Claims Insight Analyst

In short, as a Benefits Analyst (Specialist, Total Rewards) , you will use data to help drive smarter, more cost‑effective benefits decisions. This role focuses on analyzing claims data, auditing vendor performance, identifying trends and anomalies, and translating complex information into insights that improve the overall health, experience, and financial sustainability of our benefits programs.

In long, as the Benefits Analyst (Specialist, Total Rewards) , you will be responsible for:

• Analyzing medical, pharmacy, and ancillary claims data to identify cost drivers, utilization trends, risks, and savings opportunities
• Building and maintaining recurring dashboards and reports to monitor plan performance, enrollment trends, and key financial metrics
• Translating complex data into clear, actionable insights and recommendations for HR partners and senior leadership
• Partnering with Finance on benefits budgeting, forecasting, and variance analysis
• Conducting regular audits of benefits vendors, billing, eligibility files, and claims administration
• Identifying discrepancies, overpayments, process gaps, and partnering with vendors to resolve issues
• Monitoring vendor performance against SLAs and recommending improvements
• Supporting RFPs, vendor evaluations, renewals, and benchmarking initiatives
• Identifying unusual trends, outliers, and anomalies in claims and billing data and investigating root causes
• Recommending corrective actions and cost‑containment or plan design strategies based on data findings
• Supporting wellness, population health, and engagement initiatives through data insights
• Ensuring reporting and audit readiness to support compliance with federal and state regulations
• Continuously improving data processes, reporting tools, and analytics capabilities
• Partnering cross‑functionally with HR, Payroll, Finance, and external vendors

So What Kind of Folks Are We Looking For?

• A strong analytical mindset with a passion for solving complex problems
• High attention to detail and a commitment to data accuracy and integrity
• Ability to turn numbers into meaningful stories and actionable recommendations
• Curiosity and a continuous improvement mindset
• Strong communication skills with the ability to collaborate across teams and influence stakeholders
• Comfort managing multiple priorities and deadlines in a fast‑paced environment

The Specifics

• 2–5+ years of experience in benefits, total rewards, HR analytics, finance, or healthcare data analysis
• Bachelor’s degree in Business, Finance, Human Resources, Analytics, or a related field preferred
• Advanced proficiency in Excel required, including working with large and complex data sets

Nice to Have

• Experience working with medical, pharmacy, or ancillary claims data
• Experience with HRIS or benefits administration platforms
• Familiarity with BI or data visualization tools such as Power BI or Tableau
• Experience supporting vendor audits, RFPs, or benchmarking initiatives