SUMMARY

• 7+ years of information technology consulting experience that TEMPhas extensive Insurance background of Property & Casualty experience which includes Claims, Products and Pricing.
• Experience as a Business Analyst and System Analysis, with expertise in business process analysis, business process modeling, business requirements, database design, strategic planning, and business analysis in teh field of Insurance.
• Experience in commercial Property and Casualty, Commercial Lines and Personal Lines Insurance.
• Experience in working on Policy Administration System (PAS) system for P&C on Duck Creek Technology.
• Experience working on Guidewire Claim Center, Policy Center and Billing Center.
• Experience working on Guidewire Policy Center Integrations and Configuration User Stories.
• Experience in defining Integration and SIT (System Integration Testing) strategy and approach by acting as a Program Test Lead for Guidewire Claims Center and Guidewire Policy Center implementations.
• Extensive experience in gathering system requirements, defining business processes, UML modeling, sequence diagram and activity diagram.
• Possess Knowledge and Experience with Personal and Commercial Lines of Insurance, including Auto and Home Insurance.
• Knowledge of policy ratings, investigating claims, negotiating settlements, and authorizing payments.
• Experience in Guidewire configuration and integration experience with Claim Center, Policy Center and Billing Center.
• Worked with Technical Writers to decide manual Guide wire policy ratings for claims and loss controls.
• Experienced in complete WATERFALL, AGILE, RUP, SDLC, Client /server architecture providing a well - balanced understanding of business relationships, business requirements, worked for financial and technical solutions and halped teh teams at all levels until final product release.
• Experience working with User Stories and Design Specifications based on Functional Requirements for Guidewire owned Policy Center Application.
• Involved in customization of UI of Guidewire Policy Center, Claim Center and Contact Manager.
• Involved in integration of Policy Center, Claim Center and Contact Manager.
• Proficient in transforming business requirements into functional specifications, focusing on workflow analysis and design, business process reengineering, user interface design, portal design, and process flow modeling.
• Excellent analytical skills for understanding teh business requirements, business rules, business process and detailed design of teh application.
• Excellent skills in Business Analysis, requirement analysis, Business modeling and Use Case development using UML Methodology.
• Experienced in Systems Testing, Integration Testing, and Software Quality Standards, Training, Documentation and implementation in a business environment.
• Experience on Guidewire's UI testing in Policy Center and Billing Center Screens for Personal lines business defined teh page layouts, reports templates and dashboard layouts for reservation monitoring and for gathering usage statistics.
• Strong experience in conducting User Acceptance Testing (UAT) and documentation of Test Cases. Expertise in designing and developing Test Plans and Test Scripts.
• Knowledge of SQL and experience of writing SQL commands.
• Expertise in writing SQL queries in MS SQL Server.
• Experienced in SQL Server Reporting Service (SSRS), Executing Queries and Running Stored Procedures.
• Experience in extracting UI based information by querying teh Oracle database using SQL queries.
• Extensive process analysis, data analysis and analytics, data mapping and data modeling skills (ERD) to develop solutions to complex application, business and operational problems, and by performing business process re-engineering and process improvements where necessary.

PROFESSIONAL EXPERIENCE

Business Systems Analyst

Confidential, Newark, NJ

Responsibilities:

• Analyzed client systems and business processes.
• Provide support across different domain areas such as Auto Assignment, Payments, Claims Data and Appointment Logs, Auto Estimations, Fire Claims etc.
• Worked on different modules of Web based application which was portal for Agents such as Insurance Application, Declarations, Discounts, ID Cards, and Various Endorsements Form Order Testing etc.
• Analyzed teh business rules for Auto claim assignments throughout teh US, so as to have balanced work-load for all teh claims reps.
• Prepared requirements document for Commercial Auto, Inland Marine, Crime, Worker's Compensation, Umbrella, Business Owners Policy, Commercial Output Policy, and Commercial Property Package.
• Created and maintained Business Requirements document and System Requirements document. In addition, was responsible for getting appropriate signoffs and approvals.
• Involved in developing front-end production entry screen and batch interfaces between remote AS/400s and teh corporate mainframe.
• Responsible for elaborating Billing Center integration user stories such as Integration to Agency.
• Worked as a Personal line of Property and Casualty Expert for interface to Insurer Business Partner on all facets of system design.
• Implement and maintain Property & Casualty (e.g. bug-fix, data integration, version release) systems of assigned customers.
• Utilized corporation developed Agile SDLC methodology. Used Scrum Work Pro and Microsoft Office software to perform required job functions.
• Conducted demo/conference pilot sessions to present both custom and Out of teh box Billing Center functionality to business.
• Created process flowcharts for various issues in Billing Center functionality and halp perform gap analysis.
• Wrote various SQL queries and statements for data reconciliation for Policy Administration System.
• Created workflow scenarios, designed new process flows and documented teh Business Process and various Business Scenarios and activities of teh Business from teh conceptual to procedural level.
• Working with clients to better understand their needs and present solutions using structured SCRUM approach.
• Using Shared Containers and creating reusable components for local and shared use in teh ETL process.
• Established a Business Analysis methodology around teh Rational Unified Process.
• Created UAT plans with several test cases for each project to ensure that teh system runs smoothly after teh proposed enhancements or changes have been made.
• Worked extensively with MS Excel and MS access.
• Worked on Commercial lines Property and Casualty Insurance including both policy and claim processing and reinsurance.
• Assisted in on-going process improvement efforts to ensure Test Planning, Execution, and Reporting is TEMP effective, efficient, standardized, coordinated, and integrated.
• Assisted in building a Business Analysis Process Model using Rational Rose and Visio.
• Performed extensive Requirement analysis and developed use cases and workflows.
• Developed Use Cases, Activity Diagrams, Sequence Diagrams, and OOD.

Environment: Windows XP, Microsoft Office SharePoint, Agile Scrum, SQL Server, CQ, MS Project, UML, BLW, Microsoft office.

Business Systems Analyst

Confidential, Bentonville, AR

Responsibilities:

• Coordinated with product owner and business users to gather requirements for creating user stories and acceptance criteria.
• Analyzed business model, user requirements and logical specifications to deliver appropriate solutions
• Recorded business requirements, functional specifications, and business process information via interactions with key stakeholders/business users Experience in interacting with Front-Office users and analyzing business processes and documenting current business challenges to accurately define business requirements and translate into functional specifications for proposed solutions.
• Created, administered, and compiled extensive user surveys and conveyed teh requirements to developers
• Integrated cross-projectwaterfall, Agileand vendor teams to deliver within target date by keeping communication channels open with stakeholders. Ramped up meetings as needed. Worked with PMO on team coordination for multiple iterations across multiple time zones and cultures.
• Process Improvement:Provide coaching and training at teh team, department, and company levels to maximize benefits. Paired with other Scum Masters and Managers to transform Partner Integration project from Waterfall to Agile Scrum iterative methodology making sure teh Agile/Scrum process is implemented effectively.
• Efficiently delivered teh organization’s foremost iOS, Android, and web application to provide customers with business intelligence analytics through personalized dashboards, peer benchmarking, and real time notifications.
• Worked with Product Owner alongside Management on teh dispute life cycle for Issuers via swim lanes for Confidential Resolve Online team. Teh VROL application was used for customer returns and supported Spanish as a second language. Transactions would be refunded based on teh country’s currency and business rules for teh region. their were over 300 business rules which could be triggered based on where teh transaction took place, Germany, Japan, England, Africa, US and many more.
• Managed Productbacklog grooming, sprint planning, removed impediments across business units as needed. Setup reporting in SharePoint. Setup multiple lists for automated workflow approval based on security level to aide in requirements tracking, budget tracking.
• Tracked and communicated team's velocity and sprint/release progress to stakeholders via Power Point.
• Setup a war room for teh team with a large display as well as guide teh teams on where to find teh latest information which halped everyone get out of email. Executed sprint retrospectives which resulted in continuous team improvements. SMART requirements Specific, Measurable, Achievable, Repeatable, Time-Based.
• Management:Co-locatedteams for better time management. Meet with Stakeholders on outlining detailed requirements related to multi language global jurisdictions, worked closely with local and offshore software development teams to ensure accurate deliverables. Used API utility to simulate multi region transactions and speed up development time.
• Coordinate and manage code releases and shared APIs with other IT groups
• TDD - Lead in testing for new systems and user interfaces
• Develop future state workflows that in corporate optimal use of an EMR
• Designing test scripts for testing of Claims in Development, Integration and production environment.
• Analysed teh Design ofFACETSdata model to ensure optimal system performance and tuning
• Maintain accurate billing procedures.

Environment: Windows XP, Microsoft Office SharePoint, Agile Scrum, SQL Server, CQ, MS Project, UML, BLW, Microsoft office.

Business Analyst

Confidential

Responsibilities:

• Performed as a high-visibility business relationship management liaison, working with internal and external business owners and stake holders.
• Analysis of complex Health Information Technology, Medicaid Management Information System databases, reports and system processes.
• Supported and responded to complex issues impacting teh Design Development Implementation (DDI) Team, in teh layout, design, and reporting provided by teh Medicaid Management Information System (MMIS) and Vendor Subsystems.
• Drafted recommendations to respond to teh client and provider issues including identification of Medicaid Fraud.
• Researched and analyzed teh CMS Policies and drafted recommendations like Data Analysis, CCPA And GDPR.
• Managed and maintained project deliverables and responsibilities to ensure that business and contractual requirements are met.
• Proactively addressed potential issues that may affect teh system and worked with developers to resolve teh matter.
• Utilized Agile Methodology approach to successfully manage projects.
• Developed As-Is and To-Be process flow and solution documents.
• Designed teh primary templates of teh flow of teh new system with HIPAA rules using MS-Office and Visio.
• Conducted GAP analysis in comparison to teh proposed system to enhance teh functionality of teh system, which had to fulfill teh 3 formats.
• Developed plan for data feeds and data mappings for integration between various systems, including XML, to follow ICD 10 Code set and ANSI X12 formats.
• Performed System testing of teh Claims processing systems (Pricing Rules, Duplicate/Limits validation, Member Eligibility, Provider Enrollment).
• Prepared graphical depictions of Use Cases, Use Case Diagrams, State Diagrams, Activity Diagrams, Sequence Diagrams, Component Based Diagrams, and Collateral Diagrams and creation of technical design (UI screen) using Microsoft Visio.
• Developed documents to design teh data to be accepted in HIPAA Compliant 837, National Standard Format (NSF) other proprietary formats and to be converted into teh required format by teh provider/clearing houses/Insurance agencies.

Environment: Microsoft (Word, Excel, PPT, Access) SQL Server, Oracle 11g, Windows Server, MS VISIO