Outly

Bring your team and save:

1. Groups of three or more receive a 10% discount

2. Organizations hosting an in-house session with 10+ participants enjoy a 15% discount.

Duration: 1 Full Day (8 Hours)
Delivery Mode: Classroom (In-Person)
Language: English
Credits: 8 PDUs/Training Hours
Certification: Course Completion Certificate
Refreshments: Lunch, Snacks and beverages will be provided during the session

Course Overview:

This 1 Day course provides a practical, structured understanding of how data science is applied to healthcare claims. You explore real claims components, data transformations, fraud indicators, trend patterns, KPI interpretation, and forecasting essentials, all explained in a simple, actionable way. The course bridges foundational claims knowledge with intermediate-level analytics, helping you analyze claims with accuracy and clarity. Using clear logic, real examples, and guided activities, you learn how claims data can drive decisions, reduce errors, and support financial and operational insights across payers and providers.

Learning Objectives:

By the end of this course, you will be able to:

• Understand how healthcare claims are structured and processed.
• Prepare, clean, and validate multi-line claims datasets.
• Engineer meaningful features for claims analytics.
• Recognize fraud indicators using rule-based and pattern analysis.
• Interpret trends and forecast claims costs or volumes.
• Evaluate key claims KPIs to support business decisions.
• Build a simple, end-to-end claims analysis workflow.

Who can Attend?

• Healthcare analysts & reporting executives
• Claims processing & billing teams
• Payer and TPA operations staff
• Healthcare IT professionals
• Junior data scientists entering the healthcare domain
• Students pursuing healthcare analytics
• Professionals transitioning into health data roles

Why Choose this Course?

This course simplifies complex claims data science concepts into structured, accurate insights that you can apply immediately. The trainer brings deep experience in healthcare analytics, fraud detection, and claims data workflows, ensuring each topic is explained in a clear, practical manner. With a blend of foundation and intermediate-level learning, you gain the confidence to analyze claims intelligently and contribute meaningfully to payer, provider, or analytics teams.

©2025 MG Aussie Events. This content is protected by copyright law. Copy or Reproduction without permission is prohibited.

Looking to strengthen claims analytics across your organization?
This course can be delivered as a customized in-house program tailored to your claims volume, data formats, coding structures, and workflow challenges. We adapt the modules to your real datasets, enabling teams to work on practical examples and refine accuracy. In-house training helps build consistent analytical skills and improves coordination between claims, billing, and reporting teams.

📧 Contact us today to schedule a customized in-house, face-to-face session:

eventbrite@mgaussie.com