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Medical Data Actuary-Workers Compensation
Medical Data Actuary-Workers CompensationSummit • Lakeland, FL, US
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Medical Data Actuary-Workers Compensation

Medical Data Actuary-Workers Compensation

Summit • Lakeland, FL, US
14 hours ago
Job type
  • Full-time
  • Part-time
Job description

Medical Data Actuary-Workers Compensation role at Summit. This position may be hybrid from Lakeland, FL, with the opportunity for fully remote for the ideal candidate.

Overview

Headquartered in Lakeland, Summit employs over 700 associates at its main location and regional offices. Summit provides workers' compensation programs and services to thousands of employers throughout the Southeast. Summit is a member of Great American Insurance Group, combining a small-company entrepreneurial atmosphere with big-company expertise. Summit values diverse backgrounds and experiences to achieve business results.

Responsibilities

  • Compiles, consolidates and analyzes actuarial information to produce statements, schedules, filings and reports of a more complex nature.
  • May act as a project lead on actuarial studies and pricing strategies.
  • Develops and maintains profit studies, reserve studies, and rate files and procedures.
  • Develops predictive models using advanced statistical and machine learning techniques and communicates modeling results to business unit management.
  • Prepares actuarial portion of financial reports in accordance with GAAP and SAP.
  • Provides actuarial analyses, responses and communications to divisional and corporate partners.
  • Maintains awareness of emerging issues affecting assigned divisions.
  • Provides technical advice to lower-level positions and other functional areas.
  • May lead the work of others (mentors, prioritizes, delegates and reviews assignments).
  • May handle departmental responsibilities and ownership of actuarial models / methods.
  • Advises management on actuarial or mathematical techniques and provides input on policy regarding actuarial standards and appropriate actions.
  • Represent the company at industry events or meetings as needed.
  • May have responsibility for performance and coaching of staff and may participate in talent decisions for direct reports.
  • Performs other duties as assigned.

Qualifications

  • Bachelor's degree in actuarial science, mathematics, statistics or related discipline.
  • Generally, 7+ years of experience in an actuarial or data role with prior workers compensation experience.
  • Prior experience with medical billing data (ICD-10, MS-ORG, CPT / HCPCS) is preferred.
  • Intermediate development skills in Python / R and advanced knowledge of SQL and Excel.
  • Ability to develop machine learning and / or deep learning approaches to solve clinical and business problems.
  • Ability to perform independent / unsupervised exploratory data analysis and statistical analysis.
  • Demonstrates specialized expertise in pricing, reserving or predictive modeling.
  • Company

    SCI Summit Consulting, LLC

    Benefits

    Compensation varies by role, level and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs. We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave / adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees. Your recruiter can provide more details about total rewards and compensation ranges during the hiring process.

    Job details

  • Location : Lakeland, FL
  • Salary : $55,000.00-$90,000.00
  • Posted : 1 day ago
  • Employment type : Full-time
  • Seniority level : Mid-Senior level
  • Job function : Finance and Sales
  • We're unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.

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    Medical Compensation • Lakeland, FL, US

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