Abinaya R
Business Analyst
Chennai,Tamil Nadu
Summary
Seasoned Business Analyst offering 5+ years of Healthcare industry success. Expert on business and systems requirements, user acceptance testing and end-user training. Proficient in the US Health & Welfare domain, specializing in claims management and processing. Possess strong skills in data mapping, analysis, and interfacing, committed to ensuring accuracy and efficiency in operations. Accomplished at leveraging past lessons to inform future decision-making.
Overview
5
5
years of professional experience
6
6
years of post-secondary education
Work History
Senior Business Analyst
Optum Health and Technology Private Limited
11.2023 - 02.2024
- Identified actionable projects, formulated plans, and successfully delivered on targets
- Communicated effectively with policyholders and stakeholders to foster positive relationships
- Produced high-quality documentation, including correspondence and complex reports
- Manage stakeholder expectations through transparent communication and timely status updates, ensuring alignment between project deliverables and business objectives
- Facilitated requirement gathering workshops, resulting in clear project objectives and deliverables
- Collaborated with cross-functional teams, ensuring cohesive approach to business analysis
- Implemented Agile methodologies within project teams, increasing overall adaptability and responsiveness
- Created detailed user stories for system enhancements, leading to improved functionality and user satisfaction
- Supported leadership team with reporting, analysis, and business presentations to inform divisional strategies
- Mentored junior analysts on best practices for business analysis techniques, fostering professional growth within team
- Utilized data visualization techniques to present and explain complex data sets
- Analyzed data to identify root causes of problems and recommend corrective actions
- Managed and processed medical, dental, and DME claims, ensuring exceptional claims management services
- Coordinated effectively with carriers and clients for timely communication and issue resolution
- I oversaw the submission and processing of Medicaid, Medicare, and Dual claims to guarantee accuracy and timely payments
- Fostered collaboration across various departments to enhance operational efficiency
- Reviewed and corrected critical errors from EDI submissions, ensuring data integrity
- Collaborated with operations teams to manage claim files submission in compliance with SLAs.
Senior Analyst
Wipro Limited
06.2022 - 08.2023
- Proactively identify and resolve claims-related issues to ensure seamless operations
- Managed and processed medical, dental, and DME claims, ensuring exceptional claims management services
- Coordinated effectively with carriers and clients for timely communication and issue resolution
- Oversaw submission and processing of Medicaid, Medicare, and Dual claims to guarantee accuracy and timely payments
- Fostered collaboration across various departments to enhance operational efficiency
- Reviewed and corrected critical errors from EDI submissions, ensuring data integrity
- Prepared and delivered comprehensive claim file reconciliation reports on regular basis
- Collaborated with operations teams to manage claim files submission in compliance with SLAs
- Analyzed client source files for accurate processing and compliance
- Developed and optimized SQL queries to meet specific client data requirements
- Accurately managed and processed a variety of file types, including EDI, CSV, and flat files.
Software Test Engineer
Congruent Solutions
11.2021 - 05.2023
- Debugged software products through systematic testing while upholding quality standards
- Kept thorough documentation of test results to facilitate debugging processes
- Worked alongside development teams to resolve issues effectively
- Maintained up-to-date documentation of all test plans, procedures, results, and defect tracking databases for future reference or audits
- Reviewed, evaluated, and identified requirements for testability
- Created comprehensive test plans, test scripts, and use cases to support testing objectives
- Optimized regression testing efforts through continuous improvement of test cases and methodologies
- Reduced product defects by performing thorough root cause analysis and implementing corrective actions
- Tracked test reports and failures determined by root cause data trends
- Participated in agile development practices to accelerate product iterations and improve overall quality assurance measures.
Analyst
Wipro Limited
04.2019 - 11.2021
- Participated actively in client meetings to gather software requirements and business rules effectively
- Translated client specifications into functional documents and workflow diagrams to guide development
- Identified, resolved, and reconciled errors in client data for enhanced accuracy
- Executed various testing types including functional, regression, user acceptance, and performance assessments
- Contributed to defect management and documentation via JIRA for efficient bug tracking
- Oversaw comprehensive employee benefit management for over 5000 employees, ensuring effective vendor and claims resolution
- Enhanced team collaboration by providing clear communication of complex findings through visualizations and reports
- Improved internal knowledge sharing by developing comprehensive documentation outlining standard operating procedures for various tasks
- Streamlined reporting procedures by creating user-friendly dashboards for easy access to key performance indicators
- Enhanced customer satisfaction rates through detailed analysis of customer feedback data and subsequent improvements in service offerings
- Increased customer satisfaction by analyzing feedback and implementing necessary changes
- Led cross-functional teams in strategic planning sessions, aligning efforts with company goals
- Streamlined reporting processes, significantly reducing time required to generate insights
- Managed multiple projects simultaneously while adhering to strict deadlines and quality standards
- Collected, arranged, and input information into database system
- Generated reports detailing findings and recommendations.
Education
Master Of Business Administration - Human Resources Management
Bharadhidasan University
Tiruchirapalli 06.2016 - 05.2018
Bachelor of Engineering - Computer Science
Parisutham Institute of Technology And Science
Thanjavur 09.2012 - 05.2016
Skills
Agile Methodology
Timeline
Senior Business Analyst
Optum Health and Technology Private Limited
11.2023 - 02.2024
Senior Analyst
Wipro Limited
06.2022 - 08.2023
Software Test Engineer
Congruent Solutions
11.2021 - 05.2023
Analyst
Wipro Limited
04.2019 - 11.2021
Master Of Business Administration - Human Resources Management
Bharadhidasan University
06.2016 - 05.2018
Bachelor of Engineering - Computer Science
Parisutham Institute of Technology And Science
09.2012 - 05.2016
Similar Profiles
Pawan MajokaPawan Majoka
Claim Adjustment Specialist at Optum Health and Technology Private LimitedClaim Adjustment Specialist at Optum Health and Technology Private Limited
Manoj KumarManoj Kumar
Associate Manager at Optum Health & Technology India Private LimitedAssociate Manager at Optum Health & Technology India Private Limited
Sanjay Kumar GajarSanjay Kumar Gajar
Executive Medical Coder at Episource India Private Limited- An Optum BusinessExecutive Medical Coder at Episource India Private Limited- An Optum Business