business analysis
Resume:
Nidhi
**********************@*****.***
Sr Business Analyst
Professional Summary:
. Over 9 years of IT experience with working as a Business Analyst with
major Healthcare and Insurance Clients.
. Experienced in all phases of the Software Development Life Cycle, from
inception through implementation. Experience includes expertise in all
types of documents, diagrams, manual testing, objectives, cases and
scripts; with exceptional organizational, interpersonal and
communication skills
. Well versed with Requirement gathering, Requirement Management, Use
Case writing, Use case diagrams/modeling and other Business Analysis
skills/methodologies in general
. Experience in analyzing AS-IS business processes by communicating with
Client stake holders at various levels and coming up with TO-BE state
along with necessary aids like business process flows, data flows, Gap
and Impact analysis
. Played a vital role throughout several project life cycles by
understanding and representing stakeholder's need, documenting,
prioritizing and organizing the requirements for IT systems and
communicating them to the entire team along with an active role in
performing/managing functional testing of the information system being
developed
. Experience in project scoping, estimating resource requirement and
business case preparation
. Adept in development and documentation of business requirements (BRD),
functional specifications (FSD),Test artifacts, Requirement
Traceability Metrics and other necessary documents in SDLC phases
. Recognized as a hands-on, pro-active troubleshooter, who can rapidly
identify business problems, formulate strategic plans, initiate change
and assist to implement new process in challenging and diverse
environments
. In-depth understanding of Software Development Life Cycle (SDLC) using
Waterfall, Rational Unified Process (RUP) and Agile methodologies
. Experience in design and development of test plans, test case
scenarios, test cases and extensive participation in system testing
and UAT
. Facilitated and participated in Joint Application Development (JAD)
sessions, user workshops, interviews, conference calls and white board
sessions to keep executive staff and the team members apprised of
goals, project status, and resolving issues.
. Proven ability to co-ordinate a diverse set of Client business
users/stake holders to develop cohesive and streamlined requirements,
documentation and user acceptance criteria to achieve the project
objective on time and in budget
. Designing and executing test plans, test scripts, tracking defects and
getting them resolved to ensure that business requirements and
functional specifications are tested and fulfilled
. Proficient in MS Office Suite, MS Visio, MS SharePoint, HP Quality
Center, HP Service Manager and Application Lifecycle Management (ALM)
. Adept in data analysis, GUI designs, customer management, team
management, problem-resolving skills, conflict management skills,
people management skills and excellent knowledge of soft skills,
writing skills and oral communication.
. AHIP certified US Health Insurance professional with PAHM designation
. Hands on experience in all the Healthcare EDI Transactions (Expertise
in 837, 270/271, 276/277, 27,820, 834 and 835) and worked in end to
end implementation of HIPAA 5010 program for one of the largest Blues
in the US
. Strong understanding of processes and operations of
US Health Insurance Industry including current Regulations like
Healthcare Reform, Health Insurance Exchanges, HIPAA 5010, and ICD 10
etc
Technical Skills:
Methodologies RUP, Agile, Waterfall
Modeling Tools Rational Rose, Microsoft Visio
Project Management Microsoft Project
RDBMS Oracle 11g/10g/9i/8i/7.x,SQL Server,
MS-Access,
Requirements IBM Rational Requisite Pro, Rational
Requirements Composer, Blue Print
Testing Tools Quality Center, Test Director, ClearQuest
Content Management MS SharePoint, Oracle UCM
Data Warehousing Informatica, Ab Initio
Tools
Reporting Tools Cognos, Business Objects, SSRS
Professional Experience:
BCBS, Jacksonville, FL
Nov 2013 - Present
Sr Business Analyst
Responsibilities:
. Analyzed standard industry practices of back office applications of
Insurance Company, underwriting, billing, policy and claims
administration with the help of Subject Matter Expert.
. Processing of New Business, Renewal, Cancellation, Reinstatement,
Billing for various lines of business. (Fire, Auto,
Commercial). Responsible for creating a business process and workflow
documentation using BPMN standards.
. Highly interacted with the development team and claim settlement
experts making sure that the development of the project is meeting the
business requirements.
. Gather requirements for the listed options risk management system,
specifically for index options risk management spreadsheet. Defining
requirements for product control and risk management end of day feeds.
. Wrote functional requirements and non-functional requirements based
upon the approved business requirements by following UML processes and
standard procedures for developing use cases, use case diagrams, and
other supporting documentation.
. Engaged in analyzing requirements, identifying various individual
logical components, expressing the system design through UML diagrams
. Involved in reviewing Entity Relationship, Data Flow, State Transition
and Class Diagrams with the Systems Analyst.
. Developed Test Cases to validate the requirements and documented the
Requirement Traceability Matrix (RTM) for Test Cases and Requirements.
. Manage Scope and change throughout the AGILE and iterative method RUP
SDLC processes of the product.
. Monitored ITGCC controls to avoid vulnerabilities or issues and
sustain SOX, PCI and PII Compliance
. Involved in Capital and Money Market Risk Management by estimating the
factors like the probability an adverse circumstantial Risk and the
cost of such adverse circumstance.
. Knowledge of Data Ware House and Data Mapping to support multiple
decision making Environments.
. Audit and administer user accounts, responsibilities, policies, and
procedures using ART (Account Request Tool) to maintain Sarbanes-Oxley
(SOX)compliance
. Develop complex ad hoc SQL scripts to monitor various initiatives,
analyze data, locate data infractions, and develop reports for
tracking financial trends and transactions to maintain Sarbanes-Oxley
(SOX) compliance.
. Interacted and communicated clearly with development, testing and
production teams concerning release management policies and procedures
. Liaison between client and development team to support client's data
analysis and reporting needs.
. Proficient in discussing and defining project, Gap Analysis with the
clients from both a business and technical perspective.
. Provide current market, economic and technical information and updates
as well as external changes impacting trading activities to customers.
. Worked on Rational Rose to develop the use cases, class diagrams and
sequence diagrams.
. Worked on Requirement Change Management System in Rational Requisite
Pro.
. Setting up document hierarchy and standards to define different level
of requirement using Rational Requisite Pro.
. Test Cases were implemented and Defects were Tracked using JIRA and
Mercury Quality Center Tracking systems.
. Translated customer/clients needs into new features and new services.
. Develop process improvement projects by gathering and analyzing data
and Key Process Areas for different Projects.
Cigna Philadelphia, PA
Jul 2012 - Oct 2013
Sr. Business Analyst (CGI)
Responsibilities:
. Gathering and managing Business Requirements, Requirement Elicitation,
Gap and Impact Analysis, providing high level design solutions, and
delivering System Requirements by closely working
with SME's and Business stakeholders
. Analyzing business requirements and current system behavior and
collaborating to create system design specification documents
including functional specifications, system use cases, mock-ups,
design models, Business process flows, Data flow diagrams
. Actively involved in JAD sessions, Conference calls and Business
Interviews.
. Responsible for documenting Use Cases.
. Supporting software implementation and system enhancements
. Preparing software system design and doing system analysis for defect
prioritization and fixes
. Prepared test scenarios and participated in functional testing
. Coordinated with the users in performing User Acceptance Testing
. Facilitated Retrospective meetings(After Action Review) with the users
after the application went live with the users to discuss what went
right and what could have been better
AIG Insurance, Jersey City, NJ Oct
2010 - Jun 2012
Sr. Business Analyst
Responsibilities:
. Collaborated with Stakeholders and SME's to understand the application
which supports the Underwriting process (to price, quote, bind and
book and document Large Primary Casualty Accounts) and the Third Party
Administrator claims process, problem faced, future expectations
and defined the scope of the project.
. Facilitated requirements gathering sessions for the various
enhancements to be made to the system.
. Prepared Business Requirements Document (BRD & FRD), Feasibility
Report and Users Manual.
. Prepared Functional Specifications, identified User Interface changes
and reviewed wireframes and prototypes during the design sessions.
. Participated in integration workshop; a cross work-stream review of
key processes and key integration points.
. Prepared Use Cases and Use Case Diagrams.
. Identified data elements and dependencies with interacting
applications.
. Worked closely with (onsite and offshore) Developers and Quality
Assurance team to translate and validate the business requirements.
Organization: GENPACT
Client: Citizens Insurance Corp, Tallahassee, FL
Feb 2008 - Sep 2010
Business Analyst
Responsibilities:
. Worked on mapping of data, data work flow, documentation of business
rule validations, including legacy system profiling and reconciliation
of historical claims data for an enterprise integration of Guidewire
ClaimCenter
. This automation is achieved using Automated Workflow Distributor
(AWD), a workflow based product, by defining and regulating the
workflow involved in processing Insurance/Annuity application.
. Analysis of business requirements and system requirements of the
client and also for Property and casualty modules.
. Have sizeable adequate hands on exposure in Workmen Compensation,
Commercial Insurance as well as Property & Casualty Insurance & its
various intricacies.
. Worked on Property and Casualty insurance company as an Underwriter.
Strong understanding of rating in Property and Causality.
. Developed a file of ACORD Forms used as the standards in all Property
and Casualty markets, for both Personal and Commercial Lines of
Business.
. Analysis of business requirements and system requirements of the
client and also for Property and casualty modules. Provides complete
Assumed and ceded Reinsurance processing of pro-rata and excess of
loss (XOL).
. Worked on the commercial property and casualty domain and made
specific changes to the same for the smooth flow of the process.
. Analyzed Business Requirements and segregated them into high level and
low level Use Cases, Activity Diagrams/State Chart Diagrams
(UML).Responsible for testing the Quote & Purchase for both Auto and
Home Property Insurance of the customers.
. Provide client support/ POC for product deficiencies related
to Insurance Software products.Analyze, test, and implement system
related projects within multiple components of Insurance software
application.
. Provided EDI interfaces with Commercial and
Government Insurance Payers that included Medicare and Medicaid.
. Develop and test detailed functional designs for business solution
components and prototype activities (e.g., test data) to support P& C
Insurance Business.Configure data and test scripts
for insurance applications.
. Managed General Liability, Commercial Property, Commercial Package,
Commercial Auto and Workers Compensation policy lines.
. Acted as primary liaison between the client departments and the
Information systems IT department to perform analysis, review, and
estimation of client requests, prepared and reviewed requirements and
client documentation for Personal Lines Property and Casualty
business.
. Worked on UAT testing and took signoff from the Commercial line of
Property & Casualty business users and Completed the documentation of
Claims Scenario's for the source system.
. Responsible for acting as a liaison with operational and financial
management, systems support and sales to identify business
opportunities.
. Designed and developed Use Cases, Activity Diagrams, Sequence
Diagrams, OOD using UML.
. Responsible for gathering requirements from users in operations group
and performing data mapping for the application, confirm and
vacillating the requirement at time of BA testing.
. Facilitated and led JAD sessions aimed at functional requirement
walkthroughs for all the impacting projects and updated the documents
based on recommendations.
. Created submitted ceded facultative reinsurance certificates for
companies in an accurate and timely manner .Monitors Large Claim
Advisories on weekly and Monthly basis in order to determine proper
reinsurance billing.
Polaris Hyderabad India
Aug 2005 - Jan 2008
Jr. Business Analyst
Responsibilities:
. Worked with business users and SMEs to gather requirements of the new
system.
. Documented the business requirements and converted them to Function
Requirements.
. Performed testing and presented issues to Developers and discussed the
fix.
. Presented project progress reports and status reports to the
management throughout the duration of the project.
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