Medical Insurance

Tendai C. Mukome

Professional Career Summary

Actuarial Valuations ● Risk Management ● Account Management ● Pricing

Performance driven professional with refined ability to apply finely honed analytical skills, statistical techniques, and mathematical methods to assess and manage risks. Expertise in performing actuarial valuations, pricing and projections, statistical and financial analysis. Accomplished execution excellence in complex research and technical report development. Consistently exceed organizational expectations with exceptional supervisory, administrative, and operations skills.

Professional Experience

Underwriter – Davis Vision * San Antonio, TX * 4/2016 – 4/2018

• Underwrite and renew vision insurance for large groups and national accounts

• Conduct quantitative analyses of financial data to forecast revenue, identify future trends, and assess risk

• Build, maintain and improve models to assist in the analyses of market pricing and forecasting

• Evaluate and recommend alternative pricing options based on economic analyses and trends

Underwriter – Highmark Blue Cross Blue Shield * Pittsburgh, PA * 1/2009 – 4/2016

• Manage complex book of business with over 10,000 contracts consisting of national and regional accounts

• Lead corporate projects and initiatives on large complex accounts worth $500 million book premium for all groups and line of business

• Execute rates and pricing actions used for making multi-million dollar decisions using research based methodologies and interactions with Client Managers and Actuarial Services team

• Underwrite fully and self-insured Health (Medical and Prescription Drugs) coverage with product portfolio descriptions including experience rated PPO, HMO and Traditional plans

• Perform Partnership Pricing between Home plan and Host plan

• Calculate renewal rates and pricing of manual claims for existing clients and execute prospect quotes with claims experience for prospective

• Interpret pricing policy using corporate risk management policies and recommend adaptation strategies to unusual situations

Rating Analyst – Highmark Blue Cross Blue Shield * Pittsburgh, PA * 1/2007 – 12/2008

• Underwrite fully and self-insured Health (Medical and Prescription Drugs). Product portfolio descriptions include experience rated PPO, HMO and Traditional plans

• Used claims experience to calculate prospect quotes for prospective clients

• Employed different financial arrangements on concessions, rate caps and applied corporate risk management policies

Actuarial Intern – Highmark Blue Cross Blue Shield * Pittsburgh, PA * 5/2006 – 1/2007

• Assisted senior level actuaries in determining premiums, developing rating structures, and evaluating rating systems and methodologies

• Ran programs with SAS to pull claims data for use in data analysis

• Drafted rate filings for approval of Pennsylvania Insurance Department

Education

Bachelor of Arts, Mathematics (Actuarial Science), Seton Hill University, PA. (August 2006)

922 E. Sonterra Blvd, San Antonio, TX 78258 412-***-****

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