Actuary- Stop Loss & ASO Pricing
About The Position
Curative is seeking an Actuary to own the pricing of its ASO (self-funded) product line, with a primary focus on employer stop loss pricing (specific and aggregate). This role is central to quoting, renewing, reserving, and reporting for the self-funded block, as stop loss is exclusively bundled with Curative's ASO/self-funded plan. The Actuary will manage all actuarial aspects, including manual and experience rating, credibility, trend, risk load and retention build-up, attachment-point and corridor structures, monthly IBNP valuation of the stop loss layer, and supporting state rate filings. This is a high-visibility position requiring technical actuarial expertise and collaboration with Underwriting, Sales, Account Management, Finance, Operations, and state regulators to drive growth and profitability as the ASO block expands.
Requirements
- Working knowledge of self-funded/ASO plan mechanics and employer stop loss coverage - specific and aggregate structures, attachment points and corridors, contract basis, pooling, lasering, and terminal liability
- Strong technical grounding in excess-layer pricing: claim probability distributions, leveraged trend, credibility, and risk/contingency margin
- Strong analytical skills and creative problem-solving abilities with attention to detail
- Advanced Excel modeling skills; able to build, audit, and document a multi-tab rating model
- Able to translate and effectively communicate results and implications of actuarial, data, financial, and underwriting analyses to non-actuarial partners, executives, and regulators
- Ability to effectively coordinate and manage matrix stakeholders to execute on projects and priorities
- Capable of independently driving multiple projects and workstreams
- Excellent organizational and time management skills
Nice To Haves
- Experience with industry manual rate bases and stop loss factor tables (e.g., Milliman Health Cost Guidelines claim probability distributions and aggregate factors) a plus
- Experience with state health insurance rate filings, including SERFF submissions and regulator correspondence, a plus
- Experience with IBNR/IBNP estimation and monthly close/reserve reporting a plus
- Knowledge of SQL and relational databases; experience with Python or R for data analysis a plus
Responsibilities
- Own specific and aggregate stop loss pricing for Curative’s self-funded ASO groups
- Maintain and enhance the stop loss rating methodology, including trend, credibility standards, group-size risk load, expected loss ratio targets, and retention build-up
- Price new business and renewal quotes across all plan options, communicating rate rationales directly to Underwriting and Sales Teams
- Manage end-to-end ASO pricing models, continuously updating core inputs, network blends, administration, and specialty rider pricing
- Conduct experience studies for the self-funded block, evaluating large claims, leveraged trends, credibility, and actual-vs-expected stop loss performance
- Manage state stop loss rate filings and actuarial certifications, ensuring compliance with state regulations and Actuarial Standards of Practice
- Partner with Underwriting to refine stop loss underwriting guidelines, eligibility rules, and claim review procedures while providing final peer review and technical validation
- Support settlement and experience-refund reporting, renewal strategy, and executive reporting on stop loss and ASO financial metrics
- Mentor junior actuarial staff and provide technical review of their work
- Performs other projects and duties in support of the company as required
Benefits
- Curative Health Plan (100% employer-covered medical premiums for you and 50% coverage for dependents on the base plan.)
- $0 copays and $0 deductibles (with completion of our Baseline Visit )
- Preventive and primary care built in
- Mental health support (Rula, Televero, Two Chairs, Recovery Unplugged)
- One-on-one care navigation
- Chronic condition programs (diabetes, weight, hypertension)
- Maternity and family planning support
- 24/7/365 Curative Telehealth
- Pharmacy benefits
- Comprehensive dental and vision coverage
- Employer-provided life and disability coverage with additional supplemental options
- Flexible spending accounts
- Flexible arrangements to work remotely
- Generous PTO policy plus 11 paid annual company holidays
- 401K for full-time employees
- Generous Up to 8–12 weeks paid parental leave, based on role eligibility.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
