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Provide actuarial services to develop best-practice actuarial models and promote implementation Program-wide. Maintain accountability for the development of the organization's rate structure, maintenance of adequate reserves, and development of new products. Provide data/analytic expertise to support actuarial services including financial reporting, trend analysis, utilization studies, rate development and claims liability estimates.
Essential Functions:
- Examines and summarizes statistical data by applying mathematical and statistical knowledge to unpaid claim liability, trend analysis, rate formula, forecasting, and premium analysis.
- Develops and enhances procedures including review for actuarial soundness.
- Analyzes completed work for reasonableness and accuracy, and may recommend specific course of action.
- Supports the performance of in-depth, high level analyses on selected divisional and national research projects.
- Provides technical assistance to Program staff in the planning, execution, and analysis of actuarial studies.
- With guidance on priorities from actuarial staff, plans daily and weekly work schedule to meet multiple demands and deadlines.
- Ability to accommodate ad hoc requests into normal workflow without disrupting progress on achievement of key project milestones.
- Under supervision, prepares project work schedules and flow charts.
- Responsibilities impact the achievement of department objectives.
- Results usually contribute to the completion of projects and department objectives.
- Typical errors would cause moderate delays, inefficiencies and/or expenses.
- Typically involves interpreting and carrying out general guidelines.
- Requires some judgment to develop alternatives.
- Provides information to others to be used in the decision-making process.
- Requires limited decision-making.
- Develops solutions to a variety of problems of moderate scope and complexity using judgment within defined practices and procedures.
- Assesses information to identify the best solution from existing alternatives.
- Exchanges and interprets non-routine information and/or collaboration of work.
- Follows established directions.
- Works under general supervision.
- Exercises some discretion within defined boundaries.
- Will seek a supervisor or manager to provide guidance and/or solve problems for difficult issues.
- Provides periodic informal work guidance/direction to and training of team members with less experience.
- No formal supervisory responsibilities.
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