Managing and leading a team of three analysts on the medical team within claims control. My team is tasked with creating reporting and analyzing first party medical data in order to understand the health of this segment of our business.

This senior level position supports Product Managers who possess profit and loss responsibilities for their states. Has a thorough understanding of the product, and ramifications of proposed plan changes. Works independently with very little supervision. Considered a resident expert of a particular process or for states. Product/State Performance -Continually reviews methodology and procedures for relevance as well as develops new methodology or procedures to accommodate program… Show more This senior level position supports Product Managers who possess profit and loss responsibilities for their states. Has a thorough understanding of the product, and ramifications of proposed plan changes. Works independently with very little supervision. Considered a resident expert of a particular process or for states. Product/State Performance -Continually reviews methodology and procedures for relevance as well as develops new methodology or procedures to accommodate program changes. -Produces and interprets standard reports for division use. -Monitors business performance in states including but not limited to, prospect growth, conversion ratios, earned premium growth, underwriting profitability, retention, etc. -Analyzes past trends that can be predictive of future business performance -Uses querying tools and other research methods to gather data -Creates reports that track state results and highlight areas of opportunity -Researches competitor information and analyzes the impact on our business -Recommends effective solutions to problems and creates a plan to implement solutions.Rate Revision Analysis -Leads rate revision and rule review meetings as necessary -Ensures compliance with state requirements Show less

Determine Rate Adequacy: Apply knowledge of actuarial techniques to determine appropriate price levels for insurance rates.Gather and make sense of large quantities of data, analyze market trendsRecommend and implement appropriate changes to pricing modelRate Revision Implementation/Testing:Take ownership of revision process to meet deadlines Involves strong… Show more Determine Rate Adequacy: Apply knowledge of actuarial techniques to determine appropriate price levels for insurance rates.Gather and make sense of large quantities of data, analyze market trendsRecommend and implement appropriate changes to pricing modelRate Revision Implementation/Testing:Take ownership of revision process to meet deadlines Involves strong time management skills and ability to re-prioritize when necessaryCommunicate across several business groups, particularly with programmers/IT to document issues and collaborate to develop solutions File rate changes and support with the Department of Insurance, requiring great attention to detail and solid understanding of state specific regulationsAnalyze Rate Revision Performance:Regularly examine results on state, product, and consumer segment level Draw conclusions from data, identify and adjust for biases (i.e., seasonality, extreme weather) Use problem solving skills to deal with unexpected results and ambiguous data Show less

•Created and implemented lesson plans for eleventh grade Geometry and Integrated Math III•Collaborated with other teachers for advice and ideas.•Communicated with parents, guidance counselors, special education instructors, and administration on students. •Responsible for six classes of approximately twenty students each.