claims-analytics

Modelisation MySQL dune mutuelle sante - contrats, sinistres, plafonds de remboursement, loss ratio par formule, 18 tests automatises

ClaimScope is a vehicle insurance claims portfolio intelligence platform that identifies warranty concentration, geographic imbalance, and anomalous claims using explainable analytics. Built on DuckDB and IsolationForest, it turns raw claims data into actionable triage signals — no actuarial black boxes, no LLM fabrication.

Healthcare Claims & Patient Analytics Dashboard Built in Tableau Public

Interactive Power BI dashboard analyzing healthcare claims operations, analyst and team performance, response times, workload, and satisfaction trends.

Healthcare claims intelligence platform for PMPM, readmissions, HCC/RAF-style risk, FWA review, ML scoring, custom data ingestion, and GitHub Pages deployment.

End-to-end healthcare claims analytics — SQL Server, Azure Data Factory, Microsoft Fabric, Power BI, SSIS

End-to-end maternity episode cost analysis and risk prediction model simulating real-world payer strategy — $15.7M spend, 2K episodes, $2.3M savings opportunity identified.

Monthly Excel report pack automation kit built twice from one spec: VBA + Power Query for the desktop reality, a pytest-covered Python twin for CI. Synthetic claims data, schema-drift repair, row quarantine with reasons, styled multi-sheet output. 500k rows to an 8-sheet pack in 9.5 s; 97% coverage. Simulation only.

Managed Care Contracting Analytics report analyzing payer reimbursement performance using DAX time intelligence, Reimbursement Index, and Variance from Benchmark to support managed care contract negotiation strategy

Garner Health is a healthcare technology company that helps members find high-quality, in-network doctors while helping employers, advisors, health plans, and providers improve care quality and lower costs.

Garner Health is a healthcare technology company that helps members find high-quality, in-network doctors and helps employers, benefits advisors, health plans, and providers improve care quality while lowering healthcare costs.