NISHA KUMARI
Hyderabad
Summary
I am an experienced professional with 2 years as a Claims Associate and 1 year as a Data Scientist. Proficient in Python, SQL, Power BI and Excel successfully improved claims processing efficiency.I transitioned from claims management to data analysis, demonstrating adaptability and a quick learning curve. Now seeking a Data Analyst role, I am eager to contribute my analytical skills and continue making a significant impact in strategic decision-making through data-driven insights
Overview
4
4
years of professional experience
Work History
Jr. Data Scientist
ZeoMinds IT Solutions
Hyderabad
04.2023 - Current
- As a Data Science Mentor, I provided guidance and support to students, assisting them in resolving their queries and enhancing their understanding of concepts. In this role, I facilitated one-on-one mentoring sessions, conducted workshops, and developed educational materials to aid students in their learning journey.
- Enhancing my own data science expertise by engaging with diverse problems and exploring innovative solutions during the mentoring process.
Claims Associate
Optum Global Solutions
Hyderabad
08.2020 - 03.2023
- Analyzing and evaluating insurance claims to ensure they met the necessary criteria for processing, identifying discrepancies, and addressing them promptly.
- Facilitating the claims processing workflow by preparing and submitting claims for approval, ensuring adherence to company policies and regulatory requirements.
- Assisting managers in the creation of comprehensive monthly reports using Excel, which included performance metrics, claim statuses, and other relevant data for team analysis.
Education
Bachelor of Science - Pharmaceutical Sciences
Gokaraju Rangaraju College of Pharmacy
Hyderabad10-2019
Skills
- Python Programming
- SQL
- Power BI
- Excel
- Machine Learning
Projects
Healthcare Fraud Analysis:
Analyzed patient, beneficiary and provider data to identify and predict the potential fraudulent providers based on the claims provided by them.
Analyzed the patterns of the provider claims to understand the future behavior's of the provides. Also analyzed and interpreted the Inpatient and Outpatient data to identify the trends, patterns and other useful information in healthcare project.
Movie Data Analysis:
The aim was to perform data extraction to acquire non-tabular or poorly structured data from websites and convert into a usable, structured format. Then did analysis to derive information regarding the high rated movie and high grossed movies.
Timeline
Jr. Data Scientist
ZeoMinds IT Solutions
04.2023 - Current
Claims Associate
Optum Global Solutions
08.2020 - 03.2023
Bachelor of Science - Pharmaceutical Sciences
Gokaraju Rangaraju College of Pharmacy
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