Jayson Chatelain Email & Phone Number

All actuarial and medical economics functions for Large Group, Small Group, Individual, ASO, Federal Employees, and Medicare Advantage products including association and employee leasing arrangementsWas the Appointed Actuary for actuarial opinions and certifications; performed filings for established areas and products as well as new products and expansions into new statesDeveloped premium rates, benefit relativities, area and other pricing factors for all fully-insured products and annual Medicare Advantage bidsEstablished actuarial financial liabilities, reserves, underwriting guidelines, projections and SOX documentation and controlsEstablished actuarial forecasts of medical expense, revenue, membership, and analyze the results, reporting outcomes and causes for deviation to senior leadershipOversaw provider contracting analysis including rate setting, capitation, unit cost trends, utilization trends and abnormalities, and measured and monitored resultsQuantified savings or expense amounts related to quality initiatives, benefit definition changes or policy changes proposed by the health planMember of various internal committees overseeing health plan steering, underwriting policies, fraud and abuse, benefits, member appeals, product development, and cost of health careWorked with internal and external auditors to ensure compliance with financial reporting standardsInterfaced with employer group clients, brokers, health care providers, insured members, industry consultants, other insurance carriers and Insurance DepartmentsResponsible for managing and developing actuarial staff ranging from interns to credentialed, experienced actuaries

IBNR calculations and analysisDeveloped and analyzed financial utilization informationPriced benefit relativities and developed reports used by UnderwritingAnalyzed and recommended processes to improve claims paymentsContributed to department functions such as capitation rating, physician studies, pricing changes, government reportingAd-hoc reporting including researching trend issues, investigating effects of changing company policies

Developed, priced and implemented new Whole Life productImplemented, maintained and published monthly rates for policiesAnalyzed product cash flows in multiple interest rate scenariosCalculated and published quarterly earnings, yields and crediting ratesMonthly maintenance of all policy values

Master Of Public Health - Mph

Bachelor Of Science - Bs, Actuarial Science