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Tina M. Shields

Senior Consulting Actuary | FSA, MAAA

tshields@berrydunn.com

With over 15 years of experience working in the actuarial field, Tina has worked on an expansive range of actuarial functions within the healthcare arena.

Tina’s breadth of experience includes assisting state insurance regulators with carrier examinations, market reporting, developing analysis tools for rate review and analysis related to changes in the market place brought on by the Affordable Care Act. She also has experience advising not-for-profit managed care organizations with claim liability analysis, rate development & rate adequacy evaluations, budget development & monitoring and financial projections.

With over 15 years of experience working in the actuarial field, Tina has worked on an expansive range of actuarial functions within the healthcare arena.

Tina’s breadth of experience includes assisting state insurance regulators with carrier examinations, market reporting, developing analysis tools for rate review and analysis related to changes in the market place brought on by the Affordable Care Act. She also has experience advising not-for-profit managed care organizations with claim liability analysis, rate development & rate adequacy evaluations, budget development & monitoring and financial projections.

Tina worked at one of the largest national carriers for 10 years before joining BerryDunn. During her work there, she was a State Pricing lead for both the Individual and Group markets. In addition to working in the actuarial pricing area, Tina worked in all actuarial function areas during her time with the carrier. In her most recent position, Tina was part of an enterprise wide experience analysis unit that developed reporting and analysis tools across all states.

As a former educator, Tina brings a unique perspective to understanding and explaining client risks. Tina worked in education, as a high school mathematics and science teacher, for six years prior to entering the Actuarial field. While obtaining a Master’s degree at the University of Southern Maine, Tina taught probability and statistics courses.

Experience Highlights

Tina helps clients with a variety of issues including:

  • Financial forecasting and budgeting
  • Estimating incurred claims and analyzing health care cost trends
  • Valuation of unpaid claim liabilities
  • Pricing health insurance benefits
  • Developing rates in the Medicaid behavioral health markets
  • Examining carrier market conduct and compliance with state insurance laws and regulations
  • Analyzing the effect of legislation on insurers and the health insurance market
  • Estimating and modeling health insurance risk exposure and proposing risk mitigation strategies

Memberships and Committees

  • Fellow of the Society of Actuaries (FSA)
  • Member of the American Academy of Actuaries (MAAA)

News

EDUCATION

BA, Secondary Education Mathematics, University of Maine-Presque Isle

MS, Statistics, University of Southern Maine

CERTIFICATIONS

  • FSA
  • MAAA

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