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Claims Examiner Customer Service

Location:
Jersey City, NJ
Posted:
May 29, 2023

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Resume:

Sindhuja Vanaparthi

PEGA – Senior System Architect

+1-256-***-****

adxd5a@r.postjobfree.com

Availability: Immediate

A highly motivated, intelligent, creative and business-aware professional with good experience in

developing web based applications using PEGA PRPC tool. Experience includes Insurance and Telecommunications domains.

Extensively worked and been a part in entire software development life cycle (SDLC), phases like

Analysis, Design, Development, Unit Testing and Deployment.

Expertise in creating the data model including page lists, page groups, properties and data transforms.

Experience in the BPM application development using Pega Platform 8.x/7.1, Pega Customer Service and Pega Marketing For Communications frameworks.

Expertise in creating SLA events on the assignments, Validations and Corresponding Rules. Worked on Circumstancing by creating the circumstance definitions.

Excellent hands-on experience in configuring Flows, Flow Actions, Data Transforms,Case Management,

UI rules like Sections, Layouts.

Expert in implementing Data pages with different sources and parametrizing Data pages.

Good hands-on experience with Activities, Report definitions, Decision rules,creating Data Tables.

Having good experience on integrations like SOAP & REST.Good knowledge on Agents, Jobshedulers,

Queue processers .

Extensive debugging Skills in PRPC using with Tracer, Clipboard, Live-UI.

Experience with Agile/Scrum, Waterfall Development methodologies.

Research-oriented, motivated, proactive, self-starter with strong technical, problem solving, analytical and presentation skills as well as vibrant team player.

Certifications:

Pega Certified Senior System Architect (CSSA).

Pega Certified System Architect (CSA).

Paga Certified Decisioning Consultant(CDC).

BPM Tools: PEGA PRPC (7.x, 8.x)

Microsoft Technologies: Java, C, C++.

Methodologies: Agile Scrum and Waterfall,

Testing tools: Clipboard, Tracer, Rule inspector.

Database: SQL Server, Oracle.

Web Technologies :HTML, CSS, JavaScripts

Frameworks: Pega CRM, NBA

Development Tools: PEGA PRPC, SQL Developer

Web Services:SOAP, REST

Operating System: Windows 7, Windows 10.

BTECH in Computer Science & Engineering from JNTU, Telangana (2010-2014)78.9%

Company: Cognizant Tecnology Solutions

Role: Associate projects

Duration: Aug-2022 To Feb-2023

Client: Verizon

Project: MEC Acceleration and Sizing

Description:

Mobile edge computing (MEC), also known as multi-access edge computing, brings critical computing resources such as processing power and storage closer to end users, devices and applications—at the edge, instead of having to travel to and from a distant data center or cloud. While MEC can be utilized on 4G LTE or 5G networks, access to remote servers could be more efficient with 5G.

Responsibilities:

Working as a developer, Unit test and deliver the user stories.

Involved in analysis, Design Low level Design(LLD) documents and Implement the Business and Technical Requirements.

Worked on the REST Service and Heatlh check configuartions, Kibana logs etc...

Worked on data types, data transforms,activities.

Created Data Pages using source rules: Activities, Report Definition and Data Transforms, connectors.

Involved in rules management and associated export and import tools (Ruleset and Ruleset Version)

Involved in fixing the bugs and addressing exisitng critical and moderate gudrail warnings.

Prepare code deployment documents, UT documents.

Created product rule Involved in code review,and Moving the code to Higher regions(SIT1/SIT2) using both manual and devops.

Involved in Sprint planning and daily Scrum meetings and tasks distribution to the teams in Offshore/Onshore co-ordination model.

Company: Cognizant Tecnology Solutions

Role: Associate projects

Duration: March-2022 To July-2022

Client: AT&T

Project: Active Decisioning Engine

Description:

Purpose of Active Decisioning Engine (ADE) is to enable AT&T/DirecTV to better manage interactions with customers by ensuring greater accuracy, consistency and agility to provide best offer particularly in high-volume environments. With ADE, businesses can translate their strategic business objectives into decision logic that guides decision-making in day-to-day operations by providing best relevant offers to customers. ADE uses to make and deliver best eligible offer decisions. ADE will be implemented as a centralized decision hub, next best offer decisions can be delivered across multiple interaction channel.

Responsibilities:

Involved in analyzing functional requirements.

Implementing the REST Services.

Worked on stratogies,Interaction History,Data flows, Data sets, DSS, actions, treatments.

Worked on data types, data transforms, Circumstancing, Validations, application setting.

worked on engagement policies to add or update logic at group / action level as per requirements.

worked on automatic creation of actions and treatments using activities job

Shedulers. worked engagement policies as per requirements.

Created Reported Definitions.

Implementing the business logic by using activities .

Experience in debugging by using the tools like clipboard, tracer, Rules Inspector.

Prepare code deployment documents and UT documents and involved in code deployment.

Involved in daily status, planning, and functional walkthroughs.

Company: Infosys

Role: Senior Systems Engineers

Duration: Oct-2019 To Feb-2022

Client: Base product for Infosys McCamish Systems

Project: McCamish Claims Application

Description:

McCamish Claims Application helps to automate the insurance claim process.Which involves several work flows and integration with various external systems. The Project captures data about case from the user in various stages of the work flow.enables the claims examiner to have a proper process in place for approvals

or rejections of the claim.

Responsibilities:

Analysis of business requirements and creating High Level Design (HLD).

Involved in story grooming, estimation, coding, and unit testing.

Involved in design reviews, code reviews, code merging and deployments to higher

regions.

Worked on Data Pages, Data Transforms, Flows, Flow Actions, Navigation rule,

Decision Tables, Report Definitions, Activities, SLA’s.

Design and developing User Interface using Sections, Harness, Layouts.

Worked on Connect-SOAP,Connect-REST and Service-REST.

Involved in fixing bugs.

Created Rule Sets, Operators and Workbaskets.

Actively participated in daily status, backlog refinement(grooming), Sprint planning, Sprint Reviews and functional walkthroughs.

Company: Infosys

Role: Senior Systems Engineer

Duration: Jun-2018 To Feb-2022

Client: Base product for Infosys McCamish Systems

Project: CSWD Application

Description:

CSWD (Customer Service Work Desk) is abase application, developed and enhanced to have majority of the functionalities like general enquiry, financial and non-financial transactions, policy changes, correspondence, etc. This base application later is used as a framework to develop the CSWD applications for various other insurance clients as per their requirements.

Responsibilities:

Prepared High Level Design (HLD) document by analyzing requirements.

Creation of Process Flows, Screen flows, Flow actions based on requirements.

Involved in story grooming, estimation, coding, and unit testing.

Involved in design reviews, code reviews, code merging and deployments to higher

regions.

Worked on Data Pages, Data Transforms, Navigation rule, Decision Tables, Report

Definitions, Activities,SLA.

Design and developing User Interface using Sections, Harness, Layouts.

Worked on Connect-REST and Service-REST.

Created Rule Sets, Operators. Involved in fixing bugs.

Actively participated in daily status, backlog refinement(grooming), Sprint planning, Sprint Reviews and functionality walkthroughs.

I hereby declare that the above information furnished is true to the best of my knowledge and belief.

SUMMARY

TECHNICAL SKILLS

ACADEMIC PFOFILE

PROFESSIONAL EXPERIENCE



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