Modelisation MySQL dune mutuelle sante - contrats, sinistres, plafonds de remboursement, loss ratio par formule, 18 tests automatises
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Updated
Jun 28, 2026 - Python
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.
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.
Healthcare claims intelligence platform for PMPM, readmissions, HCC/RAF-style risk, FWA review, ML scoring, custom data ingestion, and GitHub Pages deployment.
Healthcare Claims & Patient Analytics Dashboard Built in Tableau Public
End-to-end healthcare claims analytics — SQL Server, Azure Data Factory, Microsoft Fabric, Power BI, SSIS
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
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