Kumaravel Rathinam

Chennai, India

Mobile: +** – 984*******

E-Mail: acudss@r.postjobfree.com

Profile Overview

Kumaravel is a Lead System Architect with Cognizant BPM Practice, with extensive knowledge of PRPC Suite of Software. He has more than 12 years of IT experience in that 9 years of experience in Design and Implementation of Pega PRPC based solutions. Kumaravel is a Certified Senior System Architect. He has been engaged in several large programs for renowned clients in the Insurance domains as a Senior System Architect, Senior Technical Consultant and Technical Lead managing offshore teams. He has extensive experience in implementing complex business solutions in PRPC, Workflow Design & Rules management, PRPC Installation, System Upgradation, Performance Tuning, BRE Implementations, System Integrations and General Enterprise Architecture. He has good experience in IIF (Insurance Industry Framework) and Healthcare Claims Repair frameworks. He has excellent communication skills.

Technical Skills Summary

BPM

PegaRules Process Commander V4.2 SP4, 5.x, 6.x, 7.x,

IIF (Insurance Industry Framework), CPM (Customer Process Manager) Framework.

Programming Languages

Java, PL/SQL, Servlets/JSP, HTML

Tools

Visio, PL/SQL Developer, iBatis

Technologies

J2EE, XML, SOAP Webservices

Application Servers

IBM WAS 6.x, Apache Tomcat

Database

Oracle 9i / 10g, DB2

Education

Bachelor of Engineering (Electronics and Communication Engineering), Adhiparasakthi Engineering College, Melmaruvathur, India

Certification Summary

Pega PRPC V5.5 Senior System Architect (March 2012)

Pega CCA Certified CPM Architect (Sep 2011)

Pega PRPC V 5.1 System Architect (June 2009)

Employment Experience

Name of the Company

Designation

Duration

Cognizant Technology Solutions

Senior Consultant

Jun 2011 – till date

IBM India Private Limited

Package Solution Consultant

Feb 2010 – May 2011

Virtusa Software Services Pvt Ltd

Senior Engineer

Dec 2006 – Feb 2010

Millennium Software Production India Pvt ltd

Software Engineer

Oct 2003 – Dec 2006

Experience Summary

As a Lead System Architect in the Healthcare Insurance Domain for a Leading in Mid-Atlantic region (CareFirst, Inc, US) : Jun 2015 to tilldate

The object of this project is to support the Consumer Direct Renewal process through PEGA Business Process Management (BPM) Solution. The system will run the preliminary process on all the eligible members and segregate them based on the outcome of various business rules. The Business users will have option to review the renewal letter and release them as batches for letter generation. There will also be an option for the business user to handle the error scenarios.

The key highlights

1.Work flow to support renewal process. Track & fix issues/errors that could occur during business validation and route work to business users

2.Option to review renewal letter and release them as batches for letter generation

3.Track SEP/LOEP adds and changes that impact products or rates and regenerate letters

4.Execute dashboard report on Renewal count, Letter activity and issues/errors

Client Description:

CareFirst, Inc. is the not-for-profit, non-stock, parent company of CareFirst of Maryland, Inc., and Group Hospitalization and Medical Services, Inc., affiliates that do business as CareFirst BlueCross BlueShield. CareFirst, Inc. is governed by a Board of Directors and special statutes regulating its business in Maryland, the District of Columbia and Northern Virginia.

CareFirst, Inc is the largest health care insurer in the Mid-Atlantic region, serving nearly 3.4 million members. It employs more than 5,200 associates in the District of Columbia, Maryland, Northern Virginia, North Carolina and West Virginia. It includes more than 80 percent of all providers in Maryland and National Capital Area participating in one or more of its provider networks

CareFirst, Inc has received 13 consecutive national Brand Excellence awards, recognizing its customer service, financial strength, membership growth and promotion of the Blue brand name

Responsibilities

Involved in the detail study and analysis of the project requirements

Involved in the preparation of Pega Design Use cases and process flow diagrams

Involved in the preparation of Pega design Specifications, technical specification and data

mapping documents

Conceptualizing and Designing application class structure

Involved in help and review of deliverables prepared by team

Coordinate with onshore team to understand client requirements and to implement the business

rules

The technical environment is PRPC 7.1, Oracle, Web Sphere 7

Peak team size of the projects is around 6

As a Lead System Architect in the Banking Domain for a Leading in Banking Group in US (WBG, US) : Feb 2015 to May 2015

The primary objective of this project is to build a scalable platform addressing the needs and pain areas of Bond Issuance & Swap Trade Capture Process Workflows and re-engineering of the existing Bond Swap Documentation System, in World Bank’s Capital Markets department. The program aims at adequate enablement of the users of the new platforms.

The key business objectives that would be accomplished on successful implementation of the

programs are:

1. Enhanced Productivity through improved straight through processing and removal of manual redundancies

2. Improved Operational Efficiency through an integrated workflow management and Document

Management

3. Streamlined Operations through removal of redundancies and duplication of data entries

4. Improved controls of sensitive data’s to the user base and the call monitoring operations

5. Managed risks through creation of controlled environment, through proper checks and

balances.

Responsibilities

Involved in the detail study and analysis of the project requirements

Involved in the preparation of Pega design Specifications, technical specification and data

mapping documents

Responsible for listing out all the changes which are incorporated for Data migration

The technical environment is PRPC 7.1, Oracle, Web Sphere 6.0

Peak team size of the projects is around 12

As a Lead System Architect in the Banking and Insurance Domain for a Leading in Banking and Insurance Group in UK (LBG, UK) : Aug 2014 to Jan 2015

The Insurance Enhanced Annuity program is tasked with delivering a new enhanced (i.e. underwritten) annuity proposition with the support of a reinsurer, through shared delivery, initially for distribution to intermediaries and Employee Benefit Consultants (EBC) & later via the Direct Sales Force. This Enhanced Annuity Phase 4 aims to provide the capability to deliver Quote Maintenance functionality through an Individual Pricing Solution (IPS) and integrate IPS with the existing New Business Annuity Process.

Responsibilities

Involved in the detail study and analysis of the project requirements

Involved in the preparation of Pega Design Use cases and process flow diagrams

Involved in the preparation of Pega design Specifications, technical specification and data

mapping documents

Conceptualizing and Designing application class structure

Involved in help and review of deliverables prepared by team

The technical environment is PRPC 6.1, DB2, Web Sphere 6.1

Peak team size of the projects is around 8

As a Senior System Architect in the Insurance Domain for a Leading Insurance provider (AIG, US) : Jun 2013 to July 2014

iSUITE is a Business Rules based workflow and content management application developed to support the strategic and operational objectives of AIG Insurance for the coordination and orchestration of activities related to the Submission, Underwriting, and Issuance processes. Currently it consists of the following defined processes like Submission, Underwriting, Issuance, and Endorsements & Renewals. Integration of iSUITE with the Phoenix underwriting application will afford Phoenix the ability to take advantage of a workflow and content management system designed to meet many of its stated business and technology goals, including:

Automated assignment and tracking of work,

Work distribution across the organization,

Secure user access,

Notifications/correspondence to users,

Enhanced enforcement of Service Level Agreements,

Automated status updates,

Integration to an electronic document repository,

More efficient processing of day-to-day activities.

The objective of this project is to facilitate integration of the iSUITE application to the Phoenix underwriting system to facilitate workflow and content management requirements across Submission, Underwriting and Issuance business processes. This project will leverage existing iSUITE functionality as well as implement additional functionality to meet project Phoenix specific needs.

Responsibilities

Designed and developed Phoenix modules.

Coordinate with onshore team to implement the business rules

Involved in defect fixing and deployment.

Involved in unit test scripts review and in the performance tuning of the application.

Involved in defect management activities using QC tool and report generation activities.

Coordinating with onsite team in fixing defects and getting the clarification from the clients.

Code review of rules for Phoenix module.

The technical environment is PRPC 6.2 SP2, DB2, Web Sphere 6.0

Peak team size of the projects is around 12

As a Lead System Architect in the Healthcare Insurance Domain for a Leading in Mid-Atlantic region (CareFirst, Inc, US) : Jun 2012 to May 2013

CareFirst account has been involved in upgrading their existing functionality from 5.4 to 6.1. This involves a lot of functional changes as well as changes to the basic architecture of the existing project in 5.4. Moving the existing data from 5.4 to 6.1 is the objective of this project. As the class structure and a lot of functionalities which got changed, which includes work flow changes as well, migration of the data involves a lot of challenges.

Responsibilities

Helped the team to resolve defects and allowed to creating new works.

Responsible for listing out all the changes which are incorporated in both the environments 5.4 and

6.1 as well as creating the functionality of moving the Work objects from 5.4 to 6.1.

Coordinate with onshore team to implement the business rules

Involved in Code review activities.

The technical environment is PRPC 6.1, DB2, Windows XP, Web Sphere 6.1

Peak team size of the projects is around 12

As a Senior System Architect in the Healthcare Domain for a Leading Healthcare provider (Medco, US): June 2011 to May 2012

Case Management and Resolution Tracking (CMRT) application is being re-platform in Pega 6.1 from the existing legacy application – CRTS.

Case Management application mainly deals with creating and processing cases raised by patients or their representatives regarding drug refill issues or shipment issues or patient grievances.

There are 4 types of cases which can be raised by the patient:

Emergency case, Gatekeeper case, Grievance case, Concierge case

All the cases will be created by the CSR (Call Service Representative) and will be processed by the Case worker or Case Manager.

Responsibilities

Involved in Class structure, rule set design and development.

Coordinate with onshore team to implement the business rules

Involved in unit test scripts review, performance tuning of the application.

Involved in defect management activities using CA tool.

Involved in Code review activities.

The technical environment is PRPC 6.1 SP2, Oracle, Web Sphere 6.1

Peak team size of the projects is around 14

As a Senior System Architect in the Insurance Domain for a Leading Insurance provider (London, UK): Feb 2010 to May 2011

UK SMART is web based application that enables the capture of the relevant product exposure /

benchmarking information that will be presented via MarketConnect to UK insurers, this is one

element of the Strategic Carrier Services Strategy. The current representation of “Brokerage” as

a pure POS proposition is not in line with other models being implemented by other geographies

Within Marsh and Marsh’s competitors, where many such strategies centred on a “Fee for Services”

approach. This UK SMART will be a shift towards a “Fees for Services” approach would increase our

retention ability for certain client types and a target additional annualized revenue increase of 22m

in 2011 has been set for the UK.

Responsibilities

Designed and developed administration modules.

Coordinate with onshore team to implement the business rules

Involved in production support activities like defect fixing and deployment.

Involved in unit test scripts review and in the performance tuning of the application.

Involved in defect management activities using CA tool and report generation activities.

Coordinating with onsite team in fixing defects and getting the clarification from the clients.

Responsible for rule set design, creation and maintenance for all modules

Code review of rules for all modules.

The technical environment is PRPC 5.5 SP1, Oracle, Web Sphere 6.0

Peak team size of the projects is around 4

As a Senior System Architect in the Healthcare Domain for a Leading Healthcare management Service provider (Texas, US): July 2009 to Feb 2010

The objective of this project (Health Portal) is to create the centerpiece of the Wellness Solutions product and dedicated to improving health and supporting a population’s health needs. For clients, the Health Portal can be configured to provide benefits management, organization-specific announcements and other information. For participants, it features the Health and Productivity Assessment, health tools and resources, incentive tracking, and access to a tailored action plan with specific guidance on recommended online health programs to reduce key health risks.

Responsibilities

Involved in design and development activities in inception phase.

Requirement Clarification with Business

Preparing the High Level Design document

UI and activities creation for specific functionalities.

Involved in creation of RDE, Decision tables for HPA indicators

Involved in configuring the Integration services like SOAP and JMS services

Code review and helping the team to bug fixing.

Coordinating with onsite team in fixing defects and getting the clarification from the clients.

The technical environment is PRPC 5.5 SP1, Oracle, Web Sphere 6.0

Peak team size of the projects is around 16

As a Senior System Architect in the Insurance Domain for a Leading Insurance provider (Cardif, NL): Dec 2008 to July 2009

PEMSA is a policy administration system used by Cardif NL, which is build on top of the IIF (Insurance Industry Framework) framework. Cardif uses PEMSA to create, manage policies and maintain their business lice cycle. PEMSA has major functionalities like Subscription Process, Modify Proposal, after sales with Financial Impact, after sales without financial impact.

Responsibilities

Issue tracking and creating plan by weekly.

Requirement Clarification with Business

Preparing the High Level Design document

Involved to fix the issue and provided the technical solution to other team members

Developed a process for After Sales without financial impact which includes flows,

flow actions, activities, Harness, Sections

Code review

The technical environment is PRPC 5.4 SP2, Oracle, Web Sphere 6.0

Peak team size of the projects is around 15

As a Senior System Architect in the Healthcare Domain for a Leading Healthcare provider (Atlanta, US): June 2008 to Dec 2008

The BXB (Blue Exchange Benefits) is the Web based User Interface to view, add, update, and delete Blue Exchange group benefit related information and view group data. The enhancement developed to allow the user to add duplicate benefits and added the new HIPPA codes for Universal Benefits and Service level benefit coverages.

Responsibilities

Prepared DSTD.

Created custom UI to suit customer requirements which were not possible OOTB.

Code review and provided the co-ordination to the offshore team.

Responsible for daily interaction with offshore team.

Responsible for providing weekly status report with client.

The technical environment is PRPC 5.3 SP1, DB2, Web Sphere 6.0

Peak team size of the projects is around 6

As a Senior System Architect in the Healthcare Domain for a Leading Healthcare provider (Atlanta, US): Feb 2008 to May 2008

EFDE Migration project objective is to migrate the Pega application from lower version into higher version. We have successfully upgraded the pega application like eFDE and BXB applications from 4.2 SP5 to 5.3 SP1 versions. Also we implemented the complicated feature called JMS service for this eFDE application and created new JDBC providers for that. This migration process involves upgrading the 4.2 SP5 version applications into 4.6 and then migrated to 5.3 SP1. Also the migrated 5.3 version application code has been modified as per the Java performance analyzer tool report.

Responsibilities

Requirement Analysis.

Created PRPC migration approach document.

Taking code backups and migration across environments.

Allocated daily task to team members.

Supported UAT team.

Responsible for interaction with client.

The technical environment is PRPC 5.3 SP1, DB2, Web Sphere 6.0

Peak team size of the projects is around 8

As a System Architect in the Healthcare Domain for a Leading Healthcare provider (Atlanta, US): Dec 2006 to Jan 2008

The solution, to be called eFDE, detailed within this document creates a web-based “presentation layer” that will create and transmit a compliant 837 transaction. eFDE will be hosted on the existing NASCO mid-tier solution and will interact with the existing mainframe functionality.

Responsibilities

Involved in bug fixing activities for CMS/UB claims

Actively involved in daily status meeting with client to discuss about the status of the production

support and bug fixing activities

Involved in Clear Quest update and report generation for the status of each bug fix.

The technical environment is PRPC 5.3 SP1, DB2, Web Sphere 6.0

Peak team size of the projects is around 6

As a Senior Developer in the CRM Domain for a Leading CRM provider (Cambridge, US): June 2006 to Dec 2006

This is a web portal contains three modules. Direct marketing, Customer Care and Sales. It is a complete solution for eCRM activities. Direct marketing is used to send customized bulk email campaigns. It enables to manage mailings list as well as the content management. Customer care is used to categories inbound and outbound emails automatically. It is a complete solution for content management. Sales module enables to track the sales activities like schedule, calendar and tasks.

Responsibilities

Involved in developing direct marketing module using JSP and Servlets.

Developed code for importing contacts from MS-Outlook using JOC tool and signed applets.

Developed code for contacts module using struts.

Involved in developing Interface and Implementations for DAO using iBatis

.

The technical environment is Java, Jsp, Servlets, Applets, JDBC, and iBatis

Peak team size of the projects is around 6

As a Developer in the CRM Domain for a Leading CRM provider (Cambridge, US): Oct 2003 to Jun 2006

The objective of this project is to provide a complete solution for content management. It is used to send bulk email campaigns. Also enables managing mailing list, adding list to existing lists.

Responsibilities

Involved in gathering business requirements in Inception phase.

Design and developed UI using JSP and Servlets.

Involved in design and development of SOAP services using XML, WSDL

Code review

The technical environment is Java, Jsp, Servlets, JDBC, XML, WSDL, Oracle

Peak team size of the projects is around 8

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