Medical Data Actuary-Workers Compensation - Lakeland, FL (33801)

Employer
Summit Claims
Location
Lakeland, FL (33801)
Posted
7/27/2025
Closes
8/26/2025
Ref
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Category
Business Administration

Headquartered in the Central Florida city of Lakeland, Summit employs over 700 office and field associates at its main location and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia. As the people who know workers' comp, we strive to provide an atmosphere of constant growth and development for our employees. Summit provides workers' compensation programs and services to thousands of employers throughout the Southeast. Summit is a member of Great American Insurance Group, a company that focuses on building relationships and linking people to various career paths. Whether it's underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a small-company entrepreneurial atmosphere with big- company expertise. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. Headquartered in the Central Florida city of Lakeland, Summit employs over 700 office and field associates at its main location and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia. As the people who know workers' comp, we strive to provide an atmosphere of constant growth and development for our employees. Summit provides workers' compensation programs and services to thousands of employers throughout the Southeast. Summit is a member of Great American Insurance Group, a company that focuses on building relationships and linking people to various career paths. Whether it's underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a small-company entrepreneurial atmosphere with big- company expertise. We are seeking a Medical Data Actuary to work a hybrid schedule from our Lakeland, FL office. The opportunity to work fully remote will be considered for the ideal candidate. Essential Job Functions and Responsibilities Compiles, consolidates and analyzes actuarial information to produce statements, schedules, filings and reports of a more complex nature. May act as a project lead on actuarial studies and pricing strategies. Develops and maintains profit studies, reserve studies, and rate files and procedures. Develops predictive models using advanced statistical and machine learning techniques and communicates modeling results to business unit management. Prepares actuarial portion of financial reports in accordance with Generally Accepted Accounting Principles (GAAP) and Statutory Accounting Principles (SAP). Provides actuarial analyses, responses and communications to divisional and corporate partners. Maintains awareness/currency of emerging issues affecting assigned divisions. Provides technical advice to lower-level positions and other functional areas. May lead the work of others (mentors, prioritizes, delegates and reviews assignments). May handle departmental responsibilities and ownership of actuarial models/methods. Advises management on actuarial or mathematical techniques and provides input on company policy regarding actuarial standards and appropriate courses of action. Represent the company at industry events or meetings as needed. May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports. Performs other duties as assigned. Qualifications Bachelor's degree in actuarial science, mathematics, statistics or a related discipline. Generally, 7+ years of experience in an actuarial or data role with prior workers compensation experience. Prior experience with medical billing data (ICD-10, MS-ORG, CPT/HCPCS) is preferred. Must have intermediate development skills in Python/R and advanced knowledge of SQL and Excel. Ability or experience to develop machine learning and/or deep learning approaches to solve clinical and business problems Ability and experience to perform independent/unsupervised exploratory data analysis and statistical analysis Demonstrates specialized expertise in pricing, reserving or predictive modeling. Company: SCI Summit Consulting, LLC Benefits: Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs. We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees. Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.