Shaila Komar

US Citizen

ad21fd@r.postjobfree.com

Professional Summary

●8+ Years of diversified experience in Software Quality Assurance and Testing in various domains such as Healthcare, and Supply Chain.

●Good understanding of Software Development Life Cycle (SDLC) and QA methodology.

●Involved in creation and implementation of Test Plan and Test Strategy Document outlining the scope and objectives.

●Prepared and documented Test Cases, Test Scenarios, Test Scripts, Traceability Matrices and Defect Reports.

●Strong experienced in all levels of Testing such as Positive testing, Negative testing, Integration Testing, Functional Testing, UI Testing, System Testing, Security Testing, Regression Testing and User Acceptance Testing (UAT), Black box testing, and Cross-Browser testing.

●Involved in Manual testing & Tracking defects using JIRA.

●Experience with Facets support systems to enable inbound/outbound HIPAA EDI transaction in support of HIPAA 834, 835, 837 transactions.

●Proficient in testing DDS (Dental Database System), BCBS Member Portal and Provider Portal Applications

●Running batch process in Control-M and validating the data in database using SQL queries.

●Involved in writing, updating and maintaining the test documents for various stages of Testing for reference and auditing purpose.

●Experience in Supply Chain using XML and EDI messages.

●Worked in Mobile Testing, Desktop Testing using Perfecto.

●Involved in developing database objects using FACETS database in SQL Server environments working through various facets applications such as claim, subscribers/member, provider, payer, and billing.

●Manually performed Back-End testing by writing SQL queries.

●Proficient in Data Conversion CRM Testing

●Proficient in using qTest, JIRA.

●Manually performed Back-End testing by writing SQL queries.

●Experience in Testing Web services (SOAP/REST) using SOAP UI and REST API tools.

●Experience with various modules like membership management, premium billing, enrollment, claims processing & adjudication, benefits administration within Healthcare industry.

●Excellent Organization, Analytical and Problem Solving skills and ability to quickly learn new technologies.

●Experience in testing using Facets applications mainly in Provider, Group, subscriber/Family, membership.

●Involved in review meetings with project managers, business analysts, developers and process owners during various QA methodology phases.

●.Good communication, interpersonal, and teamwork skills.

Technical Skills

Defect Tracking Tools

HP ALM/Quality Center, Jira,

Languages

SQL, PL/SQL.

Browsers

Internet Explorer, Firefox, Chrome & Safari.

Operating Systems

Windows, UNIX and Linux, Mac

Professional Experience

Elevance Health Mendota Heights MN

Senior QA Tester May 2021 Current

Worked on several applications in Elevance Health

DDS - Decare Dental System

BCBSA Member Portal

BCBSA Provider Portal

Horizon renewal and Enrollment Applications

DII Online Application and DII Admin Tool

Anthem Admin Tool

GRID Application

Responsibilities

●Involved in Requirements Gathering, interacted with the end users, understanding the project requirements, work requests and analysis with knowledge sharing sessions.

●Used qTest to create and Load the test cases

●Used JIRA to create and manage Defect

●Involved in executing SQL queries and PL/SQL procedures, functions and packages for backend testing.

●Created Test Scenarios for Health Care Claim Payment/Advice. Written multiple Test Cases (System, Integration) for multiple transactions include 834, 837 ECS 835, 277(both inbound and outbound) transactions.

●Control M system was used to run the batch jobs

●Used Perfecto to test Desktop Application and Mobile Applications

●Tested Member Portal and Provider Portal Applications

●Tested Live Chat functionality with the third-party vendor Live Person

●Tested Paperless EOB and sent the DRS file to PSD for processing.

●Created Enrollment, Claims in DDS System

●Tested DII Online Sign Up, Anthem Billing Admin Tool

●Worked on the GRID Application

●Worked on VIP project is DDS

●Worked on Live Person Phase I and Phase II and Single Sign On (SSO) projects.

●Tested on the Horizon enrollment Application and Online renewal tool.

●Worked on the 835 electronic EOB Project.

●Validated multiple Batch jobs daily weekly and monthly jobs.

●Generated and verified all the reports including CRM reports.

●

CareSource – Dayton, OH

QA Tester Oct 2018 – Jan 2021

I worked on a project for benefits enrollment and claim processing application.

Responsibilities:

●Involved in Requirements Gathering, interacted with the end users, understanding the project requirements, work requests and analysis with knowledge sharing sessions.

●Worked in a highly dynamic AGILE/SCRUM environment and participated in scrum and sprint meetings.

●Used Modular Framework design with Loose Coupling of all the modules.

●Created Test Cases based on business requirements and rules for HIPAA EDI Transaction 834, 835/837.

●Made software defects reproducible and enter them into bug tracking systems such as Jira.

●Involved in executing SQL queries and PL/SQL procedures, functions and packages for backend testing.

●Conducted Validations for different FACETS modules Providers, Claims and Membership.

●Responsible for testing of Healthcare Claim Pricing, Healthcare Claim Benefits, End to End Claims Processing.

●Validated various HIPAA transactions through backend database and application screen after the file load into the system.

●Created Test Scenarios for Health Care Claim Payment/Advice. Written multiple Test Cases (System, Integration) for multiple transactions include 834, 835, (both inbound and outbound) transactions.

●Responsible for contacting insurance companies, patients, relatives, and/or patient employers to verify necessary benefits information for proper Medicare claims processing.

●Involved in Planning, Scheduling, Tracking, Reporting Status and Managing Issues for Testing using HP ALM/ Quality Center.

●Created several Test Cases and Test Conditions for testing various Claims, Membership, Billing and Provider reports.

●Created XML based test suit and integrated with SQL Server to execute automation scripts on a regular basis by scheduling in different test environments with different test configurations.

GS1 US. New Jersey July2014 –June2018

Quality Assurance Analyst

Responsibilities:

Analyzed system requirements developed detailed Test Plan and test cases.

Selected, designed, and prioritized test scenarios and test cases that provided efficient coverage of requirements consistent with acceptable level of risk.

Used XML testing in GDSN network for Supply Chain Industry

Reviewed the Business Requirement documents with the business and development team to understand the architecture and functionality of the application in an agile environment.

Used Quality Center as repository to design and execute test cases, bug tracking and reporting

Identified, analyzed, and documented defects, errors and inconsistencies in the application using MS Excel.

Created and Maintained Test Matrix and Traceability Matrix.

Participated in Data Conversion testing on CRM application

Used SQL queries to validate the data between the Backend and the front end

Coordinated with the developers on Defects Status on a regular basis.

Worked on EDI testing of the trading partners

Worked on API testing using SOAP and REST

Worked closely with development team to resolve various issues.

Using agile methodology and engage in an iterative workflow and incremental delivery of working software.

Experienced in Backend testing by executing SQL queries.

Used Quality Center for error reporting and communicating between developers, product support and test team members

Manually tested the web application to ensure the flow of the application functionality

Education:

Bachelor’s degree from Karnataka University, India

MBA from Sikkim Manipal University India

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