Divya Varadharaj
Bangalore
Summary
Dynamic Senior Configuration Analyst with EMIDS Technologies, skilled in system configuration and claims processing. Proven track record in enhancing team performance through effective training and leadership. Successfully managed defect resolution and quality assurance, ensuring compliance and optimizing healthcare product configurations. Adept at fostering collaboration and driving process improvements in high-pressure environments.
Overview
15
15
years of professional experience
Work History
Senior Configuration Analyst
EMIDS Technologies
Bangalore
01.2018 - 11.2025
- Configured and tested healthcare products in UAT, TEST, Config, Pre- PROD, and PROD environments for insurers like IHCS Devoted, Avmed, Solis, BCBS SC, Care Plus, Simply Anthem, and Availity.
- Validated requirements with business teams before and after PROD migration to ensure accurate configuration and seamless transitions.
- Worked on HRP modules, including Value Lists, Riders, Components, Benefit Plans, and Templates, aligning configurations with benefit grid requirements via JIRA tickets.
- Created and managed Benefit Plan Components, Riders, Network Definitions, and Account Setup based on BRDs and Benefit Coverage Summaries for HMO, Small Group, and Individual Plans.
- Conducted unit testing (Test Suites) and System Integration Testing (SIT) for benefit plans and provider contracts.
- Defect management and test execution to ensure quality assurance in healthcare plan configuration.
- Experience in AWS, Airflow, JIRA, Postman, and Visual Studio Code for workflow automation and testing.
- Prepared weekly and monthly SLA reports and presented key updates in CSM decks.
- Managed data ingestion and validation across ABC, DQ, MDM, and FHIR environments to support healthcare claim processing.
- Audited and recovered overpaid claims to maintain compliance with Benefit Schedules, Provider Contracts, and state/federal regulations.
- Provided guidance and training to team members on configuration best practices and process improvements
Senior Analyst
HGS - Hinduja Global Solutions
01.2011 - 06.2017
- Claims Adjudication & Processing: Perform claim adjudication, including pre-adjudication and post-adjudication, ensuring accuracy and compliance with policies and contract terms.
- Quality & Productivity Reporting: Maintain and update productivity and quality reports, submitting timely updates to supervisors for performance tracking.
- Training & Mentorship: Assist in onboarding and training junior examiners, providing on-the-job guidance to enhance their efficiency and accuracy.
- Quality Assurance & Compliance: Ensure adherence to quality standards, identifying and implementing improvements for optimal claim processing.
- Team Development & Support: Provide necessary education, training, and guidance to team members, fostering a collaborative and high-performing work environment.
- Overpayment & Duplicate Payment Recovery: Detect and recover overpayments and duplicate payments per contract terms, ensuring cost efficiency and compliance.
- Process Adherence & Optimization: Process claims as per established guidelines, proactively identifying areas for efficiency improvements.
- Leadership & Guidance: Offer direction and support to the team, aligning their efforts with organizational goals and management directives.
Education
Master of Business Management - Finance
SIKKIM MANIPAL UNIVERSITY
Bangalore01.2014
Bachelor of Commerce - Commercial
BMCW COLLEGE, BANGALORE UNIVERSITY
Bangalore01.2011
Skills
- Teamwork and collaboration
- Time management
- Leadership skills
- Effective communication
- System configuration
- Claims processing
- Testing methodologies
- Training development
Languages
- Kannada
- Tamil
- Hindi
- English
- Kannada
- Tamil
- Hindi
Timeline
Senior Configuration Analyst
EMIDS Technologies
01.2018 - 11.2025
Senior Analyst
HGS - Hinduja Global Solutions
01.2011 - 06.2017
Master of Business Management - Finance
SIKKIM MANIPAL UNIVERSITY
Bachelor of Commerce - Commercial
BMCW COLLEGE, BANGALORE UNIVERSITY