Nini Jacob
mailto: *********@*****.*** Fishers, Indiana +1-317-***-****
Career Objective
To be associated with an esteemed organization that provides me an opportunity to prove my technical skills, improve my knowledge with the latest trends and to be a part of the team that works dynamically towards the growth of the organization. Summary
• Over 7 years of experience in healthcare claim processing systems.
• Took a career break from 2018 to take care of my kids and during that period always brushed up my knowledge through online resources.
• Experience in Managing and leading the tracks.
• Experience with handling the Requirement and Functional analysis
• Experience with Analysis of the Programs and Applications and propose design solutions.
• Experience with Functional design presentations and Technical Design Presentations.
• Experience with Coding, Preparing test cases and Testing
• Experience with Co-ordinating Onsite and Offshore activities
• Experience with Implementation Process activities.
• Experience with HIPAA EDI transaction codes 835 and 837
• Working knowledge on the backend of HIPAA EDI transaction codes 276/277
• Business knowledge on HIPAA EDI transaction codes 27x
• Business knowledge on HIPAA EDI transaction code 834
• Experience with the claims processing system
• Experience with implementation and support of snip level edits 2,3,4
• Experience with the pre-adjudication and post-adjudication edits
• Experience with primary clinical edits
• Experience with pricing edits
• Experience with verifying and validating ERA and EOB
• Strong knowledge of Software Development Life Cycle and Software Test Life Cycle
• Experience with Software Development in Mainframes Applications
• Mentored freshers and provided training to new joiners.
• Capable of creating and executing end-to-end test plans
• Ability to focus on and meet tight deadlines
• Excellent ability to clearly define and execute testing procedures
• Keen observational ability
• Achieved several recognitions for dedication, hard work, quality of the work and for putting the client first
Professional Experience:
Anthem-WGS Claims January 2015 – February 2018
Technical Analyst/Module Lead
Responsibilities:
• Allocated tasks to onsite and offshore, supervised track progress and results.
• Mentored new joiners on the process to be followed and provided training to freshers.
• Prepared estimations, functional and technical design presentations
• Reviewed the works of team members
• Reported the progress and weekly activities of the team to the management.
• Manage and lead the track to make sure that all requests are delivered with quality and on time.
• Involved in Analysis of the Programs and Applications and propose design solutions.
• Co-ordinated Onsite and Offshore activities
• Supported the Implementation Process activities
Technical Skills: COBOL, JCL, DB2, IMS, VSAM, CHANGEMAN, Fault Analyzer, File Manager, File aid, RDS-Teradata, HIPAA Transaction Testing
Anthem-WGS Claims November 2010 – December 2014
Sr. Software Developer/Software Developer
Responsibilities:
• Understanding Business requirements and functionality
• Preparing Design documents, technical documents, coding programs, preparing test cases and Testing
• Guiding team members in understanding the business requirements and technical issues they face
• Conducting peer reviews
• Configuration Controller of the team to maintain all the versions of project plans and other documents
• Coding Champion of the team to ensure all the team members are following the coding guidelines and delivering a quality product
• Supporting the Implementation activities
• Support Project Coordination and Management activities. Technical Skills: COBOL, JCL, DB2, IMS, VSAM, CHANGEMAN, Fault Analyzer, File Manager, File aid
Academic Qualification
• Postgraduate in Master of Computer Applications
• Graduate in Bachelor of Physics
• Completed Schooling in Nirmala Senior Higher Secondary School, Ernakulam Personal Profile
Date of Birth : 23rd October,1983
Languages Known : English, Malayalam, Hindi
Gender : Female
Marital Status : Married
Nationality : Indian
Visa Status : L2 Visa (EAD Valid till July 2023)