Overall mission of Actuarial is to protect Aetna's financial integrity with sound reserving and risk management practices as well as product designs that meet customer needs and pricing that produces returns to shareholders commensurate with the risks undertaken. Actuarial is responsible for anticipating and recognizing matters that materially affect financial integrity and making sound, unbiased reports on these issues.
Collaborates with business partners to provide sound risk management advice. Anticipates and recognizes matters that materially affect financial results and make sound, unbiased recommendations on these matters. Leads inter-departmental teams to shape policy and process.
Fundamental Components & Physical Requirements include but are not limited to (* denotes essential functions)
-Risk Analysis & Management- Risk Assessment- Partner with business managers to provide sound risk management advice.
-Reserve Analysis- Review reserve analyses and recommend appropriate reserve levels.
-Regulatory Engagement – Lead the engagement with regulator and auditors to ensure compliance with local regulation and standards
-Planning & Forecasting- Review and interpret models and make recommendations for planning, forecasting and reporting process.
-Pricing, Trend & Benefit Design- Oversee and recommend pricing and trend for product and/or services. Understand and communicate financial impact on business plan to business unit management.
-Product & Business Knowledge- Assumptions & Data Sources- Review assumptions developed by staff from a business perspective and be able to defend work to senior management. Integrate understanding of internal and external data sources for quantifying risks.
-Programs, Policies & Processes- Apply knowledge of interdepartmental products, programs, processes and policies to resolve problems and issues.
-Regulatory Issues- Assure compliance with applicable regulations, laws and standards.
-Technical Proficiency- Use of Technology- Develop creative technical solutions to a variety of problems. Stay apprised of technical innovations as potential solutions for actuarial issues and concerns.
-Development & Implementation- Oversee/manage the development and implementation of tools and models.
-Maintenance & Enhancements- Prioritize changes and enhancements to processes, tools and systems. Define staffing support and resource allocation.
-Business Specifications- Signoff on detailed business requirements for systems development.
-Testing- Review testing results for changes to processes, tools and systems.
-Communication, Collaboration & Consultation- Constituent Focus- Leads interdepartmental teams to shape process and policy.
-Verbal & Written Communication- Address most complex inquiries. Have direct interaction with internal and external constituents. Maintain accurate documentation and manage training and user support for tools and processes.
-Interaction with Constituents- Initiate and support collaboration with internal and external constituents.
Leadership- Management of Resources- Lead/manage projects established to support goals identified in strategic and operating plans. Influence/motivate resources within and outside of direct control to complete projects. Exhibits innovative use of resources.
-Scope of Decision Making Authority- Broad decision making authority typically tied to level of financial impact.
-Staffing/Personnel- Potential to manage staff, including responsibility for hiring and termination decisions.
Aetna Way- Exhibit behavior that reflects Aetna’s values and is in accordance with the Aetna Way.
5+ years related experience
Education and Certification Requirements
-College degree or equivalent experience
-Health Insurance experience required
-Must be a member of an accredited actuarial organization (able to sign rate filings and other required actuarial certifications for the region).