Arvind Madhusudan

Senior Business Analyst – Digital Projects (P & C Insurance & US Healthcare Industry)

Phone - 647-***-****

Email - ad2jzr@r.postjobfree.com

LinkedIn- https://www.linkedin.com/in/arvind-madhusudan-658a1a4b/

Professional Summary

IT professional with 12+ years of experience performing Business Systems Analyst activities in P & C insurance and healthcare projects

Majorly involved in business system analysis & product management activities

Extensive experience in P & C Insurance & US healthcare industry (Guidewire digital portals, Quote portals, Insured Self-serve portals, FNOL / Claims applications)

Experience in team leading, interviewing BSAs & mentoring junior resources

Role Summary

Senior Business Analyst – Digital Projects

12+ years of experience in business systems analysis, data analysis product & project management

Extensive experience in Agile, iterative & waterfall methodologies

Requirement Gathering: Experience in gathering business & systems requirements using various techniques

Direct client interaction including stake holders at CXO level

Extensive experience with project management tools like Jira, Azure DevOps & Confluence

Requirements Documentation: Experience in documenting functional & non-functional / API requirements

Regulatory adherence - Extensive experience in Accessibility for Ontarians with Disability Act (AODA) standards

Experience in designing products from Concept to Go Live. Good understanding in SDLC

Data analysis

QA / Testing: Experience in preparing test plan, functional testing, mobile testing, cross browsers testing, preparing / reviewing test cases

Identifying KPIs for dashboard development

Worked with Fortune 500 companies/clients

Extensive experience in various kinds of projects:

oNew web / mobile applications development

oDigital transformation projects

oDigital products enhancements

oImplementation of organization suites

oBack-office application development / rewrite

oIT portfolio analysis

oBusiness process automation

oIntegrations projects

oSaaS implementation

Education Details

Master of Business Administration: Graduated in the year July 2011 (Full-Time)

Bachelor of Engineering: Graduated in the year July 2008 (Full-Time)

Employment History

CURRENT EMPLOYMENT: Cooperators Insurance / ISG Search Inc

Oct 2022 – Till Date

Working as a Senior Business Systems Analyst with “Cooperators Insurance” for the organization’s digital transformation programs across the digital business unit.

Project 1 – REC (Recreation) Vehicles online quote portal

Project was initiated in order to incorporate following recreational vehicles to the existing ‘Quote & Buy’ application – ATV, Snowmobile, Trailer, Moped, Motorcycle & Off-road dirt bikes in order to provide insurance quotes in minutes. This application was adhering to Accessibility for Ontarians with Disability Act (AODA) regulation.

Project 2 – OLS – Insured self-serve portal

Project is in continuously evolving state & following key features are being implemented that will provide insurance customers self-serve capabilities like: Claims submission, policy servicing, documents management, profile management & Billing / payments management capabilities. This application was adhering to Accessibility for Ontarians with Disability Act (AODA) regulation.

Responsibilities:

oApplication requirements gathering, analysis & documenting user stories

oSitecore content configuration & management

oWorked closely with business stakeholders & product managers for requirements gathering

oAPI requirements documentation

oQA / testing application as & when the features are developed

oData analysis

oDocumenting current / As - Is and To-Be business processes

oWork with programming team to identify the root cause for issues

oGood understanding of Systems Development Life-Cycle

oSupported quality assurance by identifying test scenarios, reviewing test cases & testing

PREVIOUS EMPLOYMENTS

Employment 1: Tata Consultancy Services Canada Inc Dec 2018 – May 2022

Worked as a Senior Business Systems Analyst for Tata Consultancy Services Canada Inc, associated to following client for over 3.5 years for various digital initiatives:

Client: Aviva Insurance Canada Inc.

Aviva Insurance Canada Inc. is a leading Canadian property and casualty insurance company with 2.8 million customers. I worked as a Business Systems Analyst for digital BU for various projects as detailed below:

1.Project 1 – Auto Claims Submission Application / ENOL Application – Guidewire Digital Portal

Project was initiated in order to allow customers to submit auto insurance claims online without any intervention from Aviva claims team. It was a non-authenticated journey which was open 24/7 to the insurance holders. This application was adhering to Accessibility for Ontarians with Disability Act (AODA) regulation.

2.Project 2 – Property Claims Submission Application / ENOL Application – Guidewire Digital Portal

Project was initiated in order to allow customers to submit property insurance claims online without any intervention from Aviva claims team. It was a non-authenticated journey which was open 24/7 to the insurance holders. This application was adhering to Accessibility for Ontarians with Disability Act (AODA) regulation.

3.Project 3 – Claims Roadmap

It was an application that was developed for business stakeholders to view the progress enhancements that are in the product backlog & anticipated development completion date for each of the enhancements

4.Project 4 – Broker Self-Serve Portal

Broker self-serve portal was developed for the various brokerages that are associated with Aviva. This portal was allowing the brokerages to submit various requests like: Sanctioning users, managing insurance documents delivery preferences, managing broker & customer marketing preferences and re-certification of brokers

Responsibilities:

oApplication requirements gathering, analysis & documenting user stories

oWorked closely with Product Managers & Business for requirements gathering

oActive participation in feature prioritization & product backlog management

oDocumenting current / As - Is and To-Be business processes

oWork with programming team to identify the root cause for issues

oQA / testing application as & when the features are developed

oGood understanding of Systems Development Life-Cycle

oSupported quality assurance by identifying test scenarios, reviewing test cases & testing

oAttending sprint planning, daily scrum, retrospective meetings

Employment 2: Evry India Pvt Ltd, India Aug 2013 – Aug 2018

Worked as a Senior Business Systems Analyst for various projects as detailed below:

1.Project 1 – Mail Order Pharmacy Application

Client Details: Client was MedImpact Healthcare Systems, a Pharmacy Benefit Manager (PBM)

Project Details: Project was initiated when client wanted to provide ‘Mail Order Pharmacy’ services to the insurance beneficiaries. This service helped patients to order refills online.

Responsibilities:

oTravel to USA to accomplish requirement gathering phase

oApplication requirements gathering, analysis & documenting user stories

oWorked closely with Product Managers & Business for requirements gathering

oActive participation in feature prioritization & product backlog management

oDocumenting current / As - Is and To-Be business processes

oWork with programming team to identify the root cause for issues

oGood understanding of Systems Development Life-Cycle

oSupported quality assurance by identifying test scenarios, reviewing test cases & testing

oAttending sprint planning, daily scrum, retrospective meetings

oWriting basic SQL queries

oInterviewing & mentoring junior business analysts

2.Project 2 – Medicaid Enrollment - Cost Avoidance Application

Client Details: Client was a public sector organization that works to recover overpayments done by US government towards Medicaid & Medicare health insurance programs

Project Details: Project was initiated as the client wanted to expand their ‘Cost Avoidance’ service portfolio in enrollment space.

Responsibilities:

oTravel to USA to accomplish requirement gathering phase

oBusiness requirements gathering

oDocumenting software requirement specification

oPreparing requirement traceability matrix, wireframes & XML data processing

oDocumenting current / As - Is and To-Be business processes

oWork with programming team to identify the root cause for issues

oSupport quality assurance by functional testing

oUAT facilitation

3.Project 3 – Claims Processing Application

Client Details: Client was Sedgwick Inc, a TPA that provides claims processing services

Project Details: Reengineering of existing claims processing /claims management application due to limited flexibility to adapt for business changes & lack of resource availability to maintain application

Responsibilities:

oTravel to USA to accomplish requirement gathering phase

oManaging enhancements / change requests

oImplementing RPA for case assignment

oDocumenting requirement specification

oGap analysis / Impact analysis

oWork with programming team to identify the root cause for issues

oSupport quality assurance by functional testing

4.Project 4 – FNOL Mobile App

Worked as a Product Manager for the project as detailed below:

Project Details: A mobile app was developed for auto insurance policy holders to notify loss in order to avail the policy benefits i.e., intimating First Notice of Loss using the mobile app.

Responsibilities:

oMarket Research for identify the current trend

oOwning the product

oRelease management

oHardware vendor identification

oProduct backlog creation

oFeature prioritization & Testing

Employment 3: MindTree Ltd, India Apr 2012 – Aug 2013

Worked as a Business Analyst for the project as detailed below:

Project – Eligibility Verification Application

Project Details: Project was initiated as the client wanted to reengineer their existing manual eligibility verification application.

Responsibilities:

oRequirement gathering, analysis & documentation (SRS & User stories)

oDocumenting software requirement specification & Preparing wireframes

oWork with programming team to identify the root cause for issues

oSupport quality assurance by functional testing & UAT facilitation

EMPLOYMENT 4: Remedinet Technologies, India Sep 2011 – Mar 2012

Worked as a Business Analyst for the project as detailed below:

Project – Payer Provider Network Management Application

Project Details: The project involved the implementation of health insurance payer solution, a web-based TPA platform developed to manage pre-auth & claims between payers & providers.

Responsibilities:

oRequirement gathering, analysis & documentation (SRS & User stories)

oDocumenting software requirement specification & Preparing wireframes

Skill Summary

Requirements Management:

oGather business requirements

oAPI requirements

oRequirements analysis

oRequirements documentation - SRS, FRD, & User stories (Functional / Non-functional)

oUser guides documentation

oRTM management

oChange Request (CR) Management

oStakeholders’ identification

oGap / Impact analysis

User Interface Design & Process flows:

oUser Interface (UI) Design - Wireframes / Prototypes (Static/Click-through – With Navigation)

oProcess Flow Diagrams / flowcharts / swim lane diagrams

oUnified Modelling Language (UML)

Requirements Gathering Techniques:

oJAD sessions & Brainstorming

oInterview & Questionnaire

oPrototyping

Product Management:

oProduct roadmap design

oFeature Prioritization

oIdentification of business cases

Industry Knowledge:

oInsurance

oHealthcare

Tools:

oProject Mgt Tools: TFS, Version One, Rally, JIRA, Confluence

oBA Tools: MS Office – Word, Excel, Power point, Visio, Miro, Balsamiq & Pencil

oBugs Tracking Tools: HPQC, TFS, Rally

oWriting basic SQL queries

Estimation Techniques:

oStory Points / refinement

oWBS

Development Methodologies:

oAgile (Scrum)

oWaterfall

oIterative

Testing:

oFunctional Testing

oTest Case documentation & review

oLeading ‘User Acceptance Testing’ sessions

Leadership Skills:

oInterviewing Business Analysts

oMentoring junior Business Analysts

oDomain training to project team

Industry Experience / knowledge

Insurance Industry Knowhow

Lines of Business:

Process Knowhow:

Entities Serviced:

oProperty & Casualty

Auto Insurance

Liability

Workers Compensation

Personal & commercial LOBs

oPolicy Administration

oLoss Notification / FNOL

oClaims Adjudication

oUnderwriting

oSubrogation

oUsage Based Insurance

oInsurance Carriers

oTPA / Claim Adjudicators

oAgencies / MGAs

oIntermediaries

Healthcare Industry Knowhow

Sub-Domains:

Programs / Process Knowhow:

Entities Serviced:

oHIPAA & GDPR Compliance Care coordination

oPBM

oEligibility Verification

oEnrollment

oMedicare & Medicaid

oCOB & Utilization Review

oSubrogation

oEstate Recovery

oEDI standards – 270/271, 837, 835, XML formats

oPayer

oProvider

oTPA

oPBM & Pharmacy

oClaims recovery businesses

End of Resume

Contact this candidate