Benefit Analyst - Employee Benefits Large Group

Key Responsibilities

• Participate in client-facing meetings, including renewal reviews, claims reviews, and strategic planning discussions.
• Partner with Client Executives to present and explain claims experience, utilization trends, and financial drivers in a clear and professional manner.
• Serve as an analytical resource for clients and internal teams, responding to questions related to claims performance, plan design, and cost containment strategies.
• Support large employer groups (typically 100+ lives) across a variety of funding arrangements, including fully insured, self-funded, level-funded, reference-based pricing (RBP), and alternative solutions such as direct primary care (DPC).
• Perform detailed claims analysis using internal and external analytics platforms and reporting tools.
• Analyze large and complex claims datasets to identify trends, cost drivers, utilization patterns, and opportunities for improvement.
• Prepare and deliver monthly and ad-hoc claims and utilization reports, including written observations and insights.
• Translate claims data into actionable insights that support renewal strategy, plan design evaluation, and long-term cost management.
• Ensure accuracy and consistency of claims and enrollment data through post-renewal data validation and ongoing maintenance.
• Develop, maintain, and enhance client-facing dashboards and reports using Kapnick-approved analytics platforms.
• Demonstrate strong technical proficiency in navigating, interpreting, and troubleshooting claims analysis tools.
• Utilize benchmarking and comparative tools to provide context and performance insights for clients and service teams.
• Support renewal development by analyzing claims experience, underwriting results, and funding outcomes.
• Develop RFPs based on internal strategy discussions and follow through with carriers on submissions and quotation status.
• Prepare financial and analytical summaries to support carrier negotiations and plan recommendations.
• Collaborate with internal analytics, service, and client teams to ensure alignment and consistent reporting.
• Contribute ideas for process improvements, reporting enhancements, and increased efficiency.
• Assist with department projects and initiatives as assigned.

Requirements

• Bachelor’s degree in Mathematics, Finance, Business, Economics, or a related field preferred.
• 5-7 years of experience in employee group benefits, with experience supporting large group clients.
• Strong understanding of medical claims data, funding arrangements, renewals, and carrier underwriting.
• Demonstrated experience working in claims analysis and reporting tools, with the ability to interpret and explain data to non-technical audiences.
• Advanced computer skills in Microsoft (Excel, Outlook, Word, and PowerPoint).
• Familiarity with carrier underwriting tools (employee benefits) and agency management systems preferred.
• Ability to manage multiple priorities, meet deadlines, and work effectively in a client-facing environment.