals by developing, managing and motivating a team of engaged and high-performing Claims professionals. The role requires excellent technical claims handling skills, strong people management, the use and implementation of data to drive key performance metrics and the ability to lead through change. AVP's provide managerial support, guidance and mentorship to their assigned team. Key Responsibilities: <ul><li>Effectively manage the claims and claims volume through proper staffing of the team and active oversight of the claims, including assessing and allocating new incoming claims, reopened claims, and claims that may need to be transferred due to severity or complexity </li><li>Responsible for implementing and executing Hiscox's Best Practices, including but not limited to reserve-setting and reserve timeliness, undertaking comprehensive coverage analysis, developing claim-handling strategy, in an effort to align with and deliver on Hiscox's KPIs, execute on strategies to efficiently manage claims and claim outcomes and deliver excellent service as the business scales </li><li>Drive KPI's and adherence to Hiscox's Best Practices through managerial diary and file audits </li><li>Review and approve coverage correspondence, particularly matters involving coverage denials and sensitive or complicated coverage issues </li><li>Focus on litigation management and strategy within your direct team and across the wider Claims organization to achieve effectiveness and efficiencies of scale </li><li>Identify, assess and escalate key issues, trends and emerging risks impacting the US business to senior claims management </li><li>Establish collaborative relationships across our leadership, within Claims as well as other business areas </li><li>Hire, train, motivate and coach employees to provide excellent claim service while continually assessing employee performance and providing feedback and training opportunities. </li><li>Act as the escalation point for customer and broker concerns or complaints to facilitate resolution efficiently and effectively </li><li>Assist Director in preparing and presenting reserve analysis and claims trends while taking an active and engaged role in the feedback loop between Claims, Underwriting and Actuarial teams </li></ul>Required Skills and Experience: <ul><li>At least 10 years of experience in handling claims. A JD from a law school with ABA accreditation may count as additional claims handling experience </li><li>5+ of experience in Commercial General Liability claims to include both Bodily Injury and 3rd Party Property Damage experience. Construction Defect and/or New York Labor Law experience is a plus. </li><li>4+ of Claims management experience </li><li>Expert knowledge of claims handling practices, including coverage analysis, litigation management and negotiation </li><li>Excellent analytical, critical thinking and communication skills are a must </li><li>Strong skills in building engagement, rapport and relationships with others </li><li>Advanced analytical skills for evaluating coverage and for developing and executing claim-handling strategies to achieve optimal claim results </li><li>Evidence of efforts to enhance product innovation, improve claims processes and/or gain a deeper understanding of other aspects of the business through training, interactions with external/internal stakeholders or other relevant projects </li><li>Technical leader who can address challenges that may come up from direct reports or others inside or outside of the organization </li><li>Ability to manage through uncertainty or change and address challenges and implement solutions </li><li>Experience in partnering with internal and external stakeholders, including Actuary, Underwriting, Legal and Risk Control </li><li>Dedication to excellent customer service </li><li>Ability to efficiently manage the claims load for your team by developing team, hiring top notch talent and providing hands-on training, mentoring, oversight and support </li><li>Insurance adjuster license(s), or willingness to obtain them </li></ul>What We Offer: <ul><li>401(k) with competitive company matching </li><li>Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care) </li><li>Company paid group term life, short- term disability and long-term disability coverage </li><li>24 Paid time off days plus 2 Hiscox days,10 paid holidays plus 1 paid floating holiday, and ability to purchase up to 5 PTO days </li><li>Paid parental leave </li><li>4-week paid sabbatical after every 5 years of service </li><li>Financial Adoption Assistance and Medical Travel Reimbursement Programs </li><li>Annual reimbursement up to $600 for health club membership or fees associated with any fitness program </li><li>Company paid subscription to Headspace to support employees' mental health and wellbeing </li><li>2024 Gold level recipient of Cigna's Healthy Workforce Designation for having a best-in-class health and wellness program </li><li>Dynamic, creative, and values-driven culture </li><li>Modern and open office spaces, complimentary drinks </li><li>Spirit of volunteerism, social responsibility, and community involvement, including matching charitable donations for qualifying non-profits via our sister non-profit company, the Hiscox USA Foundation </li></ul>Salary Range: $120k-$155k The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. **Please note that this position is hybrid and requires two (2) days in our office weekly** About Hiscox: As an international specialist insurer, we are far removed from the world of mass market insurance products. Instead, we are selective and focus on our key areas of expertise and strength - all of which is underpinned by a culture that encourages us to challenge convention and always look for a better way of doing things. We insure the unique and the interesting. And we search for the same when it comes to talented people. Hiscox is full of smart, reliable human beings that look out for customers and each other. We believe in doing the right thing, making good and rebuilding when things go wrong. Everyone is encouraged to think creatively, challenge the status quo and look for solutions. Scratch beneath the surface and you will find a business that is solid, but slightly contrary. We like to do things differently and constantly seek to evolve. We might have been around for a long time (our roots go back to 1901), but we are young in many ways, ambitious and going places. Some people might say insurance is dull, but life at Hiscox is anything but. If that sounds good to you, get in touch.

Hiscox

AVP, Team Manager

Accredited Business Accountants (ABA)

Brokerage

Business Intelligence

Claims Management

Claims Processing

Construction

Customer Escalations

Customer Support/Service

Dental Insurance

Distribution Channel

Educational Accreditation

Entertainment and Media

File Audits

Flexible Spending Accounts

Insurance

Leadership

Legal

Litigation

Management Strategy

Medical Assistance

Mentoring

Negotiation Skills

Non-Profit Funding

Nonprofit

Organizational Skills

People Management

Performance Metrics

Philosophy

Process Improvement

Psychiatry and Mental Health

Reimbursement

Resolve Customer Issues

Risk Management

Service Delivery

Small Business

Team Lead/Manager

Team Player

Technical Leadership

Third-Party Payer

Underwriting

Vision Plan

Volunteer Experience

eCommerce Sales

IRecruitee

PERMANENT

It is important that within all your interactions both internally and externally you adhere to Beazley’s core values - Being Bold, Striving for Better, and Doing the Right Thing – as they contribute to an internal environment of teamwork and promote a positive brand image and experience to our external customers. Key Relationships: Head of Underwriting Management, Head of Global Cyber Digital Risks; Cyber Risks Leadership; Brokers; Underwriters; Claims; Cyber Services; Actuarial.

General:
Job Title:                            US Underwriting Management Leader – Small Business Division:                            Cyber Risks Reports To:                       Head of Underwriting Management, Cyber Risks Key Relationships:           Head of Underwriting Management, Head of Global Cyber Digital Risks; Cyber Risks Leadership; Brokers; Underwriters; Claims; Cyber Services; Actuarial Job Summary:                   Underwriting Manager with responsibility for all aspects of cyber underwriting management  within our Small Business segment – including cyber, tech E&O, and MPL  Key Responsibilities: <ul style="list-style-type:square"><li>Lead underwriting management for Small Business within Cyber Risks regarding:</li></ul> <ul style="list-style-type:square"><li style="list-style:none"><ul style="list-style-type:square"><li>Underwriter Guidelines</li><li>Pricing</li><li>Risk selection tools</li><li>Training</li><li>Admitted rate plans</li><li>Data analytics</li><li>Digital trading systems</li><li>Underwriting exposure limits and sublimits</li></ul></li></ul> <ul style="list-style-type:square"><li>Analyse product underwriting performance data such as quote/bind/referral/decline rates, and propose adjustments to portfolio management and risk selection to drive profitable growth.</li><li>Work closely with the pricing actuary and Cyber Data Science and Analytics to monitor the portfolio and suggest corrective measures as required to enhance the profitability.</li><li>Liaise with other Beazley central assurance teams – compliance, risk management, and internal audit; to ensure continuity of SME underwriting business plan delivery whilst effectively controlling and reporting enterprise risk.   </li><li>Support the Head of Global Cyber Digital Risks on implementing the SME strategy and roadmap</li><li>Participant in media opportunities and thought leadership/marketing as required</li><li>Participate in the cross functional team delivery model by contributing to Underwriting process design, digital technology delivery and development of operational support within the division.</li></ul> Personal Specification: We are seeking an individual with deep technical expertise across cyber, technology E&O, and MPL products, with strong grounding in portfolio management, coverage structures, compliance considerations, and pricing or actuarial approaches. The ideal candidate will bring hands-on underwriting or underwriting management experience, with a comprehensive understanding of underwriting philosophy, policy wording, and risk selection frameworks. The successful candidate will be comfortable operating in both manual and digital trading environments and will have experience designing, implementing, or enhancing underwriting processes, systems, and tools. An analytical mindset and the ability to interpret data to inform underwriting, pricing, and system decisions is essential to achieving profitable growth. We are looking for someone who combines commercial judgment with strong financial and operational awareness. Excellent communication skills—written and verbal—are critical, as the role requires regular interaction and influence across a broad range of seniority levels and functional areas. Experience developing, mentoring, or guiding underwriting teams will be valuable, alongside a proven ability to collaborate effectively, embrace change, and contribute to a culture of continuous improvement and innovation.  Skills and Abilities • Excellent communication and influencing skills• Strong analytical capability with high attention to detail• Solid understanding of underwriting processes and risk selection• Awareness of legislative, regulatory, and competitive market environments• Strong business acumen and understanding of how underwriting interacts with other functions• High proficiency in MS Office, with advanced Excel skills• Ability to prioritise, manage time effectively, and meet deadlines• Self‑motivated, with the ability to work independently and collaboratively• Highly accurate and numerate Knowledge and Experience • Broad commercial and financial knowledge• Extensive experience within the insurance industry• Experience working with clients, brokers, or partners in a service‑focused capacity Aptitude and Disposition • Outcome‑focused, proactive, and adaptable• Professional, credible, and able to build trusted relationships• Enthusiastic approach to teamwork and cross‑functional collaboration  Competencies<ul style="list-style-type:square"><li>Integrity</li><li>Team building & working</li><li>Customer focus</li><li>Resilience</li><li>Technical competence/expertise</li><li>Business/financial acumen</li><li>Active listening</li><li>Developing people</li><li>Achievement drive</li><li>Analytical thinking</li><li>Conceptual thinking</li></ul>General                It is important that within all your interactions both internally and externally you adhere to Beazley’s core values - Being Bold, Striving for Better, and Doing the Right Thing – as they contribute to an internal environment of teamwork and promote a positive brand image and experience to our external customers. We also expect Beazley employees to:  <ul style="list-style-type:square"><li>Comply with Beazley procedures, policies and regulations including the code of conduct, which incorporates the PRA and FCA Conduct. </li><li>Undertake training on Beazley policies and procedures as delivered by your line manager, the People & Sustainability or assurance teams (compliance, risk, internal audit) either directly, via e-learning or the learning management system. </li><li>Display business ethics that uphold the interests of all our customers.</li><li>Ensure all interactions with customers are focused on delivering a fair outcome, including having the right products for their needs.</li><li>Comply with any specific responsibilities necessary for your role as outlined by your line manager, the People & Sustainability or assurance teams (compliance, risk, internal audit) and ensure you keep up to date with developments in these areas. This may include, amongst others, Beazley’s underwriting control standards, Beazley’s claims control standards, other Beazley standards and customer relationship management.</li><li>Carry out additional responsibilities as individually notified, either through your objectives or through the learning management system. These may include membership of any Beazley committees or working groups.</li></ul> Beazley: Beazley is a specialist insurance company with over 30 years’ experience helping people, communities, and businesses to manage risk all around the world.  Our products are wide ranging from cyber & tech to marine, healthcare, financial institutions, and contingency, covering risks like the weather, film production or protection from deadly weapons. We are a flexible and innovative employer offering a friendly, collaborative, diverse and inclusive work environment. We encourage applications from all backgrounds. We empower people to choose where to work given the work that needs to be done. Collaboration in office spaces is important but we do not mandate a set number of days in the office or from home – you decide what works best for you and the role you are in. We have a wonderful mix of cultures, experiences, and backgrounds at Beazley with over 1500 of us working around the world.  Employee’s diversity, experience and passion allow us to keep innovating and moving forward, delivering the best. We hire people with wide perspectives, and we have set bold diversity targets as we work towards excellence. The rewards:  <ul><li>The opportunity to connect and build long-lasting professional relationships while advancing your career with a growing, dynamic organization</li><li>Attractive base compensation and discretionary performance related annual bonus</li><li>Competitively priced medical, dental and vision insurance</li><li>Company paid life, and short- and long-term disability insurance</li><li>401(k) plan with 5% company match and immediate vesting</li><li>22 days annual PTO (full-time, prorated for 1st calendar year of employment), plus paid public holidays with the ability to flex the religious bank holidays to suit your religious beliefs. Additional PTO purchase is available up to a maximum of 5 days per calendar year.</li><li>Up to $700 reimbursement towards home office setup</li><li>Free in-office lunch, travel reimbursement for travel to office, and monthly lifestyle allowance in support of your wellbeing</li><li>The opportunity to save for, and purchase, shares of Beazley stock</li><li>Six months fully paid parental leave, regardless of how you come to parenthood</li><li>Company paid sabbatical up to 12 weeks after 10 years of continued service</li><li>Support with exam/study leave and fees for relevant qualifications related to furthering education</li><li>Up to 2.5 days matched paid leave for volunteering at a charity of your choice and 5 days paid leave to provide or arrange care for a dependent with a long term care need annually</li><li>Smart working policy and flexible working culture, trusting our employees to do what works best for them, their role and the needs of the business</li></ul> Salary for this role will be tailored to the successful individual’s location and experience. The expected compensation range for this position is $165k- $200k per year plus discretionary annual bonus. You will be able to discuss your salary expectations should you be contacted about this role. Don’t meet all the requirements? At Beazley we're committed to building a diverse, inclusive, and authentic workplace. If you’re excited about this role but your experience doesn’t perfectly align with every requirement and qualification in the job specification, we encourage you to apply anyway. You might just be the right candidate for this, or one of our other roles.

Actuary Jobs in Bloomfield, CT

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Actuary Jobs in Bloomfield, CT

Senior Actuarial Analyst Oscar Health

AVP, Team Manager Hiscox

US Underwriting Management Leader - Small Business Beazley Management Limited

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