Medical management, legal compliance, return-to-work, employer relationships.
6 AI translations · Insurance
You prepare statutory financial statements per NAIC guidelines: the Annual Statement (Yellow Book), quarterly filings, IRIS ratios, RBC calculations, and Schedule P. You reconcile SAP to GAAP and manage non-admitted assets.
You track combined ratios by line, state, program, and channel. You decompose into loss ratio (pure + ALAE + ULAE), expense ratio (commission, operating, other acquisition), and dividend ratio. You analyze loss ratio drivers: frequency vs. severity, large loss impact, cat vs. non-cat, prior year development.
Insurance investment portfolios are liability-driven: you match asset duration to loss reserve duration, manage liquidity for claim payments, and optimize yield within regulatory and rating agency constraints. SAP accounting treatment (NAIC designations, SVO valuations) drives reported results differently than GAAP.
You prepare and file rates and forms with state DOIs through SERFF. Filing requirements vary by state: prior approval, file-and-use, use-and-file, or flex rating. A single rate revision can require 50+ state filings.
You maintain compliance programs to prevent market conduct violations across all 50+ jurisdictions. When a DOI announces an exam, you mobilize: pulling files, preparing data calls, identifying potential issues, briefing leadership.
You manage producer licensing compliance across 50+ jurisdictions: verifying licenses, tracking CE requirements, monitoring renewals, managing appointment/termination filings.