Shankar D

No,*** Musiri village Walajapet Ranipet 909-***-**** ad34cz@r.postjobfree.com

SUMMARY

Creative and result oriented consultant with over 12 years of experience as a Business Analyst, Programmer Analyst, Case administrator and Claims adjudication. Possess extensive experience managing multiple technical and business projects for a wide cross section of industries like Banking, Insurance, Manufacturing. A highly motivated, self-starter with proven ability to multi-task and a great team player with excellent leadership and communication skills. Skills:

Requirement gathering : Agile, Iterative, and Waterfall, working knowledge of PEGA

MS Office 365 : (Project, PowerPoint, Excel, Word)

Other Tools : HP ALM, QTest

User acceptance testing : Forecasting and Planning Work Experience:

Business Analyst - CTSI-GLOBAL, Chennai, India – (July 2021 to July 2023)

Coordinating testing plans, monitoring, and defect tracking

Worked closely with the development and functional teams during system testing and user acceptance testing phases, created test plans and test cases.

Spearheaded the e-mailbox requests, adhoc queries and prepared reports for the senior management for monitoring purposes.

Tracked user stories and prioritized the backlog for continuous delivery.

Executed projects through the entire SDLC from gathering requirements, designing, developing, testing, deploying and support phases.

Coordinated and organized meetings across multiple teams which include vendors, integration teams, infrastructure, configurations, operations, end users, business partners, testing teams and managers.

Worked on different documents related to requirement, functional specifications, business acceptance document, cost and timeline analysis, process flow, use cases, test cases, implementation plan and lessons learned.

Proposed process improvement strategies to track the requirement changes, status, business expectation, cost, timeline, and other key metrics, which helped provide information to all the teams in a quicker way.

Used helpdesk data and queries to provide feedback to project and team leads to modify applications.

End User Support/Production Support and issue resolution. Environment:

Quality Center, IBM Mainframe, Manual Testing, MS Office, SCRUM. Page 2

Programmer Analyst - Cognizant Technology Services, Chennai, India – (March 2014 to July 2020) Assists claimants, Insurance (Payer), and clients with problems or questions regarding their claims and/or policies. Answers calls and inquiries from family and enrollees and assess claims to ensure the appropriateness of benefits. Act as a patient advocate, protecting privacy and confidentiality issues.

Claims adjudication is to decide whether claim must pay or deny as per instructions provided by the client.

Worked for Payer side. (Healthcare Insurance Third party) From 2015 – Got internal opportunity to support IT team and placed permanently.

Team member to support UAT Manila, Philippines.

Wrote test cases for Functional and User Acceptance testing.

Tested the Application using Black box Testing Techniques.

Created, Updated and Reviewed of Test cases and Test Scenarios

Participated in reviews and meetings.

Experienced in developing and maintain overall test methodology and strategy, Documenting Test plans, Test cases and editing, executing Tests cases and Test scripts Using Manual, Analyzed User Requirements and Technical Specifications.

Created Test plan & Script, Defect Management Templates; Created Initial test plan and developed test cases and test scripts manually.

Used Quality Center to store all testing results, metrics, created Test Cases, and Reporting.

Reviewed Business requirements, IT Design documents and prepared Test Plans which involved various Test Cases for all assigned module/projects; Review Test Requirements, Creating Test Plans and Test Strategy documents.

Developed a Defects Tracking Log for the SharePoint Site to track defects while testing.

Involved in UAT testing, SIT Testing, Regression Testing and Functional testing.

Daily update and managed Offshore team

Environment:

HP Quality Center, IBM Mainframe, Manual Testing, MS Office Page 3

Case Administrator, Williams Lea (June 2013 to March 2014) Tidel park, Chennai-5

Worked in UK Mortgage Process. Processed initial stages of Land registration process and then we will close the file of mortgage.

Create process specification and check process flow consistency.

Data Collection, Data Analysis & Reporting

Support with Lawyers (Sols) of UK to deals with Mortgage files and enquires received through mails and tickets.

Need to check the Property documents and print or mail those files to the respective lawyers for their approval.

Senior Process Executive, Nittany Indus Bpo, Chennai, India – (Sep 2012 to May 2013)

Data analysis with SQL and Process the Manual intervention claims for Adjudication.

Processed both HCFA (Professional) and UB (Hospital) claims.

Need to process as per instruction provided by the client.

Worked for Payer side

Senior Process Executive, Cognizant Technology Services (Sep 2009 to Oct 2010)

Joined as Team member in Claims Adjudication.

Checking the preconditions of the patient information and payment, then we adjudicate whether we need to pay or deny the claims.

For any authorization, send mail / system application to get solution from the customer / provider for the queries.

Processed HCFA only.

Worked for Payer side. (Healthcare Insurance Third party). Process Executive, First Source: (Oct 2008 to Aug 2009)

Joined as Process Executive in Claims adjudication Team.

Processed both HCFA and UB Claims.

Worked for Payer side. (Healthcare Insurance Third party) Junior Process Executive, Lason India Pvt Ltd: (Oct 2006 to Apr 2007)

Joined as Junior Process Executive in Migration Department.

Data Verify with claims and audit the keyed information and decide whether pay or deny the claims.

Need to send QC report to respective Superior.

Education

B.Sc Physics 2006 67% D.G.Vaishnav College, Madras University - Chennai

HSC – Bio - Maths 85% 2003 K.S.H.S School, Ayanavaram - Chennai

SSLC - State Board 83.2 2001 K.S.H.S School, Ayanavaram - Chennai Page 4

Extracurricular activities:

Volleyball Player in D.G.Vaishnav College

Personal Information:

Father’s Name: K.Dayalan

Mother’s Name: D.Tamizhselvi

Father’s Occupation: Farmer, Musiri village,Walajapet Permanent address: No 100, Bajanai koil street, Musiri Village, Walajah taluk,Ranipet Date of Birth: 03-06-1986

Nationality: Indian

Religion: Hindu

Marital Status: Married, 1 spouse and 2 kids

Declaration

I do hereby declare that the above information is true to the best of my knowledge. Date: Signature

Place: Chennai Shankar. D

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