Lauren Letherby
Melbourne,FL
Summary
Focused data science actuary, well-versed in identifying opportunities and providing insights needed to drive performance across a broad range of strategic activities, and influence positive member care journeys. Systematic and driven, with a strong attention to detail and dedication to developing and managing successful analytical processes.
Overview
9
9
years of professional experience
Work History
Actuarial Associate
Oscar Health Insurance
New York, New York
03.2024 - Current
- Led monthly valuations of provider dispute reserves to support financial reporting and ensure adequacy. Drove cross-team improvements in provider dispute processes, identifying key growth opportunities. Implemented new methodologies for developing provider dispute reserves, increasing overall reserve precision. Managed relationships with diverse teams during organizational transitions and audits to ensure smooth operations.
- Assisted in monthly valuations of IBNR reserves to support financial reporting and ensure adequacy.
- Prepared control documentation for audit on assumptions, processes, and results. Cultivated strong auditor relationships, establishing the Valuation team as the company-wide gold standard for control work.
Senior Actuarial Analyst
Oscar Health Insurance
New York, New York
02.2022 - 03.2024
- Assisted in monthly valuations of IBNR and provider dispute reserves to support financial reporting and ensure adequacy. Developed an analytical model to evaluate claims metrics, enhancing insights into patterns.
- Maintained a critical data repository through monthly updates, reconciliations, and collaboration with Data Science. Managed a seamless transition of the data repository for a major change to the claims system, to ensure operational continuity.
- Prepared control documentation for audit assumptions, processes, and results. Cultivated strong auditor relationships, establishing the Valuation team as the company-wide gold standard for control work.
Actuarial Analyst II
Oscar Health Insurance
New York, New York
05.2021 - 02.2022
- Assisted in monthly valuations of IBNR reserves using traditional actuarial methods to support financial reporting and ensure adequacy. Compiled datasets from diverse sources and applied generalized linear modeling to forecast IBNR reserve levels and reserve ranges.
- Collaborated with the team to prepare documentation on audit assumptions, processes, and results. Managed auditor relationships to ensure a seamless audit process.
Actuarial Analyst
Health First Health Plans
Melbourne, FL
02.2019 - 05.2021
- Performed monthly reports and ad hoc analyses to uncover claim utilization patterns, monitor high-cost members, and notify management of potential financial risks. Aided in the automation of financial models to optimize workflow and employee utilization.
- Assisted in the development and pricing of new products, and product enhancements. Collaborated with diverse departments and senior leadership to develop plans for new lines of business, and improve existing business.
Associate Actuarial Analyst
Health First Health Plans
Melbourne, FL
04.2017 - 01.2019
- Developed the automation of the Actuarial Value Calculator using VBA and assisted in the forecasting of cash reserves, membership, and premium using actuarial and statistical methods to provide appropriate results to senior leadership.
Actuarial Intern
Health First Health Plans
Melbourne, FL
01.2017 - 03.2017
- Used data visualization and statistical techniques to analyze anomalistic patterns in claims data, monitored databases for accuracy, and worked closely with other departments on ad hoc projects to provide solutions from disparate data sources.
Education
Associate of the Society of Actuaries -
Society of Actuaries
10-2024
Master of Science - Statistical Computing, Data Mining Track
University Of Central Florida
Orlando, FL05.2020
Bachelor of Science - Statistics, Minors in Actuarial Science & Finance
University Of Central Florida
Orlando, FL12.2016
Skills
- Creative and innovative thinker with an eye for data visualization and design
- Passionate, hard-working, and dedicated to solving problems and optimizing performance measures
- Quick learner, organized, meticulous, and proficient in managing projects and working with teams
- Experienced using Microsoft Office, Google Suite and programming in SQL, R, SAS, SAS Enterprise, C, Python, and VBA
- Advanced mathematical and hands on training in Machine learning, Statistical Computing, Regression Modeling and Data Preparation/Cleansing
Timeline
Actuarial Associate
Oscar Health Insurance
03.2024 - Current
Senior Actuarial Analyst
Oscar Health Insurance
02.2022 - 03.2024
Actuarial Analyst II
Oscar Health Insurance
05.2021 - 02.2022
Actuarial Analyst
Health First Health Plans
02.2019 - 05.2021
Associate Actuarial Analyst
Health First Health Plans
04.2017 - 01.2019
Actuarial Intern
Health First Health Plans
01.2017 - 03.2017
Associate of the Society of Actuaries -
Society of Actuaries
Master of Science - Statistical Computing, Data Mining Track
University Of Central Florida
Bachelor of Science - Statistics, Minors in Actuarial Science & Finance
University Of Central Florida