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Craig Moore, CFE, CPBS, CPA


Craig has 28+ years of experience in audit and insurance company examination services. In addition to playing a key role in the management of his former practice, Craig lead the long term project with the Department of Health and Human Services in its efforts to review medical loss ratio (MLR) filings submitted by health insurers across the country as part of the Affordable Care Act (ACA). He was responsible for the supervision of over 55 MLR examinations during the project and is one of the leading experts in the industry with regards to the MLR requirements and calculation. Craig is currently leading Examination Resources’ efforts to offer assistance to state insurance departments in their efforts to develop processes for, and in the execution of, state led MLR examinations.

Prior to his focus on the ACA and MLR examinations, Craig also served as the Examiner-in-Charge (EIC) or in an overall supervisory role on numerous financial examinations throughout his career for various state insurance departments. He has served as the lead EIC on significant coordinated examinations of large multinational insurers for various states, including significant risk-focused examinations. He has also assisted with preparation for and attended multiple supervisory college meetings for a large multinational property and casualty insurer. Craig has taken a lead role in staff development and has developed and presented various training topics to state insurance departments and at the annual SOFE and IRES career development seminars, including many topics related to the risk-focused examination approach, the ACA and the MLR calculation.