Remote Data Entry Admin Assistant

SHRADDHA GORDE

Contact: +1-925-***-**** E-Mail: ********.*******@*****.*** Work Authorization: Green Card

Healthcare QA Engineer with handson experience in Claims adjudication, Benefits validation, EDI 837/835 testing, pricing logic verification, and backend validation using SQL. Skilled in analyzing benefit configurations, validating provider/member data, and ensuring compliance with HIPAA and CMS guidelines.

PROFESSIONAL SYNOPSIS

Experience in Software testing on Retail, (Telecom) BSS and Investment banking Domain with Expertise in Automation Testing using Selenium.

Good Experience in Web Service testing, API testing with the help of POSTMAN and REST Assured

Complete experience on Defect Management tool such as Atlassian Jira.

Worked on Agile Methodology.

SUMMARY:

Experience in Functional Testing, UI testing, Automation Testing, Web Service Testing

Claims Adjudication — Benefit determination, pricing, accumulators

Benefits Testing — Copay, coinsurance, deductibles, OOP

EDI Transactions — 837P/837I/837D, 835 remittances

Provider & Member Validation

Claims UAT — Endtoend claims lifecycle

Pricing & Configuration Testing

Involved in executing SQL Query in SQL Developer to perform Database testing.

Basic Knowledge about UNIX Commands.

Good understanding of Postman & SOAPUI

Performed Automation testing using Selenium on Web based (Browser) application. Developed User Defined functions to support the automated scripts. Used the Data Driven testing using Selenium

Well versed in Jira as Defect Management Tool.

Good Experience in JAVA, OOPS concept, collections, exceptions handling.

Experience in identifying web elements using XPath, CSS, Handling Synchronization (Implicit & Explicit), TestNG & Annotations, designing POM (Page Object Model) classes

Sound knowledge on Junit, TestNG framework for Unit testing, Maven for Project building tool, Jenkins/Hudson for Continuous Integration

Experience of MAVEN, GitHub, Jenkins, Listeners.

CORE COMPETENCIES

Operating Systems:

Windows XP, Windows 7, UNIX (Basics).

Language and Tools:

Java, Selenium, TestNG, REST Assured, Postman, Maven, Jenkins, HTML, JS, CSS, Git, JIRA, Oracle 11g and SQL Server.

Software Testing Skills:

Functional Testing, Regression testing, Automation Testing, Web Services Testing.

PROFESSIONAL WORK EXPERIENCE

Organization: Cognizant Technology Services

Duration: Oct 2024 to Till Date

Organization: Amazon com Services LLC

Duration: Apr 2023 to September 2023

Organization: Embel Technologies Pvt Ltd

Duration: Feb 2014 to September 2017

EDUCATION

Completed Graduation in Chemical Engineering from AMRAVATI UNIVERSITY, MAHARASHTRA, INDIA.

Completed Diploma in Chemical Engineering From MSBTE, Mumbai. India.

PROJECTS UNDERTAKEN

Project – 1

Project Name:

UAT Benefit Testing

Client:

Centene

Technologies

Manual testing, ServiceNow, Golden DB, Amisys, DST pricing, CenPro, Jira

Role:

UAT Test Engineer

Duration:

Oct’24-Till Date

Description:

Led endtoend UAT testing for Claims and Benefits systems at Centene, validating benefit configurations, pricing logic, and claims adjudication workflows across platforms including Amisys, DST Pricing, CenPro, and Golden DB. Executed comprehensive frontend, backend, and integration testing, using SQL for data validation and ServiceNow for workflow and issue tracking. Collaborated with crossfunctional teams to analyze requirements, identify defects in Jira, and ensure accurate delivery of Benefits and Claims functionality in compliance with enterprise and regulatory standards

Responsibilities:

Analyzed business requirements and technical specifications for Benefits-related applications, ensuring full understanding of plan rules, pricing logic, enrollment workflows, and downstream system impacts.

Created comprehensive test strategies, UAT test plans, and detailed test cases aligned with Claritev SQA standards and Benefits domain needs.

Performed UI and functional testing of web and GUI applications including enrollment, claims, pricing, and member benefits workflows.

Executed backend validation using complex SQL queries across Oracle, Golden DB, and SQL Server to verify eligibility, benefits configuration, pricing rules, and claims data.

Performed data integrity checks between Amisys, DST Pricing, SenPro, and downstream systems.

Conducted integration testing across multiple Benefits platforms (ServiceNow, Amisys, DST, SenPro).

Coordinated with product owners, developers, business analysts, and operations teams to ensure alignment on requirements, timelines, and defect priorities.

Participated in Agile ceremonies including daily stand-ups, backlog grooming, and sprint reviews.

Executed regression testing for new releases, configuration updates, and defect fixes to ensure system stability.

Supported ServiceNow ticket triage and workflow validation.

Assisted in benefits configuration validation and pricing rule verification

Project – 2

Project Name:

Message center

Client:

Amazon com Services LLC

Technologies

Manual testing, Java, Selenium, TestNG, Jenkins CI/CD, HTML, JavaScript, Jira, Confluence

Role:

Automation Engineer

Duration:

Apr’23-July’23

Description:

Message Center is a product on amazon warehouse which amazon employee use to message to different departments like (Receiving, Stowing, Picking, Quality Control, Inventory control, Administration), as well as viewing messages from them.

Responsibilities:

Analyze business requirements, create testing strategies and prepared Test Plans, Test Cases, Test Scripts as per Functional and Business requirements.

Responsible for writing automation test scrips using Java and Selenium

API testing using postman and backend validation.

Analyzed testing results and defects and provided recommendations to development team.

Reported the bugs/defects through Jira.

Responsible for production release activities like DoD completion, Pre prod Run support and Prod baseline validation.

Worked in SAFE Agile Scrum Development Environment with frequently changing requirements and features set. Had clear understanding of the product development lifecycle.

Participated in daily, weekly meetings and technical reviews. Prepared reports showing the testing efforts.

Worked with development team to give insights about the functionalities.

Responsible for identifying test scenarios for Integration testing and E2E testing.

Involved in Agile meetings, Story boarding, daily stand-up meetings. Worked as part of Agile team to coordinate with offshore teams for testing.

Project - 3

Project Name:

Capital Management Systems

Client:

Starwood Capital Group

Technologies

JAVA, Selenium Web driver, HTML, JS, CSS, REST Assured, Oracle 9i, Jenkins, Jira, Confluence

Role:

Functional and Automation testing

Duration:

August’16-September’17

Description:

Capital Management Systems is Investment Banking group including the Management of Equity, Capital Restructures of Advisory and Equity Capital transactions. It also offers a range of merchant banking and equity placement services. the identification, structuring and execution of transactions for its clients in diverse industries and geographies. has its unique knowledge-based approach to banking enables us to provide a range of services designed to meet its clients' specific needs, thereby ensuring that we consistently deliver high quality advice and service to all Its clients. This customer-centric approach allows user to offer a high level of customization for its clients, making its their Preferred Partners. involved in it seek to provide its client with the widest possible range of opportunities some of the typical transactions include mergers & acquisitions, divestitures, private equity syndication and IPO advisory.

Responsibilities:

Requirement Analysis: Understanding the requirements and communicating with BA team for better understanding of the requirements.

Responsible for testing deliverables, prioritizes and monitors activities to meet such dates for individual assigned features.

Identified End to End Test Scenarios, Test Cases and Test Data.

Writing effective and optimized Test Cases in Confluence, MS-Excel using Black Box Testing techniques.

Identification of defects, registering them in Jira and reporting them to the onsite lead.

Used Chrome debugger and Firebug to do web-based application testing with selenium for the commands and locator application.

Worked on Cross Browser testing through Selenium WebDriver by testing the website on different browsers like Chrome, IE, Safari and Firefox.

Performing Functional Testing, Regression Testing and Re-Testing.

Used HTML, CSS using XPath and DOM to work with dynamic and static objects in Selenium.

Validation of Expected output vs Actual Output in respective logs files using Unix and database tables using SQL

Preparing transition document for other team members.

Identify the test cases for Automation.

API testing using REST Assured

Project –4

Project Name:

CRM and Billing

Client:

Arris international

Technologies

MY SQL, Jira, Confluence

Role:

Functional Testing, Automation testing, API Testing

Duration:

February’14-July’16

Description:

The product enables leverages a breakthrough, cloud-based highly configurable architecture to deliver new levels of automation, flexibility, and operational efficiency. It is the first - business support system (BSS) designed for the opportunities and challenges of the Networked Society service providers to launch new products and services in days, capture new revenue streams with real- time revenue sharing and drive customer experience through personalized omni-channel interactions, embedded analytics and unified policy control Revenue Manager is a convergent, real-time charging and billing product for digital service providers.

Responsibilities:

Requirement gatherings from business, Test planning and designing.

Designing and Execution of E2E test cases for SIT.

Translating client's business requirement to Test requirements with business analyst

Performing GAP Analysis between the Client's business requirements with regards to Solution Development and Testing/QA strategy.

Participating in defining Service packages, Pricing Packages, Discount packages, billing offers, ordering components and Product specs in Revenue manage

Running End of Day (EOD) and End of Cycle (EOC) Billing/Invoicing from RM – Ericsson Monitoring and Control

Report Generation using PIVOT table.

Participation in daily Triage call, defect meetings with business users, SIT team, Amdocs development teams and third-party application owners

PERSONAL DETAILS

Full Name: Shraddha Tushar Gorde

Date of Birth: 24 MARCH 1981

Highest Degree: Bachelor’s in engineering

Work Authorization: Green Card

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