SUMMARY

• 8+ years of diverse professional experience as a Business Analyst in Property and Casualty Insurance( Confidential ) and Healthcare Domain
• Full life cycle experience in eliciting requirements, systems analysis, documentation, communicating with IT teams and coordinating with all stakeholders until application delivery
• Expertise in Personal and Commercial lines of business with in - depth knowledge in the Underwriting, policy administration system(PAS) billing, rating, reinsurance and claims process
• Certified Scrum Master, Insurance Agent and Scrum Product Owner
• Expert at Scrum concepts like Product backlog, Sprint planning, User stories, Daily standup, burn down charts etc.
• Expertise in deploying and updating Guidewire Insurance Suites (Billing Center, Policy Center and Claim Center) for billing, policy and claims management
• Knowledge on Electronic Data Interchange (EDI) transaction
• Comprehensive understanding of HIPAA Standards (4010 & 5010) and Compliance issues, Medicare, Medicaid, ICD9, ICD10, Enrollment and claim adjudication process.
• Extensive Knowledge of Duckcreek(P&C) & knowledge of various policy administration & industry standard tools such as ACORD standards
• Had good proficiency in Guidewire Insurance Suite, Studio, User Interface and Rule sets
• Hands on experience on Latest Guidewire BillingCenter version 8
• Experience working in all phases of Software Development Life Cycle (SDLC), and using industry standard methodologies like Rational Unified Process (RUP) and Agile
• Experience in conducting Gap Analysis, and documenting AS-IS and TO-BE business processes
• Good working knowledge of various Elicitation techniques including JAD, JRP sessions
• Expertise Insurance experience in General Liability, BOP policies, Workers Compensation policies, Personal and Commercial lines Product
• Good working knowledge in engaging various Analysis techniques like Business Impact Analysis, Risk Analysis, Cost benefit analysis(CBA), and SWOT Analysis for proposed projects
• Experience in creating Business Requirement Document (BRD),User Requirement Specification, Functional Requirement Document (FRD), Data Flow Diagrams & Business Flow Diagrams
• Expertise in developing screen mock-ups, wire frames, user interface (UI/GUI), Use Case Diagrams, Activity Diagrams, Sequence diagrams, data flow diagrams, and class diagrams based on the Unified Modeling language (UML) convention
• Being actively involved with QA team in different phases of testing such as System testing, Functional testing, Regression testing and Integration testing for Quality Analysis.
• Expert in managing all project requirements using Requirement Traceability Matrix (RTM)
• Proficient in executing SQL queries to create user reports, data validation, and data flow testing

TECHNICAL SKILLS

Requirement Management/Modeling Tools: SAP Power Designer, Rational Rose, Unified Modeling Language (UML), MS Visio, Visual Paradigm, Just in Mind Prototype, Smart Draw, Snagit

Programming Language: XML,.Net, SQL, HTML

Database Tools: Oracle, SQL Server, MS Access, Visual Studio

Reporting Tools: Rational SODA, Crystal Reports

Operating systems: Windows Vista, XP, Unix

Project Methodologies: RUP, Agile, Waterfall

Defect Tracking Tools: Silk Central, JIRA, Bugzilla, Quality Central, HP ALM, HPQC, win Runner, Load Runner

PROFESSIONAL EXPERIENCE

Confidential, NJ

Sr Business Analyst

Responsibilities

• Interact with the Business Area SME's to understand the Product and Business Processes thoroughly and assisted the product owner, scrum master and team to improve their ability to create good Product Backlogs, their grooming and submission
• Customized Policy Search and Retrieval to integrated Policy Center with Claim Center
• Identified opportunities for business process improvement through various meetings with business users and developers and initiated efforts to make improvements
• Eliciting requirements for different Claim Center and Policy Center integration points with other centers, front end systems ( Agent portal, Customer Portal, Mobile Application ) and (TPA) third party applications(Enterprize rent-a-car)
• Captured business requirements in form of user stories for P&C lines using JAD sessions, brain storming sessions, focus groups and personal interviews and ensured coverage on business values, story points and acceptance criteria
• Created Requirement description document to include the business requirements, technical requirements, non-functional requirements and error handling based on the analysis performed while creating the Process flows
• Managed development in Guidewire ClaimCenter for all modules including FNOL, Loss Details
• Analyzed the AS-IS and TO-BE state of the project and performed Gap analysis, Impact analysis
• Designed Screen Mockups and Wireframes for the application's User Interfaces (UI) using iPlotz and Balsamiq Mockups.
• Elicited, documented, modeled, validated and prioritized functional and non-functional requirements using interviews, data analysis
• Exposure to ACORD Property and Casualty Standards and ISO (Insurance Services Office) tools and conventions.
• Involved in designing the templates for all different letters and forms. Established security system for the documents. (Approving, Rejecting and Signing). Integrated ClaimCenter documents management system with Thunderhead and Captiva software for easy access of documents
• Conducted daily interaction with the development team, stake users, business executives and Quality assurance to coordinate all the engineered process
• Conduct status meeting with the SME and the stakeholders
• Frequently used Requirements Traceability Matrix (RTM) for identifying and tracing thelinkages among PolicyCenter, BillingCenter and ClaimCenter
• Used Microsoft SharePoint, to manage the project related deliverables to client and maintained internally for the audit purpose
• Wrote SQL queries to filter data within the SQL Server database.
• Developed detailed source-to-target Data Mapping, Business Rules and Definition documents.
• Document minutes of meeting with the Clients to ensure project requirements are properly tracked
• Worked with the business to document and develop formulas for the calculation of premiums (e.g. Written Premium, Earned Premium, Unearned Premium)
• Managed the change request and analyzed the impact of the change request in regards to Project Plan, Project Scope and Project Schedule
• Conducted status reporting meetings with SME’s, PMO, Project Manager; Responsible to deliver updated daily and weekly status report
• Collaborate with Testing Lead and develop testing strategy
• Created training guides for User Acceptance Testing (UAT) and deployment with step-by-step instructions and created appropriate GUI screenshots

EnvironmentRally, Rational DOORS, SQL Server, SSRS, MS Office, iplotz, MS SharePoint, ETL, Balsamiq

Business Analyst

Responsibilities

• Conducted JAD Sessions with the SMEs and managers to understand the business processes and functional details
• Identified gaps in the existing systems by performing GAP Analysis on the As-is business process maps
• Created the To-be business process maps to communicate the solutions to the entire team as well as to gain the approval of the SMEs and the management team
• Documented the gathered business requirements into a detailed Business Requirements Document (BRD)
• Involved in Web design, UX, UI and Prototype using various tools and used activity diagrams and Data models for use cases and procedural logic for the deliverables
• Created wireframes and prototypes of the new web interfaces to communicate the ideas to the business users and the management teams
• Translated Business Requirements into functional and non-functional requirements using industry standard documentation processes like Data Flow Diagram (DFDs) and UML Diagrams (Use Case, Sequence and Activities Diagrams)
• Facilitate discussions with Mobile UX team for creating an user-centric design to achieve maximum visibility, easier accessibility and higher basket conversion rates
• Created and maintained Requirements Traceability Matrix (RTM) to trace technical requirements to their business requirements and the test case requirements to their functional requirements
• Conducted Requirement Walkthroughs with the development and test teams before the development and testing phases started respectively, to ensure that the requirements are accurately understood
• Coordinated with QA team in developing test plan, test cases, test scripts and performed various types of testing - beta testing, automated testing and acceptance testing
• Created User Acceptance Testing (UAT) plans with several test scenarios to ensure that the proposed features and functionalities are functioning correctly
• Assisted in the development of User Training materials for the upgraded version of the existing system technology and process improvements

EnvironmentRUP Methodology, Power designer, MS Visio, Justin Mind, My SQL, Oracle, Java XML, Bugzilla

Business Analyst

Responsibilities

• Thoroughly studied the inherent systems to have a clear understanding of the business processes and associated system workflow
• Acted as an interface between Project Managers, Subject Matter Expert’s (SMEs), Developers and QA Team on requirement gathering and change requests for current state legacy application to the future state application
• Used Smart Draw to carry out the business modeling efforts to develop the business architecture for rapid and controlled application development
• Active and efficient participation for Formulary/Preferred Drug List participation for existing products
• Created User stories in MS Word, MS PowerPoint and Snagit for better visualization of the application
• Participated and contributed in daily scrums, Sprint meeting and Sprint review meetings
• Maintained burn down chart to track what is done
• Helping develop a collaborative, team best practices measurement tool. It has both self-evaluation and management evaluation of teams on multiple dimensions of Agile best practices
• Performed Defect Tracking, issue logs and Change Control Procedures using Silk Central
• Facilitated user acceptance testing and test strategies with developers and testers

EnvironmentAgile Scrum Methodology, SmartDraw, Snagit, Bugzilla, MS Word, MS Excel, MS Visio, MS SQL Server, Silk Central

Business (Process) Analyst

Responsibilities

• Facilitated in the overall management of projects including risk analysis and mitigation, status reports, client presentations, defining milestone deliverables and establishing critical success factors
• Facilitated and conducted conference calls, JAD Sessions and business interviews with the different stakeholders and cross-functional units to gather business and functional requirements and converting them to technical requirements.
• Deployed a web based Clinical Trial Management system (CTMS) to internal and external users
• Worked in Real-time processing of clinical data, streamed to intuitive visual reports and dashboards (CDMS)
• Good understanding of pharmaceutical preclinical drug processes and worked with the Clinical Investigator and Operations Team on compliance and regulatory requirements
• Facilitated collection of functional requirements from system users and provided appropriate scope of work for technical team and developed prototype for the system
• Participated in weekly project team meetings and provided updates on the status of the project to senior management
• Used MS Project for Project Management, managed project resource allocations, planning and status updates to ensure efficient and responsive operations along with senior management
• Performed business analysis and use case generation to provide basis for test scenarios, which were used to define test system requirements.
• Created detailed process maps, mapping of source and target systems and defined the road map for Data migration

EnvironmentRUP, UML with MS Visio, MS Project, Rational Rose, Rational Requisite Pro, Java, HTML, Oracle,