πŸ₯ Continuum RMπŸ›‘οΈ RiskFlow🦷 Dental Continuity

Employer Benchmarking

Compare Loss Ratios, Large Claimants & Pharmacy Spend

Show every client exactly where they stand against the rest of your book β€” and the rest of the market.

Employer Benchmarking compares each employer group against the broker's portfolio and against market norms: loss ratio, large-claimant counts, members above 50% / 75% / 100% of deductible, aggregate corridor consumed, PMPM cost, and pharmacy spend. Useful both for internal triage and as a value artifact for the client meeting.

3 thresholds
50% / 75% / 100% ded.
Quartiles
Portfolio benchmarks
Annual
Renewal-ready view
Per group
Loss ratio & PMPM

Key Features

Loss Ratio Comparison
Outlier flagging

Per-employer loss ratio plotted against portfolio mean and quartiles β€” flag outliers before they become renewal surprises.

Large Claimant Counts
3 thresholds

Count of members above 50% / 75% / 100% of specific deductible, with portfolio distribution for benchmarking.

Aggregate Corridor Burn
Early warning

Aggregate corridor consumed vs portfolio distribution; flag groups approaching attachment before the carrier does.

PMPM & Pharmacy Mix
Cost clarity

Per-member-per-month cost and pharmacy spend mix benchmarked across the book β€” drives the network strategy conversation.

How It Works

STEP 01

Portfolio Metrics Computed

Loss ratio, large-claimant counts, corridor burn, and PMPM are computed for every active employer group.

STEP 02

Quartiles Established

Portfolio quartiles and means are computed per metric; market norms layered where available.

STEP 03

Per-Employer Comparison

Each employer is plotted against portfolio and market benchmarks; outliers and laggards are flagged.

STEP 04

Bundled for Client

Benchmark view exports into the renewal narrative and client meeting packet as a value artifact.

Success Story

β€œOne client saw they were third-worst in our book on large claimants. They renewed with us for three more years because we showed them.”
T
Tasha Williams
Account Executive, stop-loss brokerage

Ready to see this in action?

Open the live module inside RiskFlow, or explore another platform capability.