Project Software Engineer

SUGUNA PALANISWAMY

*****************@*****.***

Contact No: 978

*** ****

Experience Summary

Having 5 years of experience in IT industry with strong emphasis in

all phases of software development including analysis, design, coding,

testing and implementation of applications in IBM mainframe environment

and also in real time production support activities.

IT Experience

. Worked as a Software Engineer in STERIA LTD (Client : AXA Insurance)

. Worked as an analyst programmer in SYNTEL LTD(Client: Wellpoint Insurance

and American Express Banking)

Domain Knowledge

. Health Insurance (Payer)

. Banking ( Accounts Receivables)

Skills

. IBM Technology COBOL, JCL, ISPF

. Mainframe tools CHGMAN, ENDEVOR,OPC, FILEAID,GENERATOR,

CONTROL-M,$AVRS,INSYNC,PLATINUM,SQL,

FILE MANAGER, JOBTRAC, JHS

(JOB HISTORY SYSTEM), INFOMANN,QMF, SPUFI

. Data Base DB2, VSAM

. Operating System OS/390, ZOS, Windows

. Other Tools Manage now

Education

. B.E., Electronics & Communication Engineering from Anna University.

. M.B.A., Human Resource Management from Anna University.

Project Experience

Steria Ltd.,

Software Engineer

Client: AXA/Friends Life

In September 2010 AXA UK sold a number of AXA Life strategic business units

(SBUs) to Resolution plc. The SBUs retained by AXA [Wealth Management, Sun

Life Direct, AXA Distribution Services, Bluefin, Bancassurance and

Architas] have been structured into a new organization called AXA Wealth

(AWL). The overall objective of the Separation project is to enable the

completion of the sale of prescribed AXA businesses to Resolution plc. The

project is mandatory by the terms of the agreement between AXA and

Resolution. AWL and FP are legally obliged to ensure that all outgoing

policy communication reflects the correct 'owning' Insurance Company by

01/11/2011. The main requirement of the (SLD) Brand & Outputs Project is to

enable all customer facing outgoing communications for KLM policies to

quote the appropriate owning company and associate brand details in terms

of Logo, Footer, Signature, Website, Address & Telephone no. As part of the

AXA Friends (Resolution) deal there is requirement to separate Friends from

AXA within 2 years. As part of the overall separation, there are

contractual requirements to remove reference to any AXA, Sun life or legacy

references (referred to as re-branding). The full branding change will

remove and replace references to the AXA company structure with the new FPH

company structure across all systems (all Business Units, Products & IT

Applications) and system generated outputs for the acquired book of

business.

Module: Pensions

A pension is money invested to provide an income when a person

retires. Unit Linked Pensions contracts enable the policy holder to choose

the type of investment he wants for his money. Unit linked policies do not

have bonuses declared as in a conventional contract (an exception being the

With Profits Fund). Instead, each policy holder buys units in particular

funds which he or she has chosen. The return depends on the performance of

the fund. Because the fund can fluctuate in value, there is potential for a

higher return. The price (value) of a fund varies according to the success

(or failure) of its underlying investment.

The ULP system provides a method of adding or removing units to/from

customer's accounts. To achieve this, the system uses on-line data entry

(and enquiry screens), batch input (data prep., IS2, etc.) and overnight

batch runs.

Key Contributions:

> Understanding the requirement of the client for designing the

specifications, developing the system and subsequently

documenting the requirement.

> Designing and coding using COBOL & DB2, writing JCL to execute the code

for testing and delivering the final results.

Syntel Ltd.,

Analyst programmer

Client: AMEX - American Express

American Express is a Global Travel, Financial and Network service

provider. Founded in 1850, the company serves individuals with charge and

credit cards, traveler's checks and other store value products. Through its

family of corporate card services, AMEX helps companies and institutions to

manage their travel, entertainment and purchasing expense.

This project is undertaken for American

Express based in Phoenix. Enhancement & Maintenance of the credit cards

provided by Corporations to their employees for their business expenses.

The corporations purchase these cards from AMEX, which are referred as

Corporate Cards.

Module: Card Maintenance/Corporate Account Receivable System

(CM/ CARS)

Main functionality of CM is to set up and maintain corporate

card i.e.,

< Setting up of new account,

< Renewal of accounts,

< Generation of plastic cards,Etc.,

CARS produces Unbilled data (Daily sent data) and

Billed data. It maintains daily incoming charge activities (i.e., debits,

credits, adjustments and remittances), cycle (monthly) accounts status,

account aging, and generates different types of billing/report files.

CARS DAILY:

The CARS Daily process edits and reformats the detail financial data

captured by FINCAP. It

accumulates an account's corporate financial activity (for a business

process day) and stores

the detail in the detail media databases. The accumulated dollars are

stored in the Balance

Forward segment of the corporate card database.

CARS CYCLE:

CARS cycle is the monthly billing system for the American Express Corporate

Card within the

US and the Corporate Dollar Card within Latin America. Each month, every

account is billed

in one of ten executions of this process called cycles. The CARS cycle

process produces all

the financial transaction files, for input to all the Corporate Card

Billing Systems and financial

reporting, for balancing transactions billed (CARS Cycle) to transactions

received (CARS

Daily). This processing updates card members NACH and Balance Forward

information based

on cycle bill dollars and generates delinquency charges based on account

aging status. CARS

Cycle builds detail and summary files for input to interfacing systems.

CARS Statementing:

The CARS Cycle system allows corporate clients to receive billing

statements in a variety of

ways, including Enhanced Country Club Billing (ECCB) or "regular" billing

statements, similar

to personal card billing statements, and "fan-fold" billing statements

containing summary and

detail information.

Key Contributions:

> Monitoring batch jobs in production support, solving issues and

abends in minimal possible time.

> Monitoring the Queues in MANAGE NOW, and working on the tickets

in time to

achieve customer satisfaction.

> Understanding the requirement of the client for designing the

specifications, developing the system and subsequently

documenting the requirement.

> Enhancement of the existing system when required.

Client: WELLPOINT - BCBSGa

WellPoint is the nation's leading health care provider serving the needs

of millions of medical members nationwide. WellPoint's Blue-licensed

subsidiaries and their affiliates provide a comprehensive range of group

and individual health benefits, life, and disability products. WellPoint is

a Blue Cross or Blue Cross Blue Shield licensee in the following 14 states

- California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine,

Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, and Wisconsin. A

wide range of products is offered by WellPoint's subsidiaries throughout

the United States. WellPoint has grown with consistency and reliability in

the industry. This performance is the result of strong internal growth,

strategic expansion and an approach to managing and growing the business

that is guided by a commitment to leadership, innovation and social

responsibility.

Module: Blues

Preparing inventory for the VSAM to DB2 conversion proposal, which

can

facilitate smooth migration of Q/Care to Enterprise system.

Key Contributions:

> Involved analysis of requirements & analyzing existing programs.

> Preparation of Project estimation.

Module: Production Support

This project involves the monitoring of QCARE nightly batch cycle

where the QCARE business data will be processed in the batch mode. All the

business data collected during the business day time will be processed in

the nightly batch run. The online region will be brought down during this

batch run and the region has to be brought up before 6:30 AM EST which the

SLA that SYNTEL has signed with WellPoint.

Key Contributions:

> Monitoring batch jobs for production support, solving issues and

abends in minimal possible time.

> Making sure that the QCARE online region is brought up before

6:30 AM EST to meet the SLA and achieve customer satisfaction.

> Training the new team members with the processes involved in

monitoring the nightly production running and effectively

solving the production abends.

Module: Finance

Q/Care Finance module is a sub module to the Q/Care, which takes care

of the billing related issues, like the premiums to be paid by the groups

(organization) or individual members to the WellPoint with in the Premium

time. It also manages the online interaction for providers. The Finance

module is further divided into sub modules.

Q/Care Remittance

835 Transaction - Health care payment and remittance advice used to

make a payment, send an explanation of benefits remittance advice, from

WellPoint directly or via a financial institution in the form of Electronic

Remittance Transaction (ERT) and Electronic Fund Transaction (EFT) using

the 835 transactions under the HIPAA guidelines.

Q/Care Billing Process

Q/Care finance Billing process is the process of generating the

premiums to be paid by the group (Group Bill) or by the individual members

(Direct Pay) using the Group Bill sub system or the Direct Pay sub system.

The Invoices are generated and are sent to the customers helping them pay

the premiums according to the plan chosen.

Key Contributions:

> Remits Reprocessing, Testing, Coding, Monitoring the DEV0 and

DEV3 batch run in Control-M, solving the balancing issues in 835

Transaction.

Module: EDI Gateway

Health Insurance Portability and Accountability Act (HIPAA) mandated

sweeping changes in the approach healthcare industry electronically

communicated between entities like providers, payers, hospitals and

sponsors. HIPAA adopted ANSI standard transaction 270/271 for Eligibility &

Benefits, 276/277 for Claims Status, 278 for Pre Auth & Referral, 837 for

Claim billing information, 835 for Billing and payment of claims through

remits and 834 for Consumer insurance enrollment information. Client

undertook a number of projects to meet HIPAA requirements. A Gateway is

proposed to handle all inquiry transactions that are capable of

communicating using HIPAA transactions. Client had developed a local format

for every HIPAA transaction to ease the file processing logic. Client had a

strategic decision to use these local formats for all-internal processing.

EDI Gateway - Electronic Data Interchange (EDI) Common Gateway system is

developed to handle the following inquiry transactions as stated by HIPAA,

arriving at clients systems and to provide response to them. In WellPoint

EDI at Georgia we receive claims and process these claims and also provide

the remittance information for those claims. I have worked and delivered

successfully following major maintenance projects at EDI:

Project1: EDI Batch

This project deals with the batch transactions : 837 for Claim billing

information, 835 for Billing and payment of claims through remits and 834

for Consumer insurance enrollment information.

Key Contributions:

> Remits Extraction and Reprocessing, LDLA Audit, PMM Document,

System Integration Testing and Solving the SR's (Service

Request).

> Understanding the requirement of the client for designing the

specifications, developing the system and subsequently documenting the

requirement.

> Designing and coding using COBOL, writing JCL to execute the code for

testing and delivering the final results.

> Enhancement of the existing system when required.

> Creation of test plans for both new and modified programs and carrying

out unit testing as per the requirement.

> Documenting the changes, doing code reviews and preparing test plans for

maintaining the quality of the delivery.

Project2: EDI Real-time

This project deals with the real-time transactions : 270/271 for

Eligibility & Benefits, 276/277 for Claims Status, 278 for Pre Auth &

Referral.

Key Contributions:

> Monitoring the jobs related to the module.

> Solving the abends during the bottleneck situations.

> Co-ordination with the Support operations, to inform regarding

the issue situation.

> Sending BX-reports, weekly reports and monthly reports

> Involved in real time production support activities by

monitoring the batch scheduler (CTM) error queue and suggesting

permanent solutions if needed.

Project3: EDI Shutdown

The scope of this project is to consolidate the Legacy EDI Gateways in

California, Georgia and New York. When this initiative is deployed, a

single Enterprise EDI Gateway will exist for all states/brands and provide

enterprise-wide trading partner solution. Implement to assign Enterprise

DCN to each claim received via Enterprise and to make sure uniqueness. To

stop the current GA process and handle files received from EEG.

Due to accelerated EDI consolidation there no more exists separate

gateways for Georgia. So a shutdown was planned which involved the

strategies, personnel, procedures and resources necessary to shutdown the

applicable gateway following the implementation of the AEC.

Key Contributions:

> Participated in thorough impact analysis.

> Prepared the list of impacted jobs, that needs to be shutdown.

> Prepared the jobs that need to be transitioned to Enterprise

EDI.

> Prepared the entire flow for 837, 835, 270/271, 276/277, for

Enterprise EDI.

> Analyzed the dependencies of the applications as well as jobs in

Control-M.

> Shutdown was made without impacting any other systems.

> Documented the plan and the progress.

> Took proactive measures not to cause any flaws in shutdown.

> Communicated with onsite effectively through mails and

communication log.

Responsibilities:

* Involved analysis of requirements & analyzing existing programs.

* Preparing Technical program Specifications document.

* Involved in preparation of unit test plan.

* Coding the program as per the client specifications mentioned

* Unit testing of the changed programs.

* Attending Code Reviews, Test Reviews and status meetings

* Preparation of Documents for changed programs.

* Generating reports according to client's specifications.

* Interaction with the onsite coordinator.

* Following the quality procedures prescribed in the project.

PERSONAL DETAILS

Communication Address : 168 River Road,

Apt 122,

Andover,

Massachusetts -

01810.

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