Benefit Analyst - Employee Benefits Large Group

Kapnick & Company, Inc

  • Troy, MI
  • 30+ days ago

    Highlights

    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). In this role, youll partner with large, sophisticated employer clients-diving deep into claims data, uncovering cost drivers, and helping shape smarter benefit strategies.

    Numbers & Facts

    LocationTroy, MI

    Description

    # Apply Job Type: Full-time

    ## Description Must-Apply Opportunity: Large Group Benefit Analyst

    Are you ready to take your benefits expertise to the next level? Were looking for a Large Group Benefit Analyst who thrives in a fast-paced, client-facing environment and knows how to turn complex data into powerful insights.

    In this role, youll partner with large, sophisticated employer clients-diving deep into claims data, uncovering cost drivers, and helping shape smarter benefit strategies. Youll collaborate closely with Client Executives and internal teams while playing a key role in guiding important benefit decisions.

    ### Why this role stands out:

    • Work with high-profile, complex clients
    • Be a trusted advisor translating data into action
    • Use your analytical skills to directly impact strategy
    • Enjoy a role that blends independence with collaboration

    ### What were looking for:

    • Strong experience with claims analysis and reporting tools
    • Knowledge of multiple funding arrangements
    • Confidence presenting insights to both clients and internal teams
    • Sharp attention to detail and problem-solving skills

    If youre someone who loves connecting the dots, telling the story behind the data, and influencing meaningful decisions-this is your moment. Apply now and make an impact where it truly counts.

    ---

    ## Key Responsibilities

    ### Essential Functions

    #### Client-Facing & Consultative Support

    • 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).

    #### Claims Analysis & Reporting

    • 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.

    #### Analytics Platforms & Tools

    • 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.

    #### Renewal & Market Support

    • Support renewal development by analyzing claims experience, underwriting results, and funding outcomes.
    • Development of 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.

    #### Collaboration & Continuous Improvement

    • 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 To be considered for the Benefit Advisor position, you should have:

    • Bachelors 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.

    ---

    ## Whats in it for you?

    • A team-based approach to client management
    • Flexibility
    • Full benefits package
    • 11 paid holidays including your birthday!
    • Competitive Salary
    • Profit sharing (after a year of service)
    • Bonus potential
    • A caring workplace culture that has something for everyone

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