Claims Insight Analyst

In short, as the Claims Insight Analyst (Specialist, Total Rewards), you will use data to drive smarter, more cost‑effective benefits decisions by analyzing claims, monitoring vendor performance, and uncovering trends that improve the health, experience, and financial sustainability of our benefits programs. This role is insight‑driven and highly analytical, focused on turning complex benefits and claims data into clear recommendations that influence strategy and outcomes.

In long, as the Claims Insight 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, and 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‑driven 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 with 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