Mari Liklikadze
@mariliklikadze
I turn healthcare claims and pricing data into actionable business insights.
GeorgiaWhat I'm looking for
I'm building healthcare pricing models, analytical calculators, and loss-ratio analyses at Imedi L using SQL and R.
I also improve claims performance through Power BI dashboards, operational reporting, data reconciliation, and anomaly analysis. My work helps strengthen metric accuracy and identify process-improvement opportunities.
At Pharmbills LLC, I manage healthcare billing cycles, claim submissions, payment follow-up, and accounts receivable workflows across five healthcare facilities.
I work closely with insurers, healthcare facilities, and business stakeholders to resolve denials, investigate payment discrepancies, and turn complex healthcare data into practical decisions.
Experience
Work history, roles, and key accomplishments
Claims Optimization Specialist
Imedi L
Jan 2025 - Present (1 year 8 months)
Build, maintain, and improve Power BI dashboards and operational reports used to monitor claims performance. Analyze claims and operational data to identify anomalies, inefficiencies, and opportunities for process improvement.
Actuary
Imedi L
Sep 2024 - Present (2 years)
Develop pricing models and analytical calculators in SQL and R to support health-insurance product and pricing decisions. Analyze policy, premium, utilization, and claims data to identify trends and support loss-ratio analysis.
Accounts Receivable Specialist
Pharmbills LLC
Aug 2023 - Present (3 years 1 month)
Manage healthcare billing cycles, insurance claim submissions, payment follow-up, and accounts receivable workflows. Review claims for completeness and accuracy before submission and investigate payment discrepancies with insurers.
Education
Degrees, certifications, and relevant coursework
Georgian Technical University
Bachelor's Degree, Mathematics
2024 -
Currently pursuing a degree in Mathematics at Georgian Technical University, with studies ongoing since 2024.
Kutaisi International University
Bachelor's Degree, Computer Science
2022 - 2024
Studied Computer Science at Kutaisi International University from 2022 to 2024.
I. Vekua School of Mathematics and Physics
High School Diploma, Mathematics and Physics
2010 - 2022
Completed secondary education at I. Vekua School of Mathematics and Physics from 2010 to 2022.
Tech stack
Software and tools used professionally
Availability
Location
GeorgiaAuthorized to work in
Job categories
Skills
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