Same

Medicare, Medicaid and Commercial Medical TrendOperations - Saving Humana $50Million per year

Cash Flow Testing, RBC, ProjectionsLTC, Other A&HCommercial Medical insurance pricing and provider networks

Received cash award for work on medsupp admin in-sourcing project Programmed and performed reserve calculations using Excel and HealthmasterDesigned reserve calculations for both projected and estimated unpaid claims liabilityProgrammed and ran projections including for pricing.Constantly analyzing financial and policy data for accuracy, surprises, trends and financial predictionsDeveloped models for projecting and evaluating costsCompletely redesigned the actuarial and financial reporting process for several blocks of business totaling $80 million per year and including MedSupp, Long and Short Term Disability, Major Medical, Specified Disease, Accident and Hospital Indemnity.Reviewed reinsurance treaties, found $1mm in unclaimed reinsuranceDesigned roll-forward process including actuarial and accounting Thorough understanding of GAAP, STAT and Tax regulations and reporting with regards to health insurancePerformed ROI calculations and financial projectionsModeled future eventsWorked with all departments in the company on various projectsPrepares and reviews reserves for accuracy and trendsWorked on a healthcare reform projectPerformed GAAP, Tax and STAT reserve valuations and reportingUsed TM1, OFA and Discoverer to pull cash data, and to reconcile booked reserves to the ledgerPerformed reserve adequacy testing - primary responsibility of assuring reserves adequate to meet claimsAnalyzed DAC and PVFP to prove reasonablenessAnalyzed ratesState supplemental reportingCompleted experience analysis and reportingAnalyzed, combined and subdivided financial data for various reportsCreated and designed new journal vouchers for booking reservesProvide ideas for process improvements and implement when appropriate

Managed MTP which developed a direct thermal coating for paper, and the process to apply that coating. Once developed MTP earned 20% net profits on $5mm sales per year.Software engineer

Manager of MTL ProductsManaged $6,000,000 per year coating company with product development, equipment and raw materials purchasing, budget forecasting, accounting, and general managementConceived and developed project ideasOutfitted facility for manufacture and application of coatingsDeveloped concept into a viable productGenerated $1,000,000 per year net income.Made budgets, ran cost analysis on new projects both for MTL products and other divisionsAnalyzed P+L, ran scenarios to increase profitsManaged eight employees; Managed inks and coating departmentDeveloped unique water-based and 100% solids coatings and adhesivesFound better and cheaper suppliesStreamlined production to eliminate 20 hours overtime per week

Wrote code to integrate machines togetherDesigned card QC system, specified equipment and wrote code to implementSpecified and purchased machine vision and personalization equipmentCOMPUTER Computer Modeling - developed complex models to determine the most likely SKILLS outcomes of physical systemsMicrosoft Office - extensive and constant work with Excel including Visual Basic Macros. Familiar with Word, Access and PowerPointComputer Programming - C, Visual Basic, FORTRAN. Can write code to query and analyze dataMachine Communication - wrote computer code for machines to interact with each other Financial Software - OFA, Discoverer, Oracle