28.12.2025 aktualisiert
DS
100 % verfügbar
Operations and Data Analyst with Health Insurance Industry Experience
Blankenfelde-Mahlow, Deutschland
Weltweit
Masters in Data Science (currently enrolled)Skills
TrainingsdatenKünstliche IntelligenzAmazon Web ServicesData AnalysisAutomatisierungBusiness IntelligenceKundenbeziehungsmanagementProzessoptimierungFilmproduktionSchadenbearbeitungComplianceComputerprogrammierungSchadenskontrolleDatenvalidierungETL
Advanced Data Analysis and Programming
Expertise in Excel, SQL, and Python for data validation, cleaning, and predictive modeling with proven ability to handle 500+ monthly tickets with 95% SLA compliance
Health Insurance Operations Management
Specialized experience in US health insurance industry with data validation across FFM, State Exchange, and Medicare systems ensuring 98% accuracy
Process Optimization and Automation
Workflow optimization skills with SLA compliance management and automation script development for process improvements
Ticket Management Systems
Voice and non-voice ticket resolution with proven track record of 95% resolution rate and meeting all SLAs
Claims Processing and Policy Administration
Experience in insurance claims processing and policy administration workflows
Client Escalation Management
Team coordination and client escalation handling with Tier 2+ escalation management across US-based clients
CRM and Database Management
Proficiency in CRM, DMS, AWS, and ETL tools for data management and processing
Machine Learning and Predictive Analytics
Data annotation, predictive modeling experience using Python and Jupyter for churn forecasting and sales prediction
Business Intelligence and Visualization
Dashboard creation and data visualization skills for presenting business insights
Image Processing and AI Tools
Experience with image annotation, segmentation, and training data creation using CrowdAI, CVAT, VGG, Labelbox, SegNet
Expertise in Excel, SQL, and Python for data validation, cleaning, and predictive modeling with proven ability to handle 500+ monthly tickets with 95% SLA compliance
Health Insurance Operations Management
Specialized experience in US health insurance industry with data validation across FFM, State Exchange, and Medicare systems ensuring 98% accuracy
Process Optimization and Automation
Workflow optimization skills with SLA compliance management and automation script development for process improvements
Ticket Management Systems
Voice and non-voice ticket resolution with proven track record of 95% resolution rate and meeting all SLAs
Claims Processing and Policy Administration
Experience in insurance claims processing and policy administration workflows
Client Escalation Management
Team coordination and client escalation handling with Tier 2+ escalation management across US-based clients
CRM and Database Management
Proficiency in CRM, DMS, AWS, and ETL tools for data management and processing
Machine Learning and Predictive Analytics
Data annotation, predictive modeling experience using Python and Jupyter for churn forecasting and sales prediction
Business Intelligence and Visualization
Dashboard creation and data visualization skills for presenting business insights
Image Processing and AI Tools
Experience with image annotation, segmentation, and training data creation using CrowdAI, CVAT, VGG, Labelbox, SegNet
Projekthistorie
Working on image annotation, segmentation, and training data creation using CrowdAI, CVAT, VGG, Labelbox, SegNet
Validated insurance data across FFM, State Exchange, and Medicare, resolved 500+ support tickets monthly, managed Tier 2+ escalations, conducted audits improving data accuracy by 15%, and supported fraud detection efforts
Developed predictive models using Python and Jupyter for churn forecasting and sales prediction, created dashboards and visualizations to present business insights