Brian Simon, ASA, MAAA

Consulting Actuary

PROFESSIONAL AFFILIATIONS

  • Associate of the Society of Actuaries
  • Member of the American Academy of Actuaries

EDUCATION

  • M.S., Finance (Investments & Risk Management)
    Georgia State University
  • B.A., Accounting / B.S., Computer Information Systems
    Cumberland University

Brian Simon has been in the health insurance field since 2008, providing a wide variety of actuarial services to clients of various sizes. His relevant experience includes:

  • Lead consultant on mid-market and large-market clients (over 100,000 benefit participants).
  • Health plan cost forecasting, strategy and vendor negotiations.
  • Mergers and Acquisition analyses.
  • Analysis and research around specialty drug cost trends.
  • Analyzing health plan experience for stop loss and plan design recommendations.
  • Analyzing cost drivers by reviewing client utilization to identify ways to slow trend.
  • Analyzing vendor and carrier renewal rates for reasonableness compared to client trend and benchmark.
  • Developing employee contribution strategies based on client cost-sharing goals.
  • Underwriting and rate development for group insurance plans.
  • Medicare retiree drug subsidy analysis.
  • Medical data processing and bucketing (working with CPT/HCPCS & ICD 9 codes).
  • Developing monthly and quarterly reserve estimates.