Nicolle Seuss

Strategic Insurance Professional with 20+ years of experience spanning large group underwriting, underwriting strategy, insurance operations and strategic initiatives.

Experience partnering with Sales VP's, brokers, actuaries, finance partners, and account management to develop financially sound, competitive solutions that support growth and retention. Known for organizing complexity, solving problems, explaining technical information clearly and managing multiple priorities in a fast-paced environment.

Information Technology Operations Manager at ARC INSTITUTE (2024-01 – Present)

• Led systems implementations and major platform migrations focused on operational efficiency, data integrity, scalability and business continuity.
• Codeveloped the IT budgeting and forecasting strategies, aligning technology investments with organizational strategy, long-term planning, and company goals.
• Built a SaaS application management system in Asana to improve visibility into ownership, licensing, usage, security risk and spend management.
• Managed a cross-functional Airtable implementation with an external vendor, translating team workflows and pain points into technical requirements and iteratively testing and refining the database to deliver a unified chargeback reporting tool for Finance.
• Supervised support workflows and monitored service delivery to improve responsiveness and operational consistency.

Senior Operations Program Manager at ARC INSTITUTE (2021-01 – 2024-01)

First employee hired and served as operations leader in a rapidly growing biotech organization, establishing scalable processes across Finance, IT/Systems, Workplace Operations, Procurement, and Facilities.

• Developed and formalized policies, procedures, reporting processes, and operating practices to create structure and consistency as the organization scaled.
• Established KPI and quarterly goal processes with company founders to improve visibility, accountability, and execution against organizational priorities.
• Researched and selected a PEO to provide payroll and benefits for a scaling company and its employees.
• Led complex cross-functional projects including physical lab moves, systems conversions and implementation, ensuring clarity, communication, and execution across teams.
• Evaluated and implemented enterprise systems including Prendio, NetSuite, Workday Adaptive, Hubspot and Fiix, translating business requirements into operational solutions.

Director, Underwriting Strategy & Planning at ANTHEM BLUE CROSS (2018-01 – 2021-01)

Supported strategic initiatives for a large group commercial medical business serving 600,000+ members representing $3.5B in annual premium, spanning varied complexity and funding arrangements.

• Built a comprehensive database integrating membership, profitability, renewal projections, historical trends, and risk characteristics across all large-group accounts, to support senior leadership decision making and strategic planning.
• Analyzed underwriting reports, claims utilization, high-cost claimants and key cost drivers to effectively prepare and present executive-level reports, including strategic recommendations and cost projections for high complexity cases, including statewide agencies and major municipal school systems.
• Translated complex business and operational requirements into actionable recommendations and implementation plans.
• Attended client open enrollment meetings to present and assist employees with annual benefit selections.
• Led a multi-month system enhancement rollout, including user testing, training, and ongoing support.

Director, Medical Underwriting at AETNA (2008-01 – 2017-01)

• Directed underwriting strategy for 400+ large group commercial employer clients (250 - 5,000), applying financial and risk analysis to support membership growth, retention and profitability.
• Led pricing negotiations and contract customization in partnership with Sales, brokers, account managements and other stakeholders.
• Evaluated employer benefit arrangements, including fully insured, level-funded, self-funded/ASO and stop loss programs, using detailed risk assessment and financial analysis to develop appropriate solutions for annual renewal and new business proposals.
• Developed and coached underwriting professionals strengthening technical expertise, analytical judgment and workflow effectiveness.
• Provided analytical insights and strategic recommendations to support clients' benefits and pricing strategy.
• Built strong partnerships with actuarial, clinical, finance, sales, and account management teams to improve cross-functional alignment.

Underwriting Consultant, Underwriting Manager at AETNA (2008-01)

Earlier Aetna Experience

Bachelor of Science in Business Administration, International Business – CALIFORNIA STATE UNIVERSITY, Sacramento