Head of Fraud and Risk Oversight at OpenPayd. Develop and implement fraud risk management strategies within a fintech environment.
About the role
- Senior Risk Analyst supporting Employee Benefits and Student Health divisions through underwriting support, data-driven insights, and financial analytics. Collaborating with internal teams to deliver client-ready insights and support financial reporting.
Responsibilities
- Perform underwriting and financial analytics for group medical, dental, vision, and related benefit programs
- Evaluate risk for new and renewal business using claims data, financial modeling, and benchmarks
- Support partially self-funded and self-insured accounts, including experience-rated arrangements
- Assist with renewals and marketings by spreading and analyzing financials
- Prepare experience reports, IBNR calculations, PCORI fee calculations, and financial summaries
- Partner with account management and producers to support retention and growth
- Attend client meetings to explain financial results and plan mechanics
- Educate clients on funding structures, risk drivers, and market trends
- Coordinate renewal underwriting and reporting with carriers, TPAs, and actuarial partners
- Support preparation of renewal financials and experience summaries
- Help develop standardized reporting and client deliverables
- Build working relationships with insurance carriers to support underwriting and renewals
- Deliver accurate monthly client reporting to internal teams
- Validate data accuracy for analytics and executive summaries
Requirements
- Experience supporting employee benefits underwriting or analytics
- Exposure to self-funded or experience-rated benefit programs
- Student health analytics experience preferred
- Bachelor’s degree or equivalent professional experience
- Strong analytical and problem-solving skills
- Advanced Excel proficiency
- Working knowledge of Word and PowerPoint
- Experience with MedInsight preferred
Benefits
- 401(k) with employer match
- Medical, dental, vision, life, and disability insurance
- Paid Time Off (PTO)
- Paid holidays and paid sick leave
- Professional development opportunities
- Flexible work environment
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Head of Fraud and Risk Oversight at OpenPayd overseeing fraud risk management and ensuring compliance. Building infrastructure to support financial transactions globally.
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