Actuarial and Pricing Analyst

Role Overview

This role sits at the centre of medical insurance pricing and portfolio performance, turning claims, membership and finance data into the rates, renewal terms and tender prices the business relies on. Day to day you will move between building quotations in the internal pricing models, interrogating scheme experience for signs of strain, and packaging that analysis into reports and dashboards that management and clients can act on. Success looks like pricing that is technically sound and delivered on time, loss ratios that are watched closely and understood early, and reporting that gives decision-makers a clear view of where the portfolio is heading.

Key Responsibilities

• Prepare corporate medical quotations and renewal terms using the department's pricing models, building and maintaining rate tables and applying the correct loadings and statutory gross-ups.
• Analyse claims experience, exposure and benefit changes to inform renewal pricing, and support tender pricing work, including capitation models.
• Apply underwriting and discount rules consistently, identify breaches as they arise and route approvals through the correct channels.
• Track loss ratios, claims frequency and severity across schemes, flagging adverse experience early and running experience reviews, anti-selection analysis and benefit sensitivity testing.
• Develop provider and scheme claims intelligence — including episode-of-care analysis and peer benchmarking — and reconcile claims data across multiple sources and funding arrangements.
• Produce scheme performance reviews, renewal readiness packs and ad hoc analysis, maintain dashboards covering quote volumes, premiums, loss ratios and pipeline, and prepare decision-ready decks and written advisories for management and clients.
• Extract, clean and structure data from claims, membership and finance systems; automate recurring pricing and reporting tasks and support integrations across claims and administration platforms.
• Contribute to the development, testing and improvement of the pricing and analytics platform — including using AI to sharpen analytical workflows and surface deeper insight — and work with Underwriting, Business Processing, Sales and Retention to resolve pricing and data queries, while providing costing and technical input to product development and supporting the international medical partner portfolio alongside core local functions. Any other duties as assigned.

Requirements & Qualifications

• Degree in Actuarial Science, Statistics, Mathematics or another quantitative discipline.
• At least 5 years' experience in health or medical insurance pricing and analytics, with demonstrated pricing and experience-analysis work carried out in a live insurance environment.
• Solid progress through professional actuarial examinations (IFoA, SOA or an equivalent body).
• Strong working understanding of medical insurance products, underwriting practice and claims processes.
• Advanced Excel skills plus actuarial or financial modelling capability.
• SQL for extracting and manipulating data; Python or R for analytics and automation is an added advantage.
• Data visualisation and dashboarding skills, ideally in Power BI or a comparable tool, and confidence handling large claims and membership datasets.
• Strong analytical and problem-solving ability, high attention to detail and technical accuracy, clear report writing and presentation skills, and sound commercial judgment.
• A dependable team player who performs well under pressure and to tight turnaround times.