Accident & Health - Senior Financial Analyst

Westfield; Berkeley Heights (NJ); Presencial; USD 110.000 - 140.000; Jornada completa

Descripción de la vacante

Westfield is seeking an Accident & Health Senior Financial Analyst to implement financial processes supporting premium billing, commissions, and reporting. You will partner with MGUs, actuarial, and claims teams to ensure data integrity and regulatory compliance.

The role emphasizes internal controls, SOX readiness, and cross-functional collaboration to drive automation and improve financial workflows within the Accident & Health unit.

Formación

• Bachelor’s degree in Finance, Accounting, Business, or a related field (MBA preferred).
• 5+ years of experience in financial operations within health insurance or related fields.
• Strong understanding of premium billing, commissions, bordereaux, and insurance financial flows.
• Experience with regulatory financial reporting preferred.
• Excellent analytical, communication, and problem-solving skills.
• Prior leadership experience preferred.

Responsabilidades

• Develop processes for premium, commission, and claims data receipt from MGUs and design controls for accuracy.
• Manage premium billing, collections, and commissions for cases without MGUs.
• Ensure reporting to accounting systems; reconcile between systems and databases.
• Oversee bordereaux ingestion, validation, and reconciliation for data integrity.
• Coordinate reporting of claim activity between claims and actuarial; identify anomalies.
• Partner with Claims and Actuarial to assess profitability by MGU, program, and product.

Conocimientos

Analytical skills

Communication

Problem solving

Leadership

Educación

Bachelor’s degree in Finance/Accounting/Business

MBA preferred

Herramientas

Excel

Power BI

Descripción del empleo

Accident & Health – Senior Financial Analyst

The Accident and Health Senior Financial Analyst implements financial processes supporting the core operations of the Accident and Health business unit, including premium billing and collection, commission payments, financial reporting, and internal controls.

This position engages with external program managers, administrators, intermediaries and fronting insurance companies (collectively, “MGUs”) to ensure processes are in place to receive accurate and timely financial and operational data that supports internal reporting requirements.

The role is responsible for ensuring financial accuracy and implementing effective internal controls. Working closely with Actuarial, Accounting, Claims Operations, and enterprise partners, this manager maintains the integrity of financial information across the organization and ensures compliance with enterprise financial and reporting standards.

Key Responsibilities

Premium, Commissions, and Claims Financial Operations

• 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.

MGU Oversight & Governance

• 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.

Regulatory Compliance & Reporting

• 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.

Process Optimization

• 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.

Cross-Functional Partnership

• 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.

Qualifications

• 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.

Preferred Skills

• Familiarity with actuarial concepts (IBNR, trend, MLR).

• Advanced Excel and data tools (e.g., Power BI).

• Experience working with insurance systems and data warehouses.

Success Indicators

• Accurate and efficient processing of exposure, premium, commission, and claims data.

• Timely and compliant internal and external reporting.

• Strong partnerships with internal teams and external partners.

• Improved automation and streamlined workflows.

• High team engagement and performance.

This job description describes the general nature and level of work performed in this role. It is not intended to be an exhaustive list of all duties, skills, responsibilities, knowledge, etc. These may be subject to change and additional functions may be assigned as needed by management.