Lead – Value Management
Business: Health Insurance
Unit: Aditya Birla Health Insurance Company Ltd
Reports to: Head Transformation
Function: Finance & Accounts
Department: Value Management
Designation of the Employee: Associate Vice President
Designation of the Manager: Head Transformation
Date of writing/updation of JD: December 2023
Job Purpose
The purpose of the role is to ensure and lead Actuarial analytics, ensuring that the products developed meet the needs of the company, customer and distributors. This will involve gathering data, framing assumptions, building pricing models, performing calculations, comparing with competition, sensitivity analysis, developing test cases and UAT of IT system developments.
Key Result Areas
Pricing for New Plans
- Modelling the utilization pattern of various benefits under the plan
- Discussion with various departments on likely costs and take up rates
- Giving feedback on areas where re‑negotiation can take place
Repricing for Existing Plans
- Repricing of existing plans to ensure profitability and growth
- Suggest mix of benefit for optimal pricing exercise and benefit combination
Framework for Assumptions vs Actual analysis
- Work with Finance to design the framework for A vs E analysis
- Suggest the required changes and enhancement to the process
- Introduce stochastic estimation of utilization and model the likely scenarios
Advance Actuarial Analytics (Retail)
- Pattern detection in retail customers
- Identification of anti‑selection pockets in various products
- Illness‑specific / age‑specific analytics
- Develop and implement the analytical strategy for the actuarial department, aligning it with the overall business goals of the company
- Drive the development and implementation of predictive models for pricing, reserving and risk assessment
- Portfolio aging analysis
Advance Actuarial Analytics (Group)
- Identification of profitable segments
- Running of GLM in group member level data
Product Design and Pricing
- Support in preparation of feasibility report of innovative features in product design
- Coordinate with experience monitoring team for data required for pricing
- Identify risk and rating factors of the product
- Support in framing pricing assumptions
- Build pricing models and derive technical pricing
- Develop market intelligence for products and pricing requirements
- Support in preparation of technical justification for the product
- Support in preparation of pricing documents for IRDAI
Team Development
- Stay updated on industry trends and changes in regulations and code of conduct
- Engage in self‑grooming and learning through training, webinars and professional courses
- Encourage team members to undergo necessary training programs
Pricing insurance products and evaluating claims
- Set prices for insurance products and evaluate claims
Assessing the financial impact of potential business decisions
- Analyze data and risk to assess the financial impact of potential business decisions
- Evaluate features of an insurance product to attract more sales
Relationships
Internal – Finance Team
- Frequency: Once a week
- Nature: Exchange and validation of information; share information related to performance of products; validations of assumptions used in product design and pricing; information required for pricing of new products
Internal – IT Team / MIS Team
- Frequency: Once a week
- Nature: Data related issues and automation requirements
Internal – Claims Team
- Frequency: Once a week
- Nature: To understand trends or changes in claims processes / fraud model / data collection
Internal – Underwriting (Group and Retail)
- Frequency: Once a month
- Nature: To identify any change in practices / data collection; send out information as required, ensure smooth reviews
External – Software Providers
- Frequency: As required
- Nature: Send out information as required
Job Purpose of Direct Reports
Senior Manager/Manager – Actuarial Analytics
The purpose of the role is to apply advanced analytics and actuarial methodologies to gain insights, make data‑driven decisions, and support strategic initiatives.