Mail Id: acuilj@r.postjobfree.com

Phone: 201-***-****

Have around 14 years of experience in information technology with 10 years of extensive experience in enterprise application architecture design using PegaRULES Process Commander (5, 6 and 7.1). Has experience in various domains like Insurance, Health Care, Banking, also worked on large multi-release Pega projects for several Fortune customers in delivering BPM and BRE applications that automate the processes using different Pega Framework. Well adaptable to challenging environments, Strong work ethics and commitment to work will well serve to achieve Client’s objectives. Complete proficient in Pega Implementation cycle, that includes modeling of business process, PRPC tool installation, design, development, testing, and deployment. Good amount of exposure to onsite and offshore model of project implementation. Direct client relations at all levels including Lead role and also served as a Single-point-of-contact in projects. Well versed in the Agile methodology with Scrum FW.

Enterprise Architecture

Project Management

AGILE Methodology

Smart Dispute Framework

Product Configurator

PegaRULES (PRPC)

HealthCare Framework

CPM Framework

Insurance Industry (IIF)

CPMI Framework

J2EE

Java, JS, HTML & XML

SQL Server

Oracle

RDBMS Concepts

AIG – GCAP (Global Claims Automation Platform)

Global Claims, New Jersey, US

Lead Solution Architect (Jun 2015 to till date) – Client Location

Business Problem: AIG Claims department building the Global Claims Automation Platform to automate the claims processing with minimal user intervention. With the Automation initiative AIG saving expense of processing the claims with different systems across the Globe. Right now OneClaim delivered to 20 Major countries and as the future roadmap to automate most of the process in GCAP. GCAP is a rules engine build with PEGA 7.1 to process the Business rules and communicate with any target system. With that initiative the Payment Automation Project aims at developing automated scrubbing, routing and payment rules to eradicate manual intervention and create an automated process along with implementing Optical Character Recognition (OCR) technology to convert manual invoices into electronic structured data to allow automated validation and payment.

Environment: PegaRules Process Commander (PRPC) 7.1.6 UDB & Websphere 8.5

Project Role: Lead Solution Architect with the following responsibilities:

Responsible to meet sprints planning in the Agile methodology

Involved in the design of the building the GCAP Rules engine

Supported the team to set up the new environments

Provide the business a feasible solution for the long term goals

Involve in designing the application, participate in design discussions & review design artifacts and provide design solutions to business problems

Responsible for providing technical and build support for teams

Performance analysis and fine tuning the application

Responsible for developing and managing detailed schedules, including tracking and managing the dependencies across the various work-streams rolling-up into the project

Responsible for project communications, including facilitating team meetings and developing and distributing the project status reports

AIG – OneClaim (EMEA, APAC – Consumer & Commercial)

Global Claims, New Jersey, US

Lead System Architect (April 2011 to May 2015) – Client Location

Business Problem: The OneClaim front end system is the centerpiece of the Chartis Global Claims IT strategy to provide a flexible end-to-end solution on a single global platform. OneClaim effectively manages the claim lifecycle from intake through adjudication, to client reporting for multiple countries and lines-of-business in a consistent manner. This is made possible by providing a common architecture, data model and core process to enable timely, business-appropriate data capture for business activity monitoring, measurement and reporting. A standardized “coexistence implementation” approach enables incremental rollout and seamless integration with in-country (e.g. real-time access to policy and coverage information via in-country policy systems) and Chartis strategic (e.g. iView, CASL) applications. OneClaim will facilitate improved client loss outcomes through quick, efficient claims handling and improved fraud, negotiation and settlement modules, as well as streamlined claims processing through business rules and role-driven business components. It will have the capability to meet all regulatory, compliance, and region-specific security and data privacy requirements.

Environment: PegaRules Process Commander (PRPC) 5.5, 6.2 and 7.1 UDB & Websphere

Project Role: Lead Architect with the following responsibilities:

Involved in the design of the OneClaim application for multiple streams and countries.

Understanding of client requirements and plan the delivery

Involve in designing the application, participate in design discussions & review design artifacts and provide design solutions to business problems

Responsible for providing technical and build support for teams

Performance analysis and fine tuning the application

Provide the recommendations and guidance to the team

Responsible for developing and managing detailed schedules, including tracking and managing the dependencies across the various work-streams rolling-up into the project

Responsible for project communications, including facilitating team meetings and developing and distributing the project status reports

Manage client relationship at project level & quality of project execution

Mentoring and coaching team members and competency building within the team to deliver projects successfully

Managing Client delight and building trust with client to make AIG / Virtusa relationship strong

Involved in the PEGA 7.1 upgrade for the Global OneClaim for multiple streams including regions

TENET – Billing Editor Studio (BES), Dallas, Texas, US

Senior System Architect (September 2009 to Mar 2011)

Business Problem: Patient Financial Services (PFS) currently follows a paper process to update the edit formulas used by the Claims Clearinghouses to process Tenet claims. Edits generally arise from updates in CMS regulations, and must be implemented in a timely manner. The current process involves a paper request form that is routed through several approvals and then forwarded to an outside vendor for implementation.

In the past, communication has been lost between the approvals within Tenet and coordination between vendors and PFS. By creating an automated workflow for the edit approval process, Tenet will begin to eliminate the miscommunications, provide a current status of each edit, and integrate the approval process with Perot development team implementation.

The Billing Editor Studio project will allow facility and corporate employees to create a request for a clearinghouse edit via an online request form. The request form will be systematically routed to the appropriate users for approval, development, and implementation. Users will have the ability to check the status of completed and processing requests and manage their approval tasks online. Billing Editor Studio project will be available to users through the eTenet web portal utilizing single sign-on with eTenet user IDs and passwords

Environment: PegaRules Process Commander (PRPC), Java, Oracle & Websphere

Project Role: Senior System Architect with the following responsibilities:

Focused on BES Enterprise architecture design.

Understand client requirements and delivery.

Indentify different point of System Integration and provide better Integration approach

Preparing System Design and Create process flows using PegaRULES Process Commander

Deployment of rules into different environments like QA, UAT.

Estimate and Schedule Development plan and review.

Providing technical support and Code Review using Pega Guard rails.

Cardiff – BNP Paribas Group (PEMSA -Policy Management System), OOSTERHOUT, Netherlands

Senior System Architect (October 2008 to August 2009)

Business Problem: PEMSA is a Policy Management System used by Cardif to create policies under Creditor Insurance and Personal Protection. Initially Cardif build the Policy Management system in AIA and then PEMSA is developed in PEGA to create or enhance the products which are developed in AIA. It is built on using the Insurance Industry Framework (IIF 3.3) which is developed to support the IBM insurance structure. There are 5 major process forms the PEMSA application a) Subscription Process, b) Modify Proposal before Effective Date, c) AfterSales without Financial Impact, d) AfterSales with Financial Impact. Filenet is used to maintain all the documents related to PEMSA policies, CODA (External system) handles the financial transactions for PEMSA. Cardif is having MEGA (Business Modeling Tool) as the business requirement tool to specify the functionalities.

Environment: PegaRules Process Commander (PRPC), Java, Oracle & Tomcat 5.5, MEGA, FileNet

Project Role: Tech Lead with the following responsibilities:

Understanding client requirements and delivery.

Preparing design and Creation of process flows using PegaRULES Process Commander.

Organizing the development of business rules in PRPC.

Deployment of rules into different environments like QA, UAT.

Estimation and Scheduling for Development and review plans.

Providing technical and build support for development teams.

Experience Prior to Virtusa

AIG eXtra Europe (New Business, Portfolio Mgmt., Renewals & MTA), Ireland

System Architect (March 2007 to September 2008) – Client Location

Business Problem: AIG in Europe is managing the increasing renewal volumes through today’s manual renewal processes that have been configured for large risk underwriting rather than servicing the needs in the corporate segment. Renewal is a similar process across all commercial lines, with high reliance on paper files, manual matching and collation of loss experience and policy data. This has resulted in renewal processing consuming an estimated 50 – 60% of available resource capacity within underwriting and administration across Commercial Lines in Europe. While growth in the corporate segment over the past years has been significant, underwriting practice and operational workflows built around the renewal of Major Accounts have not been adapted to cope. As a result our ability to renew business in this segment in a timely / efficient way is impacted through growing declination and lost rates. Developing a renewal solution on AIGeXtra presents a significant opportunity to streamline the renewals process and to improve the operational management of the renewal process to better operate in high volume corporate market.

Environment: PegaRules Process Commander (PRPC), Java, Sybase, Oracle & Websphere

Project Role: System Architect with the following responsibilities:

Understanding client requirements and delivery.

Preparing design and Creation of process flows using PegaRULES Process Commander.

Organizing the development of business rules in PRPC.

Deployment of rules into different environments like QA, UAT.

Estimation and Scheduling for Development and review plans

Collecting and maintaining Metrics for review defects and testing defects.

Providing technical and build support for development teams.

Provided Warranty support for New Business.

Dispute Processing System (DPS), CITICARDS, SD, USA

System Architect – Offshore (March 2006 to February 2007)

Business Problem: Engaged in design, development and customization of credit card dispute business process automation for Citibank, NA. Being the world’s leading banking, financial and credit card issuing institute, the Citibank is responsible in resolving the credit card related transactions disputes. In credit card industry, the transaction disputes are most challenging task to be handling for both the issuer and the acquirer. The project initiative is primarily aimed at converting and upgrading the existing dispute process system, which is not robust enough to handle new challenges the dispute portfolio is facing currently. In addition, the existing application maintenance is also being performed.

Environment: Pega Rules Process Commander (PRPC), Java, HTML, DB2, Websphere, ClearQuest

Project Role: Team Lead with the following responsibilities:

Understanding client requirements and delivery and preparing design and Creation of process Flows using PegaRULES Process Commander.

Organizing the development of business rules in PRPC.

Providing technical and build support for development teams.

Involved in development of Phase II and III and performed unit testing for Phase III and worked in UAT defects for Phase II.

Provided Production Support for Phase II Module and designed Technical Design Document for Phase III.

Coordinating with onsite Team Members and Client Architectures.

Handling project management activities.

Pharmacy Prior Authorization (PPA), Blue Shield of California (BSC), USA

System Architect (December 2005 to February 2006)

Business Problem: This Pharmacy Prior Authorization (PPA) deals with the Insurance details with the help of the applications from different vendors like FileNet (for content repository and work flow management), Trivium Health (BSC User Interface) and Image Access West-Kofax(Capture the inbound documents like fax and place an XML in File Net). Request to this application mainly comes either by FAX or by Web Application. Each request will be processed based on the Case details submitted by the end user. Each case will process based on the drugs details provided in the case. There might be more than one drug for a particular case submitted. Each request from the web application comes from queue as an XML String. This will be parsed for the data to implement the business logic either with web services or File Net with JDBC. The processed data will be formatted again as XML String and sends the result to the web application through JMS Queues.

Environment: FileNet, Java, Oracle, XML and WebServices

Project Role: Team Lead with the following responsibilities:

Involved in the design of SFTP for the file transfer and development of Application.

Testing and debugging Application with handling project management activities.

Estimation and Scheduling for Development and review plans.

Providing technical and build support for development teams.

Education

Bachelor of Engineering (Electronics and Instrumentation Engineering), Bharathidasan University, Trichy, India, 2002

Experience

Organization

Designation

Duration

Virtusa Corporation

Senior Consultant

Jan 2012 - till date

Virtusa Corporation

Consultant

Oct 2008 – Dec 2011

Satyam Computer Services Ltd

Associate Consultant

Dec 2005 - Sep 2008

SNet Solutions Pvt Ltd

Developer

May 2003 - Nov 2005

Certifications

Pega Certified Leas System Architect 7.1 (CLSA)

Pega Certified Senior System Architect (CSSA)

Pega Certified System Architect (CSA)

Sun Certified Java Professional (SCJP 1.5)

Awarded First Class with Distinction for the Bachelor’s Degree

Achievements & Process Excellence

Virtusa

oRave Award (Recognize and Value Everyone)

oProcess Excellence award for the DMC Audit

Tech Mahindra

oPEGA Excellence Award from Citigroup

oCitigroup Client Appreciation

Personal Details

Date of Birth : 02-November-1980

Name in Passport : Rajasekar Durvas Jayaraman

Location : Parsippany, New Jersey

Passport No : L3872221

Visa Status : H1-B

GC Status : Approved I-140

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