Skyward Specialty Insurance

• Conduct thorough audits of accident and health insurance claims to verify accuracy, policy compliance, and proper adjudication. • Ensure claims adhere to company policies, industry regulations, and legal requirements, including HIPAA. • Analyze claims data to identify patterns, discrepancies, and opportunities for process improvement. • Prepare detailed audit reports and communicate findings, recommendations, and corrective actions to management and relevant departments. • Collaborate with claims processing teams to implement audit recommendations, streamline workflows, and enhance claims accuracy. • Serve as a subject matter expert by training junior auditors and claims processors on audit procedures and compliance standards. • Maintain accurate documentation of audit processes, findings, and follow-up actions, ensuring all information is safeguarded and confidential. • Stay updated on changing regulations, industry best practices, and emerging audit methodologies.

• Provide timely, efficient, and accurate support to Underwriting with respect to issuing policies • Create policy documents which represent the insurance transaction bound by the underwriter • Ensure statistical coding and policy issuance complies with regulatory requirements • Maintain electronic and/or physical underwriting file • Solicit renewal transactions • Provide operational support for the product line’s underwriters • Work with the unit underwriters to bind, book, and issue policies • Review policies for accuracy and regulatory standards • Input policy and underwriting data in appropriate systems • Make direct contact with brokers and their assistants

• Coordinate completion of annual/quarterly statutory statement with outside areas (actuary, investments, tax, reinsurance, etc.) • Prepare parts of the annual/quarterly statutory statements not covered by outside areas. • Review general ledger items for accuracy and completeness • Review, analyze, report, and interpret financial reports • Prepare monthly Blackline reconciliations various complex accounts • Assist with preparation of audit work papers • Perform various projects and analysis as required • Work collaboratively with various departments

• Responsible for developing and maintaining trusted business relationships • Apply influential analytical and problem-solving skills • Collaborate in the planning, designing, development, and deployment of new applications • Work with business stakeholders and project managers to develop business requirements • Collaborate with customers, vendors, developers, architects, QA and other technical teams • Promote a proactive environment by researching and recommending process and technology solutions • Develop test cases, perform testing, and manage user testing • Mentor and coach analysts team members

• Provides actuarial leadership and strategic analytical support for Skyward Specialty’s A&H business, with a primary focus on stop loss and related health programs. • Responsible for pricing governance, reserving oversight, reinsurance analytics, underwriting decision support, regulatory rate filing support, and development of actionable portfolio insights. • Partners closely with Underwriting, Compliance, Finance, IT, Reinsurance partners, and external advisors in a public company / SOX-controlled environment. • Leads and develops a small actuarial team. • Influences across functions (Underwriting, Compliance, Finance, IT, Reinsurance) to ensure timely, controlled, and decision-useful actuarial outputs. • Provides actuarial support to Compliance for mid-year rate certifications and full-year rate filings, leveraging Willis Towers Watson stop loss manuals. • Maintains new business and renewal rate targets and rating tools within Connecture. • Maintains the Minimum Essential Coverage (MEC) rater. • Evaluates provider network savings and develops specific and aggregate pricing factors to support competitive and adequate pricing. • Develops and monitors key underwriting and portfolio performance metrics; presents findings to Underwriting leadership and Senior Staff. • Produces ad-hoc experience studies across business segments to inform strategy, pricing, and underwriting actions. • Supports Underwriting with complex case pricing and structure assessments, including consultation on unusual or high-exposure risks. • Evaluates and provides recommendations on AI-enabled medical underwriting solutions (e.g., Gradient, MedScore, Verikai, Milliman Curve), including validation of impact and governance considerations. • Models captive reinsurance structures and collaborates with captive actuaries and captive managers on design, performance, and ongoing monitoring. • Evaluates annual reinsurance rates and terms; maintains Excess of Loss (XOL) and Quota Share (QS) treaty structures within systems and governance processes. • Partners with Guy Carpenter to support the firm’s risk-based economic capital model, including data, assumptions, and business inputs. • Peer reviews claim liabilities and reserves; estimates and documents loss picks in accordance with internal controls. • Maintains alignment with SOX requirements and coordinates with external partners (e.g., CFGI and Ernst & Young) to support auditability, documentation, and controls testing. • Partners with IT to develop and maintain stop loss databases that support pricing, experience analysis, reserving, and reporting needs. • Maintains and enhances Core & Captive dashboards to provide transparent, timely portfolio intelligence to stakeholders. • Participates in and contributes to A&H and enterprise communication forums such as A&H Town Halls, Actuarial Summits, and Corporate Quarterly Business Reviews.

• Accurately process and apply payments • Handle all disbursement transactions for returned premiums • Prepare and analyze variance reports to reconcile incorrectly applied premiums • Process premium backouts and reapplications due to Policy Administration system changes • Initiate and process ACH setups for new vendors and accounts • Assist and respond to queries from the Skyward team and TPAs • Collect and prepare backup documentation for internal and external audits • Generate and distribute annual 5500 – Schedule A reports as required • Create and manage daily/monthly cash reconciliation folders • Identify and suggest process optimizations for greater efficiency and accuracy in AR functions

• Manage all components of claim handling for the Management Liability line of business • Independently review submitted materials and policy documents • Perform complete coverage analysis and prepare coverage determination correspondence • Review and provide direction on reserve and settlement authority • Support business partners through communication about specific claims and identification of claim trends • Monitor claim quality and customer feedback to ensure compliance with regulatory requirements