Serve as a key stakeholder in Prudential Group Insurance’s strategy to grow Medical Stop Loss products, partnering with Distribution, Underwriting, Product and P&L Leadership, Claims, and Operations to drive profitable growth.
Develop and execute pricing strategies for Medical Stop Loss, including disciplined implementation, training in pricing tools, and collaboration across functions.
Provide technical guidance in the development and enhancement of new Medical Stop Loss products, including assumption development, reserve and capital requirements, modeling, and pricing.
Lead pricing and filing of manual rates, and develop experience rating methodologies as product experience matures.
Analyze claims data, market trends, and regulatory changes to inform pricing and risk management decisions.
Collaborate with external partners and vendors to enhance underwriting and claims capabilities, and evaluate opportunities for automation and insourcing of actuarial functions.
Opportunity to expand into other products within Prudential Group Insurance, including Life, Disability, and Supplemental Health.

Requirements

7+ years of actuarial experience, including direct experience with Medical Stop Loss or health insurance product development, pricing, actuarial and financial projections.
Deep understanding of Medical Stop Loss market dynamics, including specific and aggregate stop loss, risk transfer mechanisms, and employer self-funding strategies.
Strong quantitative and analytical skills, with expertise in healthcare data analysis, actuarial modeling, and risk assessment.
Excellent written and verbal communication skills to convey pricing results, profitability metrics, and risks to senior leaders and key stakeholders.
Data-driven mindset with the ability to make decisions informed by reliable data and insights.
Collaborative and inclusive team player, able to build relationships across internal and external teams.
Professional actuarial designation (FSA, ASA, MAAA, or equivalent) required.
Experience with regulatory filings, compliance, and market monitoring for Medical Stop Loss products.
Familiarity with actuarial software (e.g., Excel, Access, SAS, SQL) and advanced modeling techniques.

Benefits

Medical, dental, vision, life insurance, disability insurance
Paid Time Off (PTO), and leave of absences, such as parental and military leave
401(k) plan with company match (up to 4%)
Company-funded pension plan
Wellness Programs including up to $1,600 a year for reimbursement of items purchased to support personal wellbeing needs
Work/Life Resources to help support topics such as parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development
Education Benefit to help finance traditional college enrollment toward obtaining an approved degree and many accredited certificate programs
Employee Stock Purchase Plan: Shares can be purchased at 85% of the lower of two prices (Beginning or End of the purchase period), after one year of service
Eligibility to participate in a discretionary annual incentive program is subject to the rules governing the program, whereby an award, if any, depends on various factors including, without limitation, individual and organizational performance

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills

actuarial modelingpricing strategiesrisk assessmentdata analysisexperience rating methodologiesfinancial projectionsclaims analysismarket trend analysisregulatory complianceautomation of actuarial functions

Soft skills

quantitative skillsanalytical skillswritten communicationverbal communicationcollaborationrelationship buildingdata-driven decision makinginclusive teamwork

Certifications

FSAASAMAAA