SUMMARY

• Over 7+ years of professional work experience with an earned reputation for meeting demanding deadlines and delivering critical solutions on various levels of Quality Assurance in various Industries.
• Diverse experience in Bank, Financial services, Real Estate, and Insurance domains.
• Outstanding knowledge of Web Technologies and Client/Server Architecture, and have experience in Data Warehouse related projects.
• Highly proficient in working with automated testing tools like HP/Mercury Interactive Test Suite (Quick Test Pro, Win Runner, Load Runner, Quality Center /Test Director).
• Experienced in Mobile (iOS, Android and Windows) Testing includes Device, Tablet and App Testing on iPod, iPhone and iPad.
• Experience in developing the Data driven Framework, Keyword Driven Framework for maintaining the automation scripts and worked on reusable functions using VB Script to increase the reusability in the automation.
• Performed Sanity, Functional, Integration, Reliability, Compatibility, System, Regression, Stress, Performance, End - to-End and User Acceptance Testing (UAT) testing.
• Good experience in Property & Casualty, Life Insurance, Annuities, pension- and retirement-related investments, Mutual Funds, Group Insurance, Retirement Services, Investment Management
• Good understanding of RDBMS- Relational Database Management Systems and worked on different databases like Oracle, SQL Server, Sybase and DB2.
• Experienced in All aspects of QA, QA methodology, and the SDLC. Highly proficient with HP ALM, Quality Center 11.0, QTP/UFT.
• Excellent knowledge of Derivatives, Fixed Income, and Equity products
• Good knowledge in Investment Banking/ Capital Markets domain that include Fixed Income, Credit Card, Credit Derivatives, Mortgage, Loan Origination and Banking applications
• Excellent skills in automated test tool Quick Test Professional (QTP), QA Wizard, Soap UI and Web metrics.
• Expertise in problem solving and bug tracking using bug tracking Tool Quality Centre.
• Good experience performing Database Testing using SQL Queries and procedures.
• Experience in Browser Compatibility Testing: Internet Explorer, Mozilla Firefox, Netscape
• Excellent experience performing Black Box, Ad-Hoc, Integration, Functional, User Acceptance Testing, System, Exploratory testing, Cross browser testing, Database testing, Smoke, UAT and Regression Testing.
• Have hands full of experience in Agile-SCRUM Methodology
• Expertise with Mobile testing on Blackberry, iPhone and Android.
• Experience in analyzing test result and submitting the bugs using Bug Tracking tool Quality Center (QC) and Team Foundation Server (TFS).
• Experience working within Waterfall and Agile SDLC methodologies.
• Working knowledge of scripting using VB Script.
• Expertise working with Microsoft Project, word, Excel, Visio, PowerPoint.
• Experience in writing SQL queries, Analysis of Defect Severity, Defect Tracking Defect Reporting in Quality Center

TECHNICAL SKILLS

Automated Testing Tools: QTP, Quality Center, Test Director, Load Runner, Win runner, TFS, MTM, SOAP UI, JIRA

Operating Systems: Windows 7, Windows, Unix, Linux, Android, iOS & Mac

Web Technologies: ASP, ASP.NET, HTML, DHTML, Java Script, VB Script, XML

Development Tools: Visual Studio, Eclipse, TFS

Database Technologies: SQL server, MS- Access, Oracle, DB2

Version Control Tools: VSS 6.0, CVS, Team Foundation Server (TFS)

Others: SharePoint, MS Project Server Mobile Android, iOS, Windows, and xCode

PROFESSIONAL EXPERIENCE

Confidential, NYC, NY

Sr. QA Engineer

Responsibilities:

• Standardized documents like Test Plan, Test Scripts/Test Cases, and Daily Status Reports etc.
• Analyzed Business Requirements, Functional Requirement & High level Design documents.
• Created the Regression Test cases and automated them for the purpose of regression testing.
• Wrote User defined Functions using Vb Scripting for calculating the check Price and verifying Credit Card verification.
• A good knowledge of Interest Rates, Credit and Fixed Income Bond products, Interest rates swaps along with the trade flow for each of the instruments
• Created and maintained test data: different types of accounts for testing ATM transactions
• Created Test cards, both Debit and Credit, for testing purposes.
• Investigated errors by reviewing logs from ATM machine and message queues to host
• Worked on testing on basic banking operations like Balance Enquiry, Online Payments and Fund Transfer between the existing accounts, credit cards account management, mortgage account etc.
• Has good working experience in Mortgage industry and ER application.
• Has good knowledge and working experience in imaging services, Loan servicing applications & handled multiple projects individually.
• Developed and tested windows and reports for mortgage servicing software and other client-requested special projects
• Automated Test cases using scenario based approach using action segments and functional decomposition methods.
• Implemented UFT/QTP 11.0 for automating the Regression Sets.
• Designed the Data Driven tests in Quick Test Professional (UFT/QTP 11.0) script to validate with different sets of test data.
• Tested the applications response for positive and negative sets of data with data-driven testing procedures.
• Modified the scripts by inserting Text, Bitmap and Synchronization checkpoints.
• Created and managed objects in the application using Object Repository in Quick Test Pro.
• Performed Descriptive Programming wherever necessary.
• Involved in testing Web services and XML with tool called ‘SOAP UI’. I have been using this tool to locate WSDL file on internet, create Test cases, run them, do load testing, security testing.
• Automated scripts created are for execution of large number of claims for using the concept of Parameterization by using Data Tables.
• Back end testing using SQL queries to retrieve data set
• Automation scripts are handled based and on the concepts of Regular Expressions in UFT/QTP11.0 script.
• Extensively used the UFT/QTP 11.0 scripting to create the actions.
• Created a single huge shared object repository for all the different modules by using the Object Repository Manager in UFT/QTP 11.0
• Used Dictionary and file system objects for Data manipulations in UFT/QTP
• Created some reusable library functions to support automation architecture using Screen based approach Used descriptive programming methods to identify Dynamic objects and automate complex scenarios
• Extensively used the VB Script to develop highly optimized scripts.
• Integrated the Quality Center (QC) with Quick Test Professional (UFT/QTP 11.0).
• Documented the Automation Plan, Design and Execution Specification.
• Involved in Smoke, Ad Hoc, Functional, Regression and Back end Testing.
• Reported the defects to the development team by using defect-tracking tools like Clear Quest, Quality Center.
• Retested the reported defects in the every build released and closed the defects in concern tools.
• Performed End-to-End testing manually.
• Detecting bugs & Classifying them based on the severity.
• Involved in the tracking and updating of the Requirement Traceability Matrix, thereby linking the test cases with the business requirements as well as other associated test cases in Quality Center.
• Assured the project meet the defined business requirements and follow defined quality process

Environment: UFT/QTP 11.0, HP Quality Center, HTML, VSTS, XML, PL/SQL, Oracle, Perfecto Mobile, Android SDK, UNIX, MS-Access2003, Web logic, JavaScript, Windows XP, Rational Clear quest .

Confidential, Harrisburg, PA

Sr. QA Analyst

Responsibilities:

• Validating the submitted transactions on the front-end and back-end (DB2 visualizer)
• Analyzing Business Requirements and perform White box testing.
• Creating Test Plans, Developing test scenarios.
• Involved in manual testing of the designed Test cases and perform Validation testing.
• Verify test results on Database testing using query skills using SQL and validation
• Creating test scenarios and Test Cases on Ms Excel.
• Worked on UAT testing and took signoff from the Commercial line of Property & Casualty business users. Created test specification and test plans by reviewing business and technical documentation.
• Created design documents for a User Profile Roles Term Life Insurance system
• Executed Test Strategies and Test Plans that cover various functional areas of Insurance Operations like Underwriting, Claims, Finance, and Premium Reconciliation
• Manually tested calculations of home and auto insurance rates and cross-checked for results
• Involved in Savings annuities, Income annuities, Fixed annuities, Variable annuities with Traditional IRAs, Roth IRAs, SEP-IRAs, 403(b)s or TSAs
• Manually tested calculations of home and auto insurance rates and cross-checked for results
• Involved in Comparison testing and Adhoc testing
• Executing test cases and creating defects on Microsoft Test Manager (MTM)
• Involved in Comparison testing and Adhoc testing
• Designed, developed, documented, and executed manual/automation test scripts using QTP
• Derived Testable requirements by analyzing Business and Functional documents for various features of the site.
• Involved in writing Test scenarios, Generic tests cases, detail Positive and negative test cases for ETL also Preparing ETL and SQL routines/code for performing ETL testing (system and integration testing) and Documenting the test results
• Used Quality center for test management and report generation.
• Ensure that all the test cases are updated in the Quality Center along with Master test plan.
• Created test specification and test plans by reviewing business and technical documentation.
• Performed the analysis of test run data by generating reports and graphs in Quality Center.
• Modification of existing Test Plans and Test Scripts for Android testing.
• Tested the application in various phases of the application development like Integration testing, Functional Testing, User Acceptance testing and Regression Testing.
• Responsible for reviewing test cases, its execution and to ensure that all requirements and functional specifications are met.
• Identifying the Defects and logging them in Quality Center.

Environment: Mac OS, iPhone simulator, Manual Testing, Quality Centre, Enterprise Data Warehouse, ETL, Informatica Android simulator, Real devices -iPhone, iPad, Android device, HTML,AJAX,C#, .Net, Java, Java

Confidential, Katy, TX

Sr. QA Analyst

Responsibilities:

• Derived Testable requirements by analyzing Business and Functional documents for various features of the site.
• Providing training on new Point of Sale functions to production support team.
• Wrote User defined Functions using Vb Scripting for calculating the check Price and verifying Credit Card verification.
• Implemented of an Ecommerce product, Commerce Catalog Organization, Navigation & Search, Pricing & Promotions, Shopping Cart, Purchase Process and Order Processing etc., Merchandizing UI, Fulfillment / Payment Engines etc.
• Worked on Assigned Modules like POS, Product Assortment, Ordering, Cash management Lotto/Lottery Management and Employee Security maintenance on ISP(In-Store Processor)
• Tested on POS terminal to run the EOD transaction
• Performed validation testing in various modules like "Shopping cart", "My Account", "Shipping address"
• Created Test strategy, scenarios, test plans test cases and tested for (Point of Sales) POS like, Pawn Loans, Extensions, Pay off's, Daily transactions reports, Inventory Reports, Store closure Reports, Safe & Cash drawer balancing, cash transfers, Police activities, Customer buy, Vendor buy, Retail sales, and different payment methods with Debt, Credit, Rewards Card, Gift Card, Visa, MasterCard, Fax and checks
• Did peripherals and hardware testing of barcode readers both wireless and wired, Magnet card readers, Weighing scale, Cash registers, handheld scanners, tag printers and receipt printers.
• Created defects and traced them to issues and traced issues to defects Identified reusable POS scenarios.
• Attending agile meetings and working on monthly sprint backlog items and updating the activities in Microsoft TFS
• Created test specification and test plans by reviewing business and technical documentation.
• Modification of existing Test Plans and Test Scripts for Android testing.
• Tested the application in various phases of the application development like Integration testing, Functional Testing, User Acceptance testing and Regression Testing.
• Documented and executed test cases and test scenarios for all phases of testing including Integration, Business process testing, Regression and System testing using Quality Center 9.0.
• Attending agile meetings and working on monthly sprint backlog items and updating the activities in Microsoft TFS
• Performing Smoke, Integration, System, regression and end-to-end testing of policy admin system
• Performed data validation in the mainframe system after the policies have been run through the batch cycle
• I was responsible for UI and END-END ordering functionality testing on iPhone 3G, iPhone 3GS, iPhone 4G, iPad, Android and Tablets.
• Created test data to simulate test scenarios
• Functional testing for Symbian and Blackberry Platforms, Bug Logging and Tracking.
• Worked extensively on SQL in validating data
• Validated the data in SQL server databases
• Responsible for Backend testing and executing SQL queries for Oracle
• Analyzed application data using the SQL Queries
• Verify credentials are encrypted when interacting with the third party systems
• Performed Security, GUI & Regression testing of web-based applications.
• Involved in Test Planning and preparation of testing schedules based on project timelines
• Interacted with the Business Analysts and Developers to resolve issues
• Logged and tracked the bugs in Quality Center 10.0.
• Automated and parameterized several test cases using Quick Test pro.
• Recorded, modified and played automated scripts using Quick Test pro.
• Maintained and modified object repositories for the objects recorded through Quick Test pro.
• Retrieved data from Database by writing SQL queries to check the correctness of data and to verify the retrieved results
• Prepared test summary reports every week to report the status of testing

Environment: Quality Center, TFS, MTM, VSTS, Quick Test Pro, Android simulator, SVN, TDD, BDD, Cucumber, Calabash, Real devices -iPhone, iPad, Android device, Device Anywhere, SQL, Unix, Oracle, VB Script, Edit Plus, XML, SOAP UI, Oracle, Rally, SQL Server

Confidential, Dallas, TX

Sr QA Engineer

Responsibilities:

• Estimate effort for the test activities.
• Extensively used Quality Center for test planning and Used Rational Clear Quest for bug tracking and reporting.
• Verify test results on Database testing using query skills using SQL and validation
• Creating test scenarios and Test Cases on Ms Excel.
• Executing test cases and creating defects on Microsoft Test Manager (MTM)
• Identify, Log and follow-ups on all defects found during testing by using TFS.
• Generating test progress reports.
• Responsible for tracking and closing defects using Rally during SIT/UAT
• Report the test progress and the test result to the stakeholders.
• Ensure applicable Test and Defect management process and best practices are followed.
• Act as the contact for coordinating test efforts with other systems/projects.
• To accommodate static flight and passenger information, Master Data Management System is being built to provide consistent data across SWA enterprise.
• This system will help to reduce and optimize the real time data processing delays, which in effect will bring down operational time gap in its flight & passenger management systems.
• Ensure the coverage of the test cases and scenarios.
• Wrote and executed test scripts and test cases for different source to staging, staging to accredited and accredited to data warehouse data flows.
• Tested the above components by running the Ab Initio ETL jobs in UNIX box, verified and validated the requirements as per Functional and Design specs.
• Coordinating with source system owners, day-to-day ETL progress monitoring, Data warehouse target schema Design (Star Schema) and maintenance.
• Developed test scenarios for testing Enterprise Data warehouse and Credit Data Mart data in DB2 environment.
• Developed SQL scripts to validate the data loaded into warehouse and Data Mart tables using Informatica.
• Worked with three mobile application simultaneously: iOS, Android and WP7
• Complex test scenarios were designed for iOS, Android and WP7 according to each OS
• Performed browser compatibility and configuration testing on various operating systems such as Blackberry OS, Android OS, and IOS etc...
• Tested the various Service Oriented Architectures (SOAs), REST service validation and spanning across various web services using SOAP and WSDL across various applications
• Reporting of testing related metrics
• Re-tested the application to check whether the defects are resolved or not (Regression Testing)
• Involved in all phases of SDLC.
• Wrote and modified required UNIX scripts and other SQL validation scripts for Oracle and writing scripts in SQL to validate the outputs analyzed test results and creating performance evaluation reports.
• Comprehensive experience with agile testing process using SCRUM.
• Conduct Agile Scrum meetings to discuss project progress and plan
• Performed Functionality testing during the various phases of the application and analyzed the results using QTP.
• Inserted Check Points to check the broken Links, Text, and standard properties of objects using QTP
• Performed data driven testing and parameterization using vb script in QTP.
• Enhanced QTP script using recovery scenarios for error handling.
• Involved in creating output values using QTP.
• Functionally validated Web Services delivered in SOAP XML format as provided in specification document.
• Created and maintained SQL Scripts to perform back-end testing on the oracle database. Created and executed scripts manually for Functionality testing.
• Perform system, functional, end-to-end and regression testing.
• Conducted GUI, Integration and Data Driven Testing.
• Developed and executed test cases test Scenarios and followed-up defects using Quality Center.
• Extensively used SOAP UI in web services testing

Environment: Windows, HPQC-ALM, SQL, TFS, MTM, Rally, QTP 11.0, XML, Business Intelligence, ETL, Enterprise Datawarehouse, Informatica, Ab Initio, COgnos, Unix, Android, iOS, Device-Samsung Galaxy Tab 10.1, Vizio, iPAD, iPhone Linux, Soap UI, VBScript, Java, Agile, Oracle.

Confidential, Quincy, MA

Test Analyst

Responsibilities:

• Testing various change orders of Medicaid applications received from the System Engineer's
• Validate EDI 834 enrollment process according to HIPAA compliance
• Extensively worked on FACETS claims processing system and worked on its different applications like enroll subscriber/member, Claim processing, Provider and Billing.
• I worked in Edifecs to process X12 files as per requirements in Edifecs X-engine and tested for snip using (Transaction management/TM)
• Worked with Ultra edits software to Unwrap the X12 file data and compare between two EDI file.
• Involved in the full HIPAA compliance lifecycle from GAP analysis, mapping, implementation, and testing for processing of Medicaid Claims.
• Worked on EDI transactions: 270, 271, 834, 835, and 837 (P.I.D) to identify key data set elements for designated record set.
• Interacted with Claims, Payments and Enrollment hence analyzing and documenting related business processes.
• Testing various change orders of Medicaid applications received from the System Engineer's
• Regression Testing of Web applications and applications dealing with MEDICAID and MEDICARE Services
• Conduct complex documentation and user needs analysis. Interface with team and staff to develop HL7 integration
• Developed the strategy for developing and implementing new EDI (HL7 and X12) interfaces and converting historical clinical and data.
• Involved in Testing of Multiple modules like Facets Claims processing, Members. • Analyzed and tested HIPAA 4010 and 5010 standards for 837P EDI X12 transactions, related to providers, payers, subscribers and other related entities.
• Regression Testing of Web applications and applications dealing with MEDICAID and MEDICARE Services
• Analyzed User stories and developed test case negative and positive scenario and wrote the test cases.
• Involved in performing Functional, integration, and regression testing.
• Involved in ETL testing for data Extract, Transforming and mapping Validation
• Developed test Data for different groups
• Validate EDI 834 enrollment process according to HIPAA compliance
• Prepared Status reports to track the test status progress and to check if there is any slippage in timelines.
• Worked on HIPAA transaction such us 834 Transaction.
• Involved in Testing of Multiple modules like Facets Claims processing, Members.
• Analyzed and tested HIPAA 4010 and 5010 standards for 837P EDI X12 transactions, related to providers, payers, subscribers and other related entities.
• Tested the HIPPA EDI 837/835 transactions according to test scenarios and verify the data on different modules.
• Extensively worked on FACETS claims processing system and worked on its different applications like enroll subscriber/member, Claim processing, Provider and Billing.
• I worked in Edifecs to process X12 files as per requirements in Edifecs X-engine and tested for snip using (Transaction management/TM)
• Worked with Ultra edits software to Unwrap the X12 file data and compare between two EDI file.
• Maintained test matrix and requirement traceability matrix
• Executed test cases developed by self or peer. Compared and analyzed actual to expected results and reported all deviations for resolution performed All phases of end-to-end testing which includes Smoke testing, Functionality testing, Integration testing, Regression testing, back end testing etc.
• Wrote SQL queries for data Validation
• Used Quality center to developed test cases in Test plan module and executed test cases in Test Lab Module and logged the defect in defect Module

Environment: Facets, Edifecs transaction Management, Para soft, HIPAA EDI, HP Quality center 10.0, Microsoft visual studio shell, Ultra edit compare 8.5-0-1025, Microsoft SQL server 2008 R2( SQL server management studio), Microsoft out Look, Microsoft Office communicator 2007 R2, share point, Web service, SOA

Confidential, Atlanta, GA

QA Analyst

Responsibilities:

• Reviewed business requirements, business use cases and functional requirements documents
• Knowledge of OSS/BSS applications for Inventory, Activation/Provisioning, Fault Management, Performance Management, Service Fulfillment, Service Assurance
• Developed test strategy, test plans and test case documents
• Involved in the testing of different types of orders like Change of orders, order submission and cancellation of orders and service points with different statuses
• Verify Mobile service provide/cancellation and network provisioning system
• Worked in Agile development environment in frequently changing requirements and feature sets
• Participated in daily status meetings, client demo sessions, helped to get QA sign off from the team
• Create test plan timeline and helped to project manage the test phase
• Increased productivity by initiating use of automation testing using Selenium web testing tool
• Conducted backend testing for Database using SQL queries
• Created traceability matrix to fill in the gap between requirements and test case covered
• Performed functional testing, black box testing, regression testing and back end testing
• Helped in the smoke testing and UAT testing

Environment: Windows, Unix, Quality Center, Selenium, Hybris E commerce, HTML, Java, Java Script

Confidential, NYC, NY

QA Analyst

Responsibilities:

• Worked closely with QA Manager and Business Analyst to prepare Business Requirements to create Test Plans, Test Cases and Test Approach/Strategy documents.
• Attended Change Request Meetings to ensure products and changes are fully documented for further Test changes.
• Performed SIT, UAT, Functional/Regression, Smoke/Sanity, frontend, and Interface testing for web application by creating various positive/negative test cases.
• Manually tested the Web application to ensure the flow of the application functionality.
• Created Test Plans and Scenario which describes the features and functions to be tested.
• Performed Usability and Integration testing manually.
• Prepared Test Cases and performed extensive frontend testing
• Generated various reports and graphs from Quality center and analyzed the testing process overview. Prepared Test Cases based on Business Requirements and required documents.
• Contributed functional and technical assistance/production support, including service requests and remedy tickets; worked with SQL.
• Worked on generating OTC, FX, Swaps, Fixed Income derivatives volumes by total trade, incoming/outgoing payment items, number of new transactions
• Performed hands-on testing of all the business flows related to Fixed Income trading involving When Issue securities, Re-opens, all Gov. Bonds, Agencies, Futures and Options.
• Document request/response XML's, test procedures and functional/technical findings from the test run
• Responsible for performing Smoke tests and supporting Trade flow applications and systems, which involve Financial Instruments like Securities, Fixed Income, Equities, FX, Money Market, Swaps, Derivatives and its sub-types
• Active involvement in Pre Sales, RFPs and Business cases, Market Analysis of Third Party Capital Market Products
• Performed system and integration testing on Trader Application, where traders can enter, monitor, manage & optimize orders in listed and over-the-counter individual equities/stocks, equity/stock options and Fixed Income securities. Also validated Traders ability to identify news or price-driven trading opportunities.
• Imported test cases from HP Quality center to MS Excel or MS Word.
• Created and maintained SQL Scripts to perform back-end testing on the oracle database.
• Involved to report test planning, defects and executing activities using QC reports.
• Created test plans, conditions, scripts, and test data; performed product testing, user acceptance, remote user testing, usability standards validation, and performance testing; and resolved system defects.
• Performed Security Testing on the application.
• Created the performance testing, Quality center deployment, and QTP implementation schedules using MS Project.
• Created QTP scripts to automate the application test execution.
• Maintained and modified the QTP scripts with user defined functions as a part of functional and regression test.

Environment: Mercury Quality Center, QTP, VB.NET, FIX Protocol, VBScript, Oracle, SQL Server 2005, IBM WebSphere, Windows NT/2000, UNIX (Sun Solaris)

Confidential, Irvine, CA

Quality Analyst

Responsibilities:

• Involved in Business Requirements Analysis meeting and worked on Test Plan document.
• Involved in Test Cases review meetings and updated the test cases based on the feedback from the review meetings.
• Manually Tested the application executing test cases in the Quality center.
• Used Quality Center for test script and test result management and bug tracking.
• Tested IVR Handset Activation and Payments Billing processes for Voice and Enabler data of different type of Cards (Debit, Credit).
• Involved in Agile Environment, attended stand up Meetings and retrospections sessions.
• Provided support for the Agentnet application. Agentnet is a Java web-based application that is a booking agent for a variety of travel products.(Air, Auto, Train, Hotel, Cruise)
• Executed Manual Test cases for Functional Testing and logged defects for the failed test cases.
• Expertise in development of Test documentation, Manual testing, Automated test scripting and Execution on Client/Server, Integrated Intranet, UNIX, Linux, Mainframes and Internet applications
• Proficient in Agile methodology and used Rally tool for creating user stories and test cases
• Parameterized test data using Data Table and created Shared Object Repository in QTP.
• Wrote User defined Functions using Vb Scripting for calculating the check Price and verifying Credit Card verification.
• Communicated effectively with developers and BAs to discuss the defects.
• Participate in Daily Stand Up meeting to provide status of the testing.

Environment: QTP 10.0, Quality Center 10.0, VBScript, Agile, VB.Net, Asp.net, Oracle, Unix, SQL, Rally, PL/SQL.

Confidential, NE

QA Analyst

Responsibilities:

• Extensively involved in testing 837Electronic Data Interchange (EDI) and Direct Date Entry (DDE) transaction.
• Submitted both EDI and DDE claims in Portal, adjudicated them in State's internal claim processing tool and verify them in Base after getting the ICN.
• Verify Claim Detail, Health Program, Values, Occurrence and edits if there are any for Paid/Denied claims.
• Resubmitted a paid claim by making an adjustment on CLM 05-3 and adding REF F8 segment in the original EDI X12 file.
• Verified the original claim is being voided after making an adjustment to the original claim.
• Verified expected edits after submitting different claims according to the given requirements.
• Submit an inpatient and physician claim with PAS (Pre Admission Screening) and PA (Prior Authorization) respectively.
• Worked intensively with Medicare & Medicaid claims processing for transactions.
• Responsible for validating claims processing transaction of MMIS.
• Responsible for checking member eligibility, provider enrollment, member enrollment for Medicaid and Medicare claims.
• Responsible for Medicaid Claims Resolution/Reimbursement for state health plan using MMIS.
• Implemented automated COB processing of Medicare claims into Facets
• Experience with Trizetto Facets System implementation, Claims and Benefits configuration set-up testing, Inbound/Outbound Interfaces and Extensions, Load and extraction programs involving HIPAA 837 and proprietary format files and Reports development.
• I was involved in working on updating standards for electronic health care and pharmacy transactions.
• HIX (Health Insurance Exchanges): HIX are a set of government-regulated and standardized health care plans in the United States, from which individuals may purchase health insurance eligible for federal subsidies.
• Performed testing for Medicare, Medicaid and X-Over claims for Medicaid Management Information System (MMIS)
• Developed and implemented the MMIS Third Party Liability (TPL) Subsystem.
• Developing SQL query to check the database and data integrity in accordance with business standards of the company.
• Create positive and negative scenarios to test and Validate the data according to given BRDs and PCRs.
• Developed test cases and test scripts for the functional testing of HIPAA transactions.
• Extensively used SQL to validate data mapping documents.
• Manually tested End-to-End applications.
• Closely worked with Bas, Developers and System Engineers to nail down the technical problems.
• Analyzed and reviewed Business & Functional Requirement Documents and the technical specification for the HIPAA EDI transactions.
• Analyzed User requirements and attended Project Change Request meetings to document changes.
• Used Ultraedit and Notepad++ to manually update X12 files.
• Used Snagit 10 tool to take the screen shots of the tested results.
• Analyzed different HIPPA transactions such as 837 inbound/outbound, 997, 999, etc and Involved in implementation of both HIPPA X12 4010 and HIPPA X12 5010.
• Worked on Professional (Paid and Denied), Institutional and Dental Claims.
• Used Only Connect First Pass Build 3.0.4 to analyze the X12 files and to test files for SNIP level errors 1-7 and for data validation, routing and acknowledgement generation.

Environment: Quick Test Professional, Quality Center, SQL Queries, Unix, VBScript, java, Oracle, MS Office

Confidential, Minneapolis, MN

QA Tester

Responsibilities:

• Creating and communicating test execution documents;
• Identification, documentation and reporting of defects during testing, documenting the test summary report.
• Represent the software quality assurance team in business meetings and partnering with business and development teams for issue resolutions to meet software specifications.
• Adapting test coverage matrix and test execution matrix in Mercury Quality for test tracking purposes.
• Performed extensive manual testing and maintained documentation on different types of Testing- Positive, Negative, Regression, Integration, End to End, System, Performance, and Black Box Testing.
• Assisted with running automated testing.
• Extensive documentation of products.

Environment: MS-SQL Server 2005, TOAD, Mercury Quality Center 8.0, 10.0, Versioning, Testing of different Qwest RX applications.