Senior AI and ML Engineer
CARELON
Apr 2022 - Mar 2025 (3 years)
Project 1: Smart Analyzer for Inquiries & Claims Processing. Overview: Developed an NLP-based system to streamline inquiry and claims processing, improving efficiency and user satisfaction. Objectives: - Enhance efficiency in handling inquiries and claims. - Achieve significant cost savings and revenue generation. - Improve user satisfaction for members, providers, and associates. Description: Utilized NLP and NER to analyze inquiry notes and claim data, determining intent and recommending actions to ensure accurate claim settlements and reduce future adjustments. Technical Skills: - NLP (SpaCy, NLTK, BERT, DistilBERT) - Data Cleaning - Keyword Extraction - Clustering (K-Means, Soft-clustering, HDBSCAN, Agglomerative,) - Text generation & S