Overview We are seeking for an Experienced data scientist leading Intelligent Claims Routing models, developing scoring algorithms and prioritization systems to optimize claims workflows. Responsibilities Lead development of Intelligent Claims Routing models. Design complexity scoring engine and optimal routing algorithms. Develop dynamic priority scoring algorithms for optimal workflows. Create documentation and training for AI features. Support expansion planning and optimization for AI systems. Lead user enablement and training initiatives. Qualifications 5+ years’ experience in data science with focus on predictive models Expertise with intelligent routing and prioritization systems Strong knowledge of data pipeline design and ML model integration Experience with healthcare claims data and processing workflows Knowledge of model evaluation and validation techniques Understanding of SLA compliance and business metrics