Arlo · 3 weeks ago
Data Analyst - Claims & Loss Containment
New York, NY
Full-time
Onsite
Mid, Senior Level
$100K/yr - $150K/yr
3+ years expArlo is a company focused on transforming health insurance through AI technology. They are looking for a Claims Data Analyst to review stop-loss claims, identify cost-containment opportunities, and generate insights to enhance member outcomes and operational efficiency.
Health Care
Responsibilities
Review stop-loss and medical claims data to identify trends, anomalies, and high-cost drivers
Analyze Arlo’s claims performance to uncover actionable insights and inform pricing, underwriting, and care management strategies
Develop trigger-based rules using claims data to initiate targeted interventions such as member outreach, case management, and pharmacy review
Investigate potentially fraudulent or abusive claims patterns in coordination with clinical and legal partners
Evaluate the effectiveness of cost-containment programs, recommend optimizations, and benchmark performance against market standards
Collaborate with underwriting, product, and analytics teams to refine dashboards, models, and monitoring tools
Qualification
Required
3–6 years of experience analyzing medical or stop-loss claims, healthcare data, or cost containment programs
Adept in analytics tools (Excel, SQL, Python)
Experienced in cost containment strategies in the employer market — you understand what works, what doesn't, and why
Comfortable working with large medical claims datasets and identifying meaningful patterns
Strong quantitative and analytical skills; ability to translate data into actionable recommendations
Familiarity with coding structures (ICD-10, CPT/HCPCS, DRG) and claims adjudication workflows
Bachelor's degree in a quantitative or healthcare-related field (e.g., Statistics, Health Economics, Finance, Public Health, or similar)
Preferred
Exposure to fraud, waste, and abuse detection or audit processes is a plus
Benefits
High ownership: You’ll get real responsibility from day one—our high-trust team empowers you to run with big problems and shape core parts of the company.
Join an important mission: Your work directly influences how people access care and improves lives at scale.
Growth & expansion: We’re moving fast, and as we grow, your scope will grow with us—new challenges, bigger opportunities, and rapid career velocity.
Apply AI to a problem that matters: Instead of optimizing ads or cutting labor costs, you’ll use AI to fundamentally reimagine how people get healthcare.
High pace, high collaboration: We operate with velocity, first-principles thinking, and a team that works closely, openly, and with ambition.
Company
Arlo
Join hundreds of businesses who trust Arlo to offer health insurance that works the way it should: affordable coverage that puts employees and their doctors in the driving seat.
11-50 employees
H1B Sponsorship
Arlo has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (16)
2024 (15)
2023 (9)
2022 (8)
2021 (19)
2020 (6)
Funding
Current Stage
Early StageTotal Funding
$4MKey Investors
Upfront Ventures
2025-03-25Seed· $4M
Leadership Team
Karthik Bhaskara
Co-Founder
Recent News
EIN Presswire
2025-10-28
Venture Capital Firms
2025-03-27
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2025-03-26
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