Madan M.

Key Skills

Software

No software listed

Top Subject Matter

Medicine

AI

Top Data Types

Document

Image

Medical Dicom

Top Task Types

Text Generation

Question Answering

Prompt + Response Writing (SFT)

Computer Programming/Coding

Classification

Text Summarization

Freelancer Overview

I operate as a subject matter expert and solution architect specializing in the development of advanced health insurance claims automation engines and Fraud, Waste, and Abuse (FWA) detection frameworks. My core expertise lies in designing complex backend logic, medical metrics mapping (such as ROM, MRC scales, and VAS pain scores), and clinical rule masters for automated adjudication pipelines. I am deeply experienced in translating highly technical, multi-layered regulatory and medical guidelines into rigid, automated systems that require zero-tolerance accuracy. Additionally, I specialize in advanced behavioral risk modeling and statistical auditing, including z-scoring, multi-vector risk synthesis, and detecting complex data anomalies like severity creep and velocity spikes. My day-to-day work involves rigorous analytical modeling, technical documentation, and deep doctrinal analysis. This background enables me to evaluate, train, and refine AI models with the extreme granularity, logical precision, and domain-specific oversight required for high-level technical tasks.

Education

Work History