Health - Actuarial

Health - Actuarial• Serve as the Lead Actuary for multiple clients and oversee the financial work done by client teams• Drive meetings with C-suite and provide strategic advice to a wide range of mid to large market clients• As Mercer's H&B Tech Survey Lead, serve as primary owner of multiple healthcare cost and total rewards surveys for the high tech industry used for clients and prospects globally• People manager for colleagues with varying levels of experience (experienced hires to interns)• Set roles and responsibilities for client team members and help them grow into the next level• Oversee training sessions nationally for actuaries and non-actuaries• Actuarial on-campus recruitment lead for Mercer's West Market (previously San Francisco office) and involved with recruiting at a national level• Mentor actuaries and non-actuaries across MMC offices globally

Health - Actuarial

Collaborate with leaders from all walks of life and work towards everyone’s growth with a focus on inclusive and purpose-driven leadership.

Health - Actuarial• Led the development of accrual rates for self-insured plans, preliminary budget over $100M while modeling potential plan design changes, evaluation of Health Care Reform impact and development of quarterly Incurred But Not Reported (IBNR) / Incurred But Not Paid (IBNP) reserve estimates• Enhanced the IBNR / IBNP review process by creating tools used across multiple clients in the San Francisco office which complement the existing Willis Towers Watson IBNR model• Co-led the benefits modernization project for one of the largest health plan / provider systems• Managed benefit renewal process including drafting request for quotations / renewals, analyze responses and ASO fee and insurance premium negotiations (saved clients $10K – $2M)• Worked closely with clients to establish employee contribution scenarios that meet their needs• Participated in annual strategy meetings to review emerging trends, prevalence of strategic initiatives, annual / multi-year strategy review / refresh and provide innovative solutions to primarily high-tech and finance clients• Managed ad-hoc client requests including problem-solving on administrative and operations issues• Drafted statements of work, created project plans, developed budgets for recurring annual projects and ad hoc projects and monthly billing reports• Served as the day to day project lead, ensuring the progress of the team against established objectives, budget, timeline, deliverables and quality standards• Developed a trusted advisor relationship with client contacts through effective communication and efficient, quality execution of projects• Delegated to, reviewed project work of, managed and trained analysts while also serving as a mentor to them• Led the local health care cost benchmark survey initiatives for the San Francisco office and coordinate the local effort with the national survey team• Served as the San Francisco office Liaison for the H&B practice for the exam study program

Health - Actuarial• Led the team while serving as the primary reviewer of development of unpaid claims liabilities for a State's Medicaid program• Oversaw the audit and testing of several health plans and self-funded employer health incurred but not paid claim liabilities ranging from $50K to $1B and non-lag liability review, including methodology review and independent testing• Spearheaded studies related to IBNR calculations to reference when less than desirable data was provided• Enhanced the functionalities in the Deloitte IBNR model and delegated and managed building of models and tools to leverage for multiple clients• Produced underwriting quotes for public employers, both small and large groups while analyzing group claims experience to make adjustments in quote development• Performed unit cost benchmarking analysis and summarized scenario analysis of various levels of market reimbursement to support performance improvement initiatives at health systems• Assessed financial impact of ICD-10 implementation on claims and payer contracts for provider networks• Provided litigation support to a Provider Network by summarizing rate definitions and service definitions listed in their system wide contracts with multiple Health Plans• Analyzed client pharmacy benefit design documents, researched drug interactions and developed test scripts to identify coding errors and perform quality checks in the client’s claims adjudication system both before and after new plan implementations• Provided insight and expertise while reviewing solvency applications requesting for additional funding submitted by CO-OPs participating on the Health Insurance Exchange• Team Lead for the development of the provider related component of the Fraud, Detection and Prediction, and Processing Error Reduction market offering• Managed and trained interns, onshore teams and offshore teams on client projects• Served as the Minneapolis office Liaison at the actuarial recruitment events

Retirement - Actuarial• Worked as lead actuarial support to multiple defined benefit plans that we administered on behalf of single employer pension plan clients and coordinated with clients, internal managers and coders on a daily basis• Led the conversion of administration for salaried and union pension plans for multinationals• Configured new clients on actuarial valuation software• Performed revenue analysis for Co-op 401K Plan administered by Midwest Employee Benefits practice of Milliman• Performed cost analysis for tentative plan design changes for a hospital• Developed Excel tools for and reviewed complex benefit calculations, benefit statements, benefit forms for participants, disbursement forms for plan trustees, QDROs and COLA calculations

Retirement - Actuarial• Worked on Funding, FAS 87 (Qualified and Non-Qualified), IAS 19 and FAS 106 valuations using ProVal, eVal and WyVal and completed government forms• Reviewed and analyzed relevant assumptions and updated and verified complex coding in WyVal to calculate liabilities for DB plans• Converted plans from WyVal to eVal for liability calculations• Drafted client letters, reports and invoices and actively participated in client meetings• Established a training program and trained new hires and summer interns• Developed tools to monitor progress of employees in the office study program and coordinated bonuses and raises

Irwin Academic Services Center

Property & Casualty, Life and Health - Actuarial• Used loss triangles to calculate the claims reserve for a major auto insurance company (P & C)• Calculated the workers’ compensation claims reserve for a risk management agency serving the municipalities, school districts and local public agencies of an entire state (P & C)• Evaluated the price tag of an insurance agency by projecting their renewal commissions (Life)• Performed preliminary review of the bids submitted by healthcare firms to the Centers for Medicare and Medicaid Services (Health)• Presented during inter-office meetings and actively participated in meetings with clients

Retirement - ActuarialPerformed benefit calculations, enhanced tools using VBA and prepared government forms

Retirement - ActuarialPerformed actuarial valuation of a company’s liability on account of defined benefit schemes such as gratuity (similar to pension) and vacation benefit