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Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
:
Summary
Strategic and analytical finance professional with 28 years of success in financial reporting, analysis, forecasting, and project management.
Highlights
  • Variance analysis
  • Complex problem solving
  • Accurate forecasting
  • Financial reporting expertise
  • Effective style of working with others and imparting enthusiasm and knowledge
  • General understanding of accounting principles
  • ​Excellent verbal and written communication skills
  • Excellent analytical and critical thinking skills
  ​
  
  • Advanced knowledge of databases and backend systems (CURS, FADT, FD402, PFAB, EAS, Customer Effective Group Library, CES/PIRS/FIPS
  • Excellent computer and programming skills
  • Microsoft Excel, Access, Word, PowerPoint, Easytrieve, DB2/SQL, StarSQL
Education
Clemson University Clemson, SC Expected in 1988 Bachelor of Science : Mathematical Science - GPA :
  • Cum Laude
  • Received the Clemson University Freshman Mathematics Award
  • Kappa Delta Sorority

Accomplishments
  • Responsible for directing the BCBSSC Accounting in a clean-up effort for self funded business which was losing money. Continues to manage the financial aspects of this business which now provides 53% of the BCBSSC profit. 
  • Brought clarity to corporate financials through the development of a profitability report used by senior BCBSSC management
  • Involved in the development, implementation and current administration and financial reporting for National Alliance business (administering self funded business for other Blue plans)
  • Provides actuarial support for reinsurance accounts administered by PAI, a BCBSSC subsidiary.  Involved in financial reporting, reconciliation and analysis of accounts and regularly collaborates with the CFO, the Vice President of Marketing, and the Risk Manager of PAI as well as the Actuarial Department of BCS Insurance company.
  • Completed commissions analysis for BCBSSC Major Group, Group and Individual, Small Group and Blue Choice for the purpose of restructuring company commissions
  • Developed forecast models for all BCBSSC self funded business, stop loss business,  National Alliance, Bluecard, and PAI reinsurance
  • Wrote an extensive program for stoploss reinsurance for Accounting to calculate payments to reinsurers, providing a necessary NAIC audit trail
  • Provides technical support to Accounting and Finance on an ongoing basis
Experience
Assurant - Actuarial Manager
Emeryville, CA, 2015 - Current
  • Manages three actuarial staff members (an assistant actuary III, an actuarial assistant,  and a para actuary)
  • Oversees reconciliation of the general ledger accounts for BCBSSC large accounts (self funded and fully insured)
  • Oversees audit of Cost and Budget monthly report
  • Oversees financial reporting for BCBSSC large accounts
  • Reviews internal costs monthly
  • Produces forecasts for National Self Funded accounts, Local Self Funded accounts, National Bluecard accounts, National Alliance accounts, all stop loss business and  PAI products
  • Actuarial support for reinsurance products administered by PAI, a BCBSSC subsidiary
  • Conducts quarterly reinsurance committee meetings
  • Oversees all stop loss reporting and profit sharing calculations
  • Works with Finance and Billing to implement new arrangements
  • Assists Finance with accounting issues
  • Calculates quarterly IBNR for stop loss business and self funded accounts upon request
  • Meet with MRM and ISU to maintain MGU relationships
  • Oversee the development of tools used for ACA compliance
  • Involved in various ongoing corporate projects (PCMH Steering, CBF modernization, Payment Innovation Data exchange
Blue Cross And Blue Shield Of South Carolina - Senior Para Actuary/Finanial Analyst
City, STATE, 03/1997 - 2015
  • Reconciled general ledger accounts for BCBSSC large accounts (self funded and fully insured)
  • Audits Cost and Budget monthly report
  • Produces financial reports for BCBSSC large accounts
  • Reviews internal costs monthly
  • Produces forecasts for National Self Funded accounts, Local Self Funded accounts, National Bluecard accounts, National Alliance accounts, all stop loss business and  PAI products
  • Actuarial support for PAI
  • Involved in testing and implementation of teh CES/PIRS/FIPS infrastructure project
  • Attends quarterly reinsurance committee meetings
  • Involved in various ongoing corporate projects (PCMH Steering, CBF modernization, Payment Innovation Data exchange
  • Assists Finance with accounting issues
Blue Cross And Blue Shield Of SC - Actuarial Assistant Individual Products
, STATE, 05/1990 - 03/1997
  • Investigated data integrity and forecast variances
  • Produced experience studies and did rate filings for Individual Products
  • Produced claim liability estimates monthly for all BCBSSC insurance products used in the Corporate Financial Statement
  • Attended monthly financial meetings with the CFO to report monthly experience
  • Assisted in the forecast of Individual classes of business
  • Assisted in the development of new Individual products
  • Prepared annual statement exhibits
  • Prepared NAIC Loss Ratio exhibits
  • Passed nine actuarial exams
Blue Cross And Blue Shield Of South Carolina - Student Actuary
, STATE, 05/1988 - 05/1990
  • Monitored Small Group experience
  • Assisted in small group rate increases
  • Completed an organ transplant study
  • Completed termination studies
  • Passed two actuarial exams

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Resume Overview

School Attended

  • Clemson University

Job Titles Held:

  • Actuarial Manager
  • Senior Para Actuary/Finanial Analyst
  • Actuarial Assistant Individual Products
  • Student Actuary

Degrees

  • Bachelor of Science

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