Piyush Jaiswal
Software Engineer | AI & ML Enthusiast | Python | Generative AI | Data Engineering | Cloud | CI/CD | Automation
- Role
- Software Engineer at Carelon Global Solutions India
- Location
- Gurugram, HR, IN
- LinkedIn followers
- 500 followers
About Piyush Jaiswal
Innovative and results-driven Software Engineer with 5+ years of experience in designing,…
Experience
Software Engineer
Carelon Global Solutions India
May 2022 — Present · Gurugram, IN
Engineered an automated document triage pipeline that extracts text from OHI and TPL claim documents via OCR, stores output in S3, and integrates external NLP/LLM models to enrich claims data when needed—reducing manual review time by 20–40%.• Architected a multi-stage clinical audit automation system leveraging NLP/BERT models, Prefect workflows, and RabbitMQ to automate 80% of data validation and cut processing times by 35%, while consolidating unstructured clinical and contract data for enhanced audit accuracy.• Designed and implemented a SaaS-based Claims Anomaly Detection platform deployed on Kubernetes, utilizing robust ETL processes with Snowflake, Kafka, and RabbitMQ to proactively flag healthcare overpayment anomalies in real time—delivering a 15% reduction in overpayment losses and significant cost savings.• Collaborated with auditors, data scientists, and DevOps teams to boost audit accuracy and compliance; provided technical guidance to stakeholders and mentored junior developers for continuous improvement.
Education
ABES Engineering College
Master of Computer Applications - MCA, Computer Science
2017 — 2019
ABES Engineering College
Master of Computer Applications
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