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business analysis

Jacksonville, FL, 32099
February 25, 2015

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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


. 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


. 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


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,


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


Reporting Tools Cognos, Business Objects, SSRS

Professional Experience:

BCBS, Jacksonville, FL

Nov 2013 - Present

Sr Business Analyst


. 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


. 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


. 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)


. 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


. 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


. 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


. 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


. 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


. 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


. 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


. 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


. 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


. 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


. Worked with business users and SMEs to gather requirements of the new


. Documented the business requirements and converted them to Function


. Performed testing and presented issues to Developers and discussed the


. Presented project progress reports and status reports to the

management throughout the duration of the project.

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