Actuarial Data Analyst: Insights, Dashboards & Compliance

Selectcare Philippines Inc

Makati

On-site

PHP 450,000 - 750,000

Full time

3 days ago

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Job summary

Selectcare Philippines Inc. is seeking a data/actuarial assistant to support the Actuarial Manager and Data Manager in research, data gathering, and statistical analysis to prepare experience reports and dashboards.

The role involves compiling demographic data, analyzing claims, producing financial data, supporting audits, and ensuring HIPAA compliance. Strong programming and data visualization skills are required.

Qualifications

Bachelor's degree in mathematics, statistics, finance or comparable field of study.
Programming knowledge is required.
Experience with an HMO or health insurance company is preferred but not required.
Ability to read, analyze, and interpret scientific and technical journals, financial reports, and legal documents.
Ability to write reports and articles in prescribed style/format.
Ability to present information to top management or boards.

Responsibilities

Compile demographic information and health histories to develop experience/utilization reports.
Extract data from databases to analyze claims for renewals or information requests; compute loss experience.
Develop data for financial reports and calculate IBNP factors; prepare MLR reports and Experience Refund Statements.
Assist with annual audit, accreditation, and reinsurance activities by supplying documents.
Work on rate filings for regulatory agencies and compliance reports (RxDC, Gag Clause).
Adhere to HIPAA and safeguard health information confidentiality and security.
Apply data tools to enhance company performance and manage utilization.