Accident & Health - Senior Financial Analyst

Westfield•Berkeley Heights, NJ

About The Position

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.

Requirements

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.

Nice To Haves

Familiarity with actuarial concepts (IBNR, trend, MLR).
Advanced Excel and data tools (e.g., Power BI).
Experience working with insurance systems and data warehouses.

Responsibilities

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.