Professional Documents
Culture Documents
PROFESSIONAL SUMMARY:
KHR is directly responsible and provides all financial and insurance needs of all state teachers and other state
workers. State of Kentucky goals are to upgrade their system with SAP so all the collections of premiums
collected from the insurances and the payment of benefits have a better flow. KHR also aims to connect
Treasury department with payroll system for all the state workers via so pay checks could be deposited in their
bank accounts instead of mail.
Responsibilities:
Environment:RUP, SAP, SAP- FSCD, SAP- FI-CO, SAP- HCM, SAP-IDOC, MS Visio, MS Word, MS Excel, ,
Rational Requisite Pro, MS Office, SEI, UML
project involved replacing Legacy State Farms system with a new Life/Health Claim System. The primary role
of business analyst is to understand current and future business processes to generate solutions that meet
Companys needs. Business Analyst provides business knowledge of insurance industry to identify business
requirement and expectations for the creation of system solution.
Responsibilities:
Established and maintained strong relationship with various business partners throughout
Corporate and the Systems department.
Gathered business requirements by conducting interviews with Subject Matter Experts
(SMEs) and studying the legacy systems
Analyzed business needs to develop rules and requirements that compiled with the current
business practices.
Developed workflow and process diagram with Business Architects to derive requirements for
the new system using MS Visio and MEGA.
Developed business use cases/businessscenarios to document the business and system
processes for Life and Health insurance products using MS Excel.
Designed and developed Unified Modeling Language (UML) diagram (activity/state,
sequence, and collaboration diagrams) using MS Visio.
Organized Joint Application Development (JAD) sessions with the Vendor, Subject Matter
Experts, and team leads to define business and functional requirements and document in
Requirement Traceability Matrix.
Attended technical sessions to facilitate any business discussions for the integration of various
Legacy and new system
Create the Business Requirement Document(BRD) and Functional Requirement
Document (FRD) according to the business recommendations.
Performed gap analysis to identify any discrepancies in the process flows, requirements, rules,
and documentations
Perform forward and backward data mapping between the fields in Legacy System and new
system.
Developed, coordinated, and supported System Team on all technical requirements.
Developed Test Cases and test scripts with the technical and UAT team to verify
implementation of the new features.
Continuously communicated with businessusers to validate and update businessscenario
requirements by verifying test cases and test script.
Team Lead/ Point of Contact of the team to communicate with other teams/departments and
submit the deliverables.
Environment: Microsoft Suites (Word, Excel, PowerPoint, SharePoint, Visio), MEGARational Unified Process
(RUP), Rational RequisitePro, Rational Rose, Clear Quest, Windows 2000/XP, Test Link, Business Objects XR2
AAA insurance is involved in various forms of insurance, which range from General insurance to Life insurance.
The project sought to improve the online claims system (web portal) for auto insurance. Functionalities here
were reporting of claims online, uploading photographs and using templates to describe the accident. Also
included in the functionalities were checking of claims status as well as statues of repair, in photographs.
Responsibilities:
Responsible for defining the scope and business rules of the project, gathering business
requirements, and document them textually or using models.
Interacted with the stakeholders to get a better understanding of client business processes
and gather business requirements
Experience in Insurance Claims process procedures and knowledge of basic
adjudication and Insurance business rules
Involved in claims and records data mapping and data modeling with technical teams.
Established traceability matrix using Rational Requisite Pro to trace completeness of
requirements in different SDLC stages.
Created business process workflow diagrams (Activity diagrams) in Rational Rose
Created Data Stage jobs to extract, transform and load data into data warehouses from
various sources like relational databases, application systems, temp tables, flat files etc.
Involved in Data Profiling, writing transformation rules, providing input to data modelers that
include Data type and length
Writing the detailed user needs, Gathered requirements during inception phase, documented
and delivered functional specification documents, and assisted architecture analysis and design
using UML and Rational tools.
Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams, and OOD
(Object Oriented Design) using UML and Visio.
Identified, researched, investigated, analyzed, defined and documented business process and
Use Case scenarios.
Conduct workflow, process diagram and GAP analysis to derive requirements for existing
systems enhancements.
Functioned as the primary liaison between the business line, operations, and the technical
areas throughout the project cycle.
Formulating the systems of project to parallel the business strategies.
Analyzed research on operational procedures and methods and recommended changes for
improvement with an emphasis on automation and efficiency.
Wrote SQL queries in MS Access for data manipulations.
Assist with user testing of systems, developing and maintaining quality procedures, and
ensuring that appropriate documentation is in place.
Develop the test plan, test conditions and test cases to be used in testing based on business
requirements, technical specifications and/or product knowledge.
Interfaced with SMEs to prepare BPR documents for ongoing projects.
Environment:RUP, MS Project, ANSI X12 EDI, Rational Rose, HP Service Desk, MS Visio, MS Word, MS
Excel, , Rational Requisite Pro, SQL.DOORS, SQL, VB.Net, Oracle, MS Office, IBM Business Modeler, SEI,
UML
Shelter Insurance provides a range of property and casualty insurance products. The project involved
implementation of the Guide wire Policy Administration, Claims Center and Billing Center. Migration from legacy
system to Oracle was another project that took place in parallel involving several procedures and data
migration.
Responsibilities:
Performed Gap analysis to understand and bridge the gaps towards building the future system.
Analyzed business processes, legacy application and corresponding Guide wire functionality.
Elicited requirements and designed functionalities for case management, claims processing
and medical billing.
Involved in testing Facets for Group Information, Enrolling Subscribers, adding members, Related
Entities, Class/Plan definition, Premium Rate Tables and all.
Experience as an external e-commerce solutions provider.
Created use case specifications and use case diagrams with tools such as Rational Requisite
Pro.
Used UML to create high-level process flow diagrams to present a clear picture of
transactions.
Developed test strategy and test plans to ensure that test cases reflected user requirements.
Coordinated with testers and developers onsite and off-shore for conducting tests and defect
triaging.
Created test plans, test scenarios, test cases for the Claims Center and the Billing Center.
Assisted in User Acceptance Testing (UAT) for implementation and system fixes, as required.
Participated in change request meetings to document changed and implemented procedures to
test changes.
UnitedHealth Group is one of the leading healthcare providers in the country. Worked as a Business
Analyst, working closely with project team to identify user's business requirements, interpret complex
business needs and translate them into system requirements, write business specifications and forward to
technical staff for system integration.
Responsibilities:
Initiated walkthroughs and interviews with the Subject Matter Experts (SME) and stakeholders to
keep track of user requirements.
Applied RUP within the different groups involved in the project to configure and develop
processes, standards, and procedures.
Converted User Requirements into Business Requirements, and segregated them into High Level
and Low Level business requirements.
Involved in testing different interfaces and web application for FACETS.
Conducted requirement gathering sessions to allow different stakeholders to communicate
their perspectives with each other, resolve any issues and come to an agreement quickly.
Revised the Use Case, Collaboration, Object, Sequence, Activity, and State Diagrams using
Rational Rose.
Worked on HL7 to provide framework to carry out transfer of electronic healthcare
information.
Reviewed and finalized the User Requirement Specification (URS), Functional
RequirementSpecification (FRS), Technical Specification, and Detailed Design documents.
Performed Back-end testing to verify the integrity of the database.Tracked, reviewed, and analyzed
defects using Rational ClearQuest.
Created different Traceability views to maintain the Traceability of the requirements.
Acted as a liaison between the different stakeholders for facilitating communication between them.