SUMMARY:

• Recognized Business Consultant & Business Analysis professional with proven track record of 8+ years of experience in the areas of Business Consulting, Business Analysis, Client Servicing, Resource Management, PMO, Consulting Account Management, and Pre - sales (RFP’s, RFI’s, PoVs).
• Rich experience in software analysis, gathering functional and business requirements specifications, user Interface specifications, process modeling, use cases, assist in creation of test strategy, test cases and test plan.
• 11+ years of Insurance Industry Operational Knowledge which includes P&C Insurance business consulting experience coupled with end-end claims management of Workers’ Compensation, General Liability & Specialty LoB ‘s (worked as Sr Claims Adjuster/Supervisor).
• Known for creativity balanced with intellect and judgment to deliver fresh perspectives.
• Adept in Capability Building, Transition Management Team Handling Skills. Recognized by clients and Sr. management for ability & capabilities such as of building strong working partnerships, improving operational efficiency, effectiveness of an organization in alignment with its strategic direction while generating sustainable results.
• Highly adaptable in a fast-paced and changing business environment with a unique ability to align and leverage people, processes technology and information in an organization to optimize results.
• Excellent communication & presentation, co-ordination, facilitation and collaboration skills.

WORK EXPERIENCE:

Confidential, NYC

Responsibilities:

• As a Senior Business Consultant, the primary focus is around the system and business analysis of ClaimsVision application to define functional requirements, system interfaces and data requirements through GAP analysis, feasibility study and consulting.
• Understand complex Industry and regulatory requirements, analyze, validate, document and manage requirements deliverables throughout the Implementation cycle.
• Define Interfaces with the core claims application. Few common Interfaces are ISO FROI/SROI, ISO Claim Search, Positive Pay, Medicare and Check Writing etc.,
• Assist in data conversion from legacy application to ClaimsVision application.
• Work with development and solutions leads to arrive at efficient, comprehensive, and accurate solutions including system configuration based on the client requirements.
• Co-ordination with Biz-Talk architects for external application Interfaces.
• Quality review of test scenarios, test conditions, expected results and test scripts based on business requirements and functional design.
• Product enhancement through research and client requirements.
• Part of the daily scrum meetings.
• End User (Also used this method for eliciting requirements)
• Contribution in business development activities like RFP/RFI response, client demos and road shows.

Lead Business Analyst/Consultant

Confidential - Bloomington, IL

Responsibilities:

• Worked on a client engagement Initiative that provided the client the ability to acquire and service all of their financial services products across various access points through agents, online, customer care center and mobile devices.
• Reviewed high-level requirements and translate them into clear concise detailed level business and functional requirements.
• Analyzed systems to define functional requirements, system Interfaces, and data requirements.
• Facilitated requirements gathering sessions.
• Elicit, analyze, validate, document, and manage requirements deliverables throughout the SDLC.
• Performed BA activities across all stages of SDLC.
• Quality review of test scenarios, test conditions, expected results and test scripts based on business requirements and functional design.
• Reviewed deliverables of the BAs.

Lead Business Systems Analyst (BSA)

Confidential - Hartford, CT

Responsibilities:

• Worked on cross line of business and application areas within the personal Insurance business of the client.
• Led the enhancement and compliance capability of the personal lines business.
• Demonstrated an understanding of core Business Systems Analysis practices and appropriately apply the BSA Methodology Framework.
• Partnered with the Requirement Delivery Lead and Quality Lead to successfully plan, develop and deliver on project commitments.
• Collaborated with the project leaders to plan and execute the requirements phase.
• Collaborated with the business to elicit, analyze, and capture requirements.
• Collaborated with the technical teams to elicit/clarify requirements and design solutions that meet the needs of the business.
• Collaborated with the QA partners to clarify requirements, review test strategy, and assist in defect research and resolution.
• Coached, mentored and shared information with BSA peers and members of the project team.

Business Analyst

Confidential - Hartford, CT

Responsibilities:

• Requirement gathering for the work requests and key enhancements that are due in the scheduled releases.
• Partnered with business and technical teams to resolve complex issues.
• Monitored scope and requirements adherence throughout lifecycle
• Added, modified and or deleting the users from the ‘Claims Intake’ application.
• Endorsement addition or deletion on the current claim(s).
• Consistently used IT effectiveness and BA Continuum process and tools
• Controlled scope by enforcing the change control process.
• Coordinated and contributed to maintenance estimate creation
• Attended all the business and release meetings

Business Analyst

Confidential

Responsibilities:

• One of the world's leading international insurers and reinsurers headquartered in Sydney, Australia. The client’s European Operations, which accounts for almost 40% of client’s group turnover. Leading specialist in London market and European commercial lines business.
• Initially, was involved in the transition of Client Applications. Primary knowledge recipient on 30+ applications which were part of the outsourcing strategy and performed the reverse knowledge transfer to offshore resources and ensured a smooth transition of the project which was greatly appreciated by the client.
• Post transition, worked on a project, which deals with the Enterprise Information - Data Warehousing application that is a single and central source of consistent and accurate data reporting which is used for strategic decision making by the client’s senior management.

Business Analyst

Confidential

Responsibilities:

• My responsibilities involved responding to RFPs and RFIs from Insurance domain perspective and to co-ordinate with other stake holders like- Solution Architects, Sr. Management, Technical Architects, Capability Teams, Project Teams and others involved in order to put together the best comprehensive response to the proposal.
• End-to-end client visit orchestration for sales and delivery visits by working along with Accenture Client Partners and Sr Management for a smooth client visit experience.
• Prepare & design proposals, collaterals, case studies and any other resources to meet client needs in coordination with Client Partners.
• To be part of ‘people panel’ discussions where CxO level representatives from clients are involved.
• Prepare presentations as per the agenda of the client visit in co-ordination with client partner/s, logistics team, project teams, technology capabilities.
• Worked as a PMO for Sr Executive who heads Insurance Practice for Asia Pacific region and have contributed working on many of his initiatives.
• Coordinating with Sr. Management for Dashboard updates and publishing the dashboard to the senior management.
• Have been involved in setting up Claims Innovation Centre (client showcase initiative).
• Initiated the knowledge sharing sessions for all Business Analysts in the capability.
• Presented several topics on Insurance domain.
• Contributed in creating knowledge repository of Insurance.

Confidential

Team Lead

Responsibilities:

• Investigation- to obtain relevant information to determine compensability and exposure. Relevant information had to be captured from the employer, employee, and doctor. Potential fraud indicators had to be recognized and investigated
• Evaluation - Set reserves appropriately and adjust it over the life of the claim.
• Negotiation/Disposition - develop a negotiation plan, to settle the cases often in disputes.
• Recovery - Identify subrogation potential, information (preferably a recorded statement) should be obtained from the injured worker and any witnesses to preserve their version of the loss.
• Medical and Disability Management- effectively direct the claimant to a panel or network provider, telephonic case manager (TCM) and independent medical exam, analyze the relevant medical records, review of medical bills, audited and re-priced medical bills had to be paid timely.
• Litigation Management - appropriate litigation plan and budget had to be developed.

Confidential

Risk Analyst

Responsibilities:

• To generate business Information and credit reports on all the corporate, non- corporate businesses and other organizations based in the US
• Collecting the crucial financial statements, sales estimates and the company information. Changing the legal structures, data and positions and ascertaining the core business activities.
• Creating and updating the vast client database of the companies, proprietorships, charities and other societies.
• To Identify and to determine if a company is ‘high risk to do business with’ when a company displays characteristics of fraud or has misrepresented data to D&B or has undergone an indictment.
• Identify companies that have slow payment experiences or a company that may be undergoing financial stress such as existing or imminent business failure or operating difficulty.

Confidential

Assistant -Sales Manager

Responsibilities:

• Overall direct responsibility of identifying and nurturing advisor and ensuring regular of monthly sales targets.
• Day-to-day monitoring of advisors and ensuring successful execution of sales targets.
• Prepare sales approaches and strategies and motivate the team to achieve targets
• Train advisors on different concepts of Insurance and Insurance products
• Planning & timely implementation of schedules for advisors.
• To perform primary underwriting and communicate the findings to the branch underwriter.