Top 15 Claims analyst Jobs in Gainesville, Ga

Sr Analyst, Benefits Planning
Wayne-Sanderson Farms —Oakwood, GA
- Full-time
- Oracle
- CPA
- 5 years
- Dental insurance
- Vision insurance
Quick Apply
6d
Operational Analyst I - Change Management
QTS Data Centers —Suwanee, GA
- Email
- Bachelor of Science
- Writing skills
- Mid-level
- Wellness program
- Health savings account
Business Continuity Analyst
QTS Data Centers —Suwanee, GA
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Senior Facets Configuration Analyst
Vytwo —United States
- Full-time
- Remote
- Residential
- Senior level
- 10 years
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Facets Configuration Analyst
Vytwo —United States
- Full-time
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ClinDCast LLC —United States
- Full-time
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Health Edge Configuration Analyst
Vytwo —United States
- $45 an hour
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ClinDCast LLC —United States
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- Remote
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- SQL
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Epic Tapestry UM Analyst
Vytwo —United States
- $50 an hour
- Full-time
- Remote
- 5 years
- HIPAA
- Mid-level
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Sr Analyst, Benefits Planning

Wayne-Sanderson Farms -
Oakwood, GA

Quick Apply

Job Details

Full-time
6 days ago

Benefits

Dental insurance
Vision insurance

Qualifications

Bachelor's degree

Full Job Description

Job Summary:

The Sr. Benefits Planning Analyst role manages the financial planning, modeling, analysis, and vendor‑related financial oversight of the company’s enterprise-wide Health & Welfare programs, including developing and managing the Company’s benefits budget. Additionally, the role works closely with brokers, actuaries, and internal teams when analyzing each program’s performance to ensure accurate financial operations. This role drives strategic benefits cost planning, manages complex financial processes, and influences cross‑functional stakeholders. The analyst also contributes to vendor management, benefits administration, and compliance efforts.

Job Responsibilities:

Financial Management & Analytics

Own enterprise-wide financial strategy and performance for Health & Welfare benefit programs, including medical, dental, vision, and Health Savings Accounts (HSA), etc.
Lead financial modeling, including claims trend analysis, PEPM modeling, rate setting, and scenario forecasting to inform enterprise decision-making in conjunction with external consulting team
Accountable for financial accuracy, reconciliation, and reporting of approximately $3.3MM in weekly benefits expenditures for Anthem medical plan, ensuring strong controls and audit readiness
Analyze cost drivers, utilization patterns, and long-term financial risks; translate insights into actionable strategies that optimize cost and program performance
Deliver executive-level financial reporting and insights to senior leadership, auditors, and carriers.

Budgeting & Forecasting

Own the annual and multi-year benefits budgeting process in partnership with HR leaders and Finance, aligning with enterprise financial goals
Develop and execute long-term cost management strategies, including trend mitigation and financial risk planning
Monitor and manage monthly spending against budget; lead variance analysis and implement corrective actions to ensure financial targets are met; escalate the most complex issues to The H&W Manager/ Director
Provide forward-looking financial insights that directly influence plan design, funding strategies, and enterprise cost management decisions

Invoicing & Vendor Financial Oversight

Own enterprise-wide billing, accounting, and reconciliation processes for the Total Rewards departments (benefits, compensation and HRIS)
Direct financial operations and performance of key vendors, including Anthem, ensuring accuracy, compliance, and contractual alignment
Lead invoice auditing, reconciliation, and validation processes across high-volume, high-value transactions
Research and resolve all but the most complex enterprise-wide financial issues, driving resolution across vendors, Finance, and internal stakeholders
Establish and enforce financial controls, audit protocols, and vendor accountability standards to ensure operational excellence
Produce and present reports on benefit costs, claims, utilization, and vendor performance metrics

Strategic Benefits Planning

Own financial strategy supporting plan design and vendor strategy decisions, including evaluation of emerging trends, competitive benchmarks, and regulatory impacts
Influence enterprise benefits strategy by providing data-driven financial recommendations and decision support o senior leadership
Partner with HR and leadership to align benefits offerings with organizational objectives, cost targets, and employee value
Conduct market and competitor analyses to inform long-term strategic direction and program optimization

Committee & Program Administration

Leads preparation of financial materials and strategic insights for executive reviews, audits, and compliance requirements
Assist with governance activities, including documentation and financial reporting for compliance and audit needs.
Act as the Benefits’ financial subject‑matter expert for HR, Legal, Payroll, Finance, brokers, and carriers.

Experience

5+ years of experience in benefits administration and financial analysis, preferably in a large corporate environment.
Demonstrated experience owning enterprise-level financial processes and managing high-dollar, high-volume operations

Knowledge, Skills and Abilities

Proven ability to direct vendor performance, influence senior leadership decisions, and drive strategic financial outcomes
Ability to communicate financial insights to leadership and influence outcomes across teams.
Strong analytical and quantitative capabilities.

Strong understanding of health and welfare benefit plans and related compliance requirements.
Experience working with brokers, actuaries, and external vendors.
Above average proficiency in Excel and data (e.g., pivot tables, v-lookups).
Familiarity with HRIS and benefits administration systems (e.g., Workday, SAP, Oracle).
Excellent analytical, communication, and project management skills.
Ability to present complex financial data and strategic insights to senior leadership.
Ability to work non-stand shifts when needed per business requirements (e.g. holidays. weekends, extended shifts)
Ability to travel up to 15%

Supervisor Responsibilities:

This role is an individual contributor.

Education

Bachelor's degree in finance, Human Resources, Business Administration, or related field; advanced degree or professional certification (e.g., CEBS, CPA, SPHR) preferred.

WORK ENVIRONMENT

While performing the duties of this job, the employee is exposed to typical risks of injury in an office environment.
Duties include a typical office setting including extensive computer work, sitting or standing.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Must adhere to the company’s Code of Conduct and all other policies.

Safety Requirements:

Follow all departmental and company safety policies and programs.

EQUAL OPPORTUNITY EMPLOYER

As an Equal Opportunity Employer, Wayne-Sanderson does not discriminate on the basis of race, creed, color, religion, gender (sex), sexual orientation, gender identity, marital status, national origin, ancestry, age, disability, citizenship status, a person’s veteran status or any other characteristic protected by law or executive order.

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

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claims analyst jobs in gainesville, ga

Sr Analyst, Benefits Planning

Operational Analyst I - Change Management

Business Continuity Analyst

Senior Facets Configuration Analyst

Facets Configuration Analyst

Facets Configuration Analyst

Health Edge Configuration Analyst

RCM Analyst/Developer (Cerner)

Epic Tapestry UM Analyst

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We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

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