OBJECTIVE:

• Seeking position as a lead business systems analyst/architect in a result driven work environment where me has the opportunity to utilize my experience and noledge of analyzing business models to meet business targets and increase productivity.

SUMMARY

• Total 9 years of IT experience, with the first 1.5 years being in the manual and automation testing and the last 7.5 years as a Business Analyst in the insurance domain(P&C, Healthcare, Life, AD&D and group insurance domains).
• Worked with established organizations like Confidential Insurance, Tower Insurance, AON, Confidential Caritas(formerly Keystone Mercy).
• Results - driven, highly-adaptable professional with 7 years’ experience as a Business Analyst/Team Lead in the Insurance Services, experienced in Gathering/Defining/Writing analyzing & Managing Requirements.
• A thorough understanding of the Software Development Life Cycle (SDLC) with noledge and exposure in the functional areas of Eligibility & Enrolment process, Underwriting, Claims Administration, Agency/Producer management, billing, reporting, Policy Administration, Medical management(Medicare and Medicaid), Life, Accident, Group etc.
• Demonstrated strengths in identifying and eliminating operational deficiencies and business pain areas.
• Working noledge in using UML.
• Proficient in all phases of Requirement Management, including gathering, analyzing, detailing and tracking requirements.
• Strong understanding of various SDLC methodologies such as Agile, Waterfall and with hands on experience in all of them.
• Led various Joint Application Development (JAD)/Client Conferences .
• Travelled to various agency management locations to assist the external agencies and transitioned them on newly created products. Worked as a business relationship analyst with Confidential insurance.
• Possess a detailed-oriented nature with excellent communication, interpersonal, problem solving skills, and recognized for being a valued team player.
• Experienced in Design, Development and System Testing & Implementing product with zero defect
• Extensive experiencein Negative, Integration, Unit, Functional, Integration, Regression, User
• Acceptance, System and Automation testing of cross-platform, distributed, client/server, web based n-tier applications.
• Experience in using Automation testing Tools Quick Test Professional (QTP)

TECHNICAL SKILLS

Operating Systems: Microsoft Windows, UNIX, DOS

Languages: MS .NET Framework, HTML, XML,C, C++, Universal Application TenFold, VB Scripting

Databases: MSSQL Server 2008, Oracle 10g, Sybase

Project Methodologies: Unified Modeling Language(UML), Agile, Waterfall methodologies.

Tools: MS Office, ADOBE ACROBAT PRO, WRQ Reflection, JIRA, WAS6.1, IBM Clear Quest, HP Quality Center 9.5, QTP 9.0, IBQ requisite pro, FACETS systems for healthcare claims.

PROFESSIONAL EXPERIENCE

Confidential - Philadelphia, PA

Lead Business Systems Analyst

Responsibilities:

• Analyze processes and resources necessary for the TEMPeffective implementation of Utilization management, Care Management, Authorization management and Claims processes for Medicare and Medicaid products.
• Assisting in managing large scale projects, leads appropriate resources and determine project requirements and deliverables.
• Responsibilities include preparing feasibility and cost analysis determinations for projects.
• Communicate business or process solutions, recommendations and issues to ACFC management on a regular basis.
• Assisting in development of training programs, introducing new concepts and business processes.
• Documents all business process flows
• Review software and systems modifications to ensure successful implementation.
• Responsible to transition working noledge of Member Services, Health Services, Claims, Enrollment, Provider Relations to all offshore staff.
• Interfaces with ACFC business leaders and technology leads to determine specific project requirements.
• Interface with senior management regularly to provide status and user feedback and keep them appraised with progress, problems, objectives and solicits input regarding business priorities, plans, and progress.
• Review tech design, requirements and test cases and requirement matrix.
• Conduct UAT with business leaders.
• Review code versioning.
• Oversight all code moving into Development, test and production regions.
• Represent my team in change management meeting with senior magement and change control board.
• Meet with external software vendors/Client/TPAs to discuss products and ensure requirements are satisfied.
• Assist business leaders in troubleshooting issues with member authorizations and claims issues.
• Overview and prioritize defects/enhancements with business leaders and senior management.

Confidential - Hatboro, PA

Senior IT Business Analyst

Responsibilities:

• Worked with AON affinity in life and health domain which was using the vastly growing insurance platform called INSPRO (earlier non as ATIAM).
• One of my major responsibilities was to fine tune a fulfillment process. dis process was responsible for sending notices (NB and Renewal) to all insured.
• dis project involved three basic steps:
• Process correction and preventive measures - complete process was changed and errors were caught before the process was actually executed to generate the notices. Process correction resulted in 55% decrease in ma hours which were spent earlier.
• Automation of the process - after the process was fine tuned, the next step was automate the process and create a repository of all reports in the sharepoint. Now the manual effort was only 5-10% of the old process. The number of errors TEMPhas reduced to less than 5% now.
• Transferring control to the business users - The Business users were educated on dis new process, so that the IT dept is not involved in dis fulfillment process.
• Other responsibilities include interacting with business users, testing teams, development teams and various other project and portfolio managers.
• me was leading a team of 11 offshore members which included 1 business analyst, 6 developers and 4 testing analysts.
• Responsible for reviewing test plans created by Integration Unit and Regression testing team.
• Held regular JRS sessions with testing and development teams.
• Worked on various extensions of life and health insurance including group insurance for Nurses service organization, Healthcare provider service organization, Group term/level/long term insurance, group of pharmacists/physicians/dermatologists/orthopedists/orthodontists insurance, group of chemical engineers/construction workers, group dental insurance etc.
• their were several other projects within L&H which included introducing all together new products or changes to existing products. Examples of such projects would be addition of a new coverage/field to an already existing product or adding an altogether new product (recently completed example - disability investment added by AIG and Group orthopedists insurance by AIG, Dental insurance by Metlife, Accidental death and dismemberment by NYLife).
• Worked on policy administration system called Inspro, gained extensive noledge on dis growing insurance platform. me and my offshore team BA are responsible for all the configuration changes which need to be made in dis policy admin system. Coordination with Inspro’s own team was also our responsibility.
• Responsible for all the project estimations within Life and health domain at AON.
• Stabilized, optimized and automated existing document based workflows and related data transmissions between corporate system components. Provided technical expertise supplemented by business analysis to support business process and mitigate existing risks after corporate IT restructure.
• Responsible for creating scalable QA scripts and test cases to provide proof of results stability in cases with large number of variables. Prepared and lead disaster recovery tests. Established SLA levels for systems components and integrated processes.

Confidential - Paramus, NJ

IT Business Analyst

Responsibilities:

• Gatheird business requirements through sessions and analysis by interviewing users and Subject Matter Experts (SME).
• Identify the changes needed in Tower’s application, which included extensive work on mapping all fields, detailed out all UI mock ups for field to field mapping from One beacon to Tower insurance’s policy admin system.
• Identify all the differences between OneBeacon application and Tower application.
• Create process flow diagrams for the development team’s understanding.
• Process flow diagrams to enhance the search functionalities.
• Define the mapping and its logic for each field/coverage and specify how it should be mapped in Tower group’s application
• Regular discussions with all the stakeholders from OneBeacon and Tower.
• Work with the development to minimize any gaps in the understanding.

Confidential, Chicago IL

Business systems Analyst/Business relationship analyst

Responsibilities:

• Gatheird business requirements through sessions and analysis by interviewing users and Subject Matter Experts (SME).
• During my long tenure with Confidential worked on different modules life billing, reporting, policy administration, claims, underwriting etc. Also extensively worked with agents/producers/ agency management systems.
• Worked as a business analyst on the comparative rater side using ACS interface, which provides customers with Single Entry Multiple Carrier Interface(SEMCI)
• Was involved in major roll outs to XML enable the rating for property and auto for all the states supported by Encompass. dis move was to move from old scraping technology to the new XML technology.
• Worked with ACS team to get define the mapping for each and every field visible on the comparative rater UI.
• Worked on Comparative raters like EZLynx, PL Rating, IBQ, Quomation, MultiCo, etc
• Created master specs which defined mapping logic for all the fields/coverages from comp raters to Encompass.
• The requirements stated in the functional document were uploaded to HP Quality Center
• Was also involved to define the ACORD format in which the request is to be sent from Comp rater over to ACS
• It was my responsibility to verify that ACS sends request in correct XML format over to Encompass.
• My responsibility also included to verify the xml format in which the request is sent from Comp rater to ACS and tan from ACS to Encompass system.
• All of the field mapping and xml structures were defined in the master specs which were tan followed by developers to code and tan by testers to verify the field mappings.
• It was my responsibility to give the mapping walk throughs to business owners, project managers and all the other team members involved in the project.
• Worked closely with business owners to get approvals and clarifications for all the field(also includes coverages) mappings.
• Responsibility to review the test cases/test plans for testing team and provide them with suggestions/comments. These test plans included system test plans, Integration test plans and UAT test plans.
• Responsibility to give sign off to the testing team’s test cases/test plans.
• Create functional system design documents FSD that will be the basis for the technical systems design, QA, documentation and training
• Providing Business/industry expertise/noledge to the organization.
• Assisting in preparation of Test Cases and Scenarios to find gaps in the functionality.
• Supporting UAT and getting the issues fixed, providing Clarifications for Negative scenarios in Process of Testing.
• Ensured that all requirements, enhancements and defects for the particular release has been developed, fixed and tested by creating traceability matrices between all the project artifacts.
• During dis time me was also involved in working with manufactured raters who unlike comp raters has their own rating engines.
• me was the contact person for them to sync their rating factors with Encompass rating factors.
• For dis me used to create separate mappings sheets, these manufactured raters were FSC, MI-Assist, AccuAuto, PowerQuote, AFI etc.
• me was also involved in working with Agency management systems, here the responsibilities involved to sync the ratings and also to update the management systems with all the changes in the policy afte the quote TEMPhas reached Encompass, AMS systems were AMS360, Applied, AFW, AgencyPro etc

Confidential - Chicago, IL

QA Test Engineer

Responsibilities:

• Complete all the tasks for the baseline, regression-me and regression-II and re-run if any defect code move is required for production release webservice update.
• Create test plans for testing across multiple layers.
• Experience in testing COMPARITIVE RATERS (Third Party Vendor) like PL RATER, EZLYNX, FSC, IBQ, Quomation.
• Experience in testing Accord XML to carrier specific XML request mapping.
• Maintain and analyze large volume of regression test results.
• Testing Webservice call from vendor to Confidential . Create separate test plan to test hand shake between all interfaces in Webservices.
• Creating regression test plan and procedures for different interfaces to test complete (web and client/server) application with huge test data.
• Developed test cases and test scripts for Functionality and Regression testing of web application using QTP.
• Perform UAT (User Acceptance Testing)
• Responsible for scheduling the batch execution of the tests, log and track defects using Quality Centre.
• Creating Test Cases, Test Scripts for web based application UX Screen and all internal Websevice call/response.
• Running and monitoring QTP test script using QC.
• Validating any failed QTP test case and rerun using QC.
• Bug reporting and tracking.
• Involved in preparing Quality Assurance Test Plan (QATP) and Client Support Document (CSD)