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Senior Financial Analyst – Accident & Health
Westfield HealthSenior Financial Analyst in Accident & Health managing financial operations, premium billing, and regulatory compliance. Collaborating with internal teams and ensuring data integrity across financial reporting.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in financial operations within health insurance, focusing on premium billing, commission structures, and regulatory compliance. Capable of leading initiatives to enhance financial reporting standards and streamline workflows while ensuring data integrity and accuracy.
Highest-signal resume keywords
Financial Operations ManagementPremium Billing ExpertiseRegulatory Financial ReportingData Integrity OversightAnalytical Problem-Solving
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
Financial ReportingBordereaux IngestionData ReconciliationProfitability AnalysisCash Flow MonitoringFinancial ControlsSOX ComplianceBudgeting and ForecastingClaims CoordinationOperational Risk Identification
Soft Skills
Analytical SkillsCommunication SkillsLeadership ExperienceProblem-Solving Skills
Certifications & Qualifications
Bachelor’s Degree in FinanceBachelor’s Degree in AccountingBachelor’s Degree in BusinessMBA or Master’s Preferred
Industry Keywords
Health InsuranceInsurance Financial FlowsMGU AuditsFinancial WorkflowsRegulatory FilingsContingent CommissionAccident and Health BusinessInternal ControlsEnterprise StandardsFinancial Insights
About the role
Key responsibilities & impact- Develop processes for the receipt of premium, commission, and claims data from MGUs, and design controls to ensure reported amounts align with business expectations and regulatory requirements.
- For business written without MGUs, ensure timely and accurate premium billing, collections, and commission payments.
- Ensure accurate reporting to accounting and financial systems, including reconciliation between accounting systems and administrative systems and databases.
- Oversee bordereaux ingestion, validation, and reconciliation processes to ensure data integrity.
- Facilitate reporting to reinsurance and retrocession partners, including calculation of profit sharing and contingent commission arrangements.
- Develop and maintain financial reporting for the Accident and Health business.
- Coordinate reporting of claim activity between claims and actuarial.
- Partner with Claims and Actuarial teams to identify anomalies, data gaps, and operational risks.
- Establish financial reporting standards, controls, and service level expectations with MGUs.
- Evaluate MGU financial reporting for completeness, accuracy, and timeliness.
- Monitor premium receivables, cash flow timing, and remittance activity from MGUs.
- Support MGU audits, due diligence, and performance reviews.
- Assist in the analysis of profitability by MGU, program, and product, including loss ratios and expense performance.
- Ensure all data reporting complies with enterprise standards and Department of Insurance requirements.
- Support the preparation of regulatory filings, financial exhibits, and audit requests.
- Maintain strong internal controls aligned with SOX requirements and audit readiness.
- Establish and test controls over delegated financial and underwriting authority.
- Identify and lead initiatives to streamline financial workflows.
- Drive automation and efficiency improvements.
- Establish and enhance standards of practice for billing, commissions, and other non-claim financial processes.
- Coordinate closely with Actuarial, Underwriting, and Claims teams to provide financial insights that support reserving and pricing decisions.
- Partner with enterprise FP&A and Accounting to lead budgeting and forecasting efforts for Accident and Health.
- Communicate financial insights clearly to stakeholders at all levels.
- Support onboarding and financial due diligence of new MGU or program relationships.
Requirements
What you’ll need- Bachelor’s degree in Finance, Accounting, Business, or a related field (MBA or Master’s preferred).
- 5+ years of experience in financial operations within health insurance or related insurance fields.
- Strong understanding of premium billing, commission structures, bordereaux, and insurance financial flows.
- Experience with regulatory financial reporting preferred.
- Excellent analytical, communication, and problem-solving skills.
- Prior leadership experience preferred.
Benefits
Comp & perks- Health insurance
- 401(k) matching
- Paid time off
- Flexible work arrangements