SUMMARY

• Over 20 years’ experience as an accomplished Business Systems Analyst with a knowledge base of diverse analytical expertise and leadership.
• Skilled in workflow documentation and process improvement.
• Good at doing workflow diagrams.
• Cooperative team player who mentors teammates and selflessly shares knowledge.
• Practical and cost - conscious, believes customer service is the Business Analyst’s primary goal.
• Performed varied analytic chores, short-term projects, legacy system support, and filling in where experience is lacking.
• Unafraid to tackle new assignments or new challenges.
• Superlative verbal and written communication skills; adept at business and instructional writing.
• Develops business, functional & nonfunctional requirements and detailed design documents.
• Adept in process analysis/documentation; identified improvement opportunities during career.
• Insurance claim system Subject Matter Expert.
• Performed claim policy, procedure & compliance analysis at a corporate level.
• Finance, Information Management, Marketing/Solicitation, Billing, Policy Administration, and Policyholder Service.
• Compliance expert on both Claims and IT sides with in-depth experience in 1099 Reporting, Work Comp FROI/SROI EDI Reporting, Section 111 Medicare Reporting, HIPAA, OFAC, Long Term Care and Medicare Model Regulation compliance.
• Good at writing procedures and training manuals/materials.
• Believe that process steps should be documented with clear and simple instructions for a broad audience.
• Performed all roles of Quality Assurance Testing, Test Scenario Design, Use Case Creation, Performing Test Cases, Coordination, Managing and Reporting Test results for all Lines of Business.
• Experience in creating detailed use cases for HP QTP automated testing tool.
• Managed projects of small and medium duration and size.
• Used various Project Methodologies in career (Gant, PERT, CPM, Jourdan, Waterfall, and Agile).
• Manned SUA and Tower’s claim system Help Desk, identifying and tracking defects until resolved.
• Used Parature, Squish, and Alloy defect reporting software.
• Used Confidential Claim Center Web Software while at SUA/Tower.
• Participated in Agile Project Development methodology for several implementations for Commercial and Personal Lines.
• Above-average skills in Microsoft Office applications. Advanced in Word, Visio and Excel skills.

PROFESSIONAL EXPERIENCE

BUSINESS ANALYST

Confidential, Chicago, IL

Responsibilities:

Created Business Requirements Documents for the Aldera Claims system in the Business Integration unit at Evolent Healthcare. Worked on multiple projects simultaneously for clients in the Medicaid and Commercial Healthcare space. .

BUSINESS ANALYST

Confidential, Chicago, IL

Responsibilities:

Effort spent primarily in requirements gathering and documentation in Finance and Actuarial portfolios for the Financial Solutions unit of ITG for client Confidential of IL. Worked on multiple requirements projects simultaneously

SENIOR BUSINESS ANALYST

Confidential, Chicago, IL

Responsibilities:

Claim system Business Analyst until system was sundowned. Supported the TABS Billing System based on Confidential ’s BillingCenter product. Performed QA testing for Billing Reports function in TABS.

SENIOR BUSINESS ANALYST

Confidential, Chicago, IL

Responsibilities:

Continued as claim system Business Analyst after Confidential acquired SUA Insurance in 2009. Responsible for Tower’s IT Claims System Compliance in: 1099 Reporting; Work Comp EDI Reporting; Medicare Secondary Payer Reporting; Personal Lines Mass Auto and AIB/MRB Reporting; Creator of Use Case scenarios, performing all roles for ClaimCenter Model Office/UAT Testing for Personal Lines.

BUSINESS ANALYST/SENIOR BUSINESS ANALYST

Confidential, Chicago, IL

Responsibilities:

At start-up Confidential defined and documented system requirements and processes for several system functions. Performed system defect identification, troubleshooting, tracking and resolution. Supported SUA’s Finance Dept for EAS Accounting system (SunGard). Coordinated the testing of technical upgrade from version 9 to 10. In addition to performing Senior Business Analyst activities of requirements gathering/documentation, was primary Help Desk and defect manager for Claim System and communication liaison between business clients, onshore and offshore Development teams. Conducted system demonstrations and training. Served as 1099 Compliance reporting director; Business Analyst for Work Comp FROI/SROI EDI Reporting and Medicare Secondary Payer Compliance; For Claims system, supported Automated Document and Address Book functions; Created test scenarios and test cases; Led Model Office/UAT Testing team.

SENIOR BUSINESS ANALYST

Confidential, Chicago, IL

Responsibilities:

Elicited & documented detailed user requirements for claim systems initiatives. Contributed to detailed designs & provided analytical solutions in a wide range of responsibilities. Created letter templates, business rules, User Manual, planned and performed QA testing for first automated document application implemented in department; Developed requirements for OFAC & Patriot Act compliance initiatives for Group Benefits’ systems. Contributed on HIPAA compliance & 1099 Reporting. Performed QA & UAT testing, creating test plans/use cases and testing them.