J. Michael Crooks, FSA, MAAA

Mr. Crooks has 30 years of experience in the life and health insurance industries including consulting as well as a number of actuarial positions within insurance companies.  For the past 22 years he has focused primarily on health insurance with an emphasis on reserving for health insurance liabilities.

Recent Experience

• Insurance Department Audits – aided both the Kansas and Nebraska Insurance Departments in Triennial audits.  Reviewed the actuarial liabilities in support of others who performed the rest of the audit.
• Pricing – while Chief Actuary at Benefit source was responsible for pricing and ongoing financial performance of an $800 million block of group insurance.
• Appointed actuary for Indiana based HMO.
• Rate filings – as pricing actuary for Pyramid Life was responsible for pricing, rate filings and experience exhibits for individual health business in 40 states.
• Reserving – Works with a large integrated delivery system in the Chicago area setting their monthly liability for claim reserves.
• External Audits – While at Ernst & Young, audited approximately 40 health company’s actuarial liabilities annually in support of the auditors and continues to provide audit support in conjunction with BKD and BDO.
• Modeling – has worked to develop new, innovative methods of determining health claim reserve liabilities.

Education

• Bachelor of Science in Mathematics—University of Nebraska
• Fellow of the Society of Actuaries
• Member of the American Academy of Actuaries

Experience

• Managing Member, Crooks Actuarial Consulting LLC, 2016 to present

• Consulting Actuary, Actuarial Resources Corporation, 2001 to 2015
• Consulting Actuary, Ernst & Young LLP, 1997 to 2001
• Chief Actuary and Director of Client Reporting, BenefitSource, 1995 to 1997
• Pricing Actuary, Pyramid Life Insurance Company, 1991 to 1995
• Assistant Actuary, BCBS of Kansas City, 1989 to 1991
• Actuarial Consultant, Lincoln National Life Insurance Company, 1986 to 1989

Areas of Expertise

• Reserving for Health Insurance Liabilities
• Pricing and Product Design of Health Insurance Products
• Data analysis of health claims
• Provider contracting
• Computer modeling
• Pricing and Reserving for LTC Products