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Senior Loss Assessor Resume

PROFESSIONAL SUMMARY:

  • Seven years of experience as an underwriter in Property & Casualty, Life, Liability and Auto insurance along with three years of experience as a Business Analyst.
  • Thorough knowledge about Software Development Life Cycle (SDLC) phases, including requirement elicitation, analysis, design, development.
  • Strong analytical and problem solving skills have helped initiate successful strategies and methodologies in various business areas and adept at Property and Casualty Claims, prioritizing, multitasking leading claim assessment teams.
  • Experience in Business and Technical Analysis along with Project Management and Software Validation on client - server and web based applications; worked in structured and unstructured environments.
  • Strong understanding about nuance of the insurance processes and successful progressive experience as a Business Analyst in requirement gathering techniques, documentation and business modeling for insurance companies. Highly experienced and have in-depth knowledge of fire damage assessment as a loss assessor for property and casualty insurance. Demonstrated ability to train and retain self-motivation and be customer focused.
  • Familiar with the right niche of insurance processes as well as fluent in insurance related technologies
  • Over Seven years of experience in Auto, Life, Property and casualty as an underwriter in Policy and Claim management
  • Deep understanding of key areas of Insurance Billing, Policy and Claim management, specifically in electronic payments, schedule payments, riders, claims, batch processing, real time processing etc
  • Expert in all stages of Software Development Life Cycle (SDLC) and various development methodologies like Rational Unified Process (RUP), Waterfall methodology, Agile Unified Process, Rapid Application Development and Scrum analyze
  • Highly proficient in working with users to gather requirements , analyze them and subsequently use the design tools to model the requirements
  • Experience in writing Business Requirement Documents (BRD), Functional Specifications Development (FSD) and System Summary documents
  • Experienced in facilitating Joint Application developments (JAD) and Joint Requirement planning sessions (JRP), Scrum Meeting, End user interviews, workshops and requirement elicitation sessions
  • Proficient in creating Use Cases and supporting all the documents with UML Diagrams such as Use Case Diagrams, Activity Diagrams, Data Flow Diagrams, Sequence Diagram Process Flows using UML modeling tools like MS Visio and Rational Rose
  • Excellent communication, interpersonal and presentation skills and a good team player with strong work ethics

TECHNICAL EXPERTISE:

Operating Systems: MS Windows, UNIX

SDLC Methodologies: Waterfall, Agile, Scrum, RUP

RDBMS: SQL, MS Access

Modeling Tools: Requisite Pro, Rational Rose, MS Visio

Software Engineering Tools: MS Office, MS Project, MS Visio

Web Technologies: HTML

PROFESSIONAL EXPERIENCES:

Confidential

Senior Loss Assessor

Responsibilities:

  • Collaborated with R&D department in providing BRD and FSD for Claim management, policy management and billing center systems
  • Certified in Claim Management in Property and Casualty Insurance from Swiss Reinsurance Company, Zurich, October 2004
  • Providing activity diagrams, data flow diagrams, UML diagrams for the claim, policy and recovery process in fire department
  • Auto Claim and policy insurance department expert
  • Senior loss assessor in Fire Department
  • Collaborated with Risk Management Department for offering the premium price to the fire department customers
  • Collaborated with Auto, Liability, Property and Casualty Policy Management department
  • Advisor for R&D department for automation of claim management system
  • Collaborated with private loss adjusters in loss evaluation process
  • Conduction all claim process in fire department from the initial steps to settlement and recovery
  • Created SQL queries to pull out and metrics from the database
  • Identified and captured data elements using all the As-Is and To-Be scenarios with the respect to the system and prepared use cases
  • Conducted JAD sessions with involvement of customers, designers, developers, project managers, SMEs for development of the architecture of the application and ensuring its adherence to Business Requirements
  • Assisted in the business development and integration of Property & Casualty insurance
  • Responsible for creating test scenarios, scripting test cases using testing tool and defect management for Policy Management Systems, Payables/Receivables and Claims processing
  • Prototyped Property and Casualty forms in Microsoft word Designed and developed the Property & Casualty Insurance forms
  • Involved in requirement gathering by conducting personal interviews, developing questionnaire, brainstorming, or role playing to get a better understanding of client business processes and creating requirements traceability matrix for tracking the requirements
  • Developed Use Case diagrams, business flow diagrams, Activity/State diagrams and Sequence diagrams using Rational rose so that developers and other stakeholders can understand the business process
  • Performed feasibility, adaptability study and risk analysis to identify the business critical areas from user perspective
  • Organized the weekly meetings with the review teams for consistent improvement of the QA process for the application development
  • Organized Joint Application Developments (JAD) with end-user/clients/stake holders and the IT group to gather requirements in order to re-engineer the existing process
  • Conducted GAP Analysis to identify key areas of concern and addressed them with the Business team
  • Analyzed and designed the requirements for a new system based on the Agile methodology
  • Facilitated JAD sessions , defined project scope, boundaries conditions, dependencies, risks and established activities milestones to be achieved during each phases of the RUP lifecycle

Confidential

Research and Development Expert

Responsibilities:

  • Cooperate with the R&D managers, in invitation and arranging the conferences for experts in the field of management and power
  • R&D expert for system automation salary
  • Cooperate with R&D managers in providing programs for wage and salary in HR department
  • In-depth knowledge about HRMS as Human Resource Management expert
  • Used MS Project and MS Excel to manage schedules, deadlines, resources for pre/post and implementation phases of the project

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