Dr Nikhilanand
Business Analyst
Bangalore,KA
Summary
Analytical and impact-driven Business Analyst with over 7 years of experience in Health Insurance, Life Insurance, and Healthcare IT. Expertise in claims adjudication systems, policy administration systems (PAS), regulatory compliance, and automation for global insurance clients enhances the ability to deliver strategic solutions. Proficient in requirement gathering, process optimization, user acceptance testing (UAT), and stakeholder management within Agile environments. Holds an MBA in Healthcare Management, a medical background (BAMS), and certifications from the Insurance Institute of India, effectively bridging the gap between business, technology, and healthcare.
Overview
7
7
years of professional experience
7
7
Certifications
4
4
Languages
Work History
Business Analyst – Health Insurance (ClaimsLive System)
iNube Software Solutions Pvt Ltd.
05.2023 - Current
- Led end-to-end business analysis for the health insurance claims processing system.
- Developed and delivered BRD, FRS, ensuring alignment with regulatory and compliance standards.
- Facilitated workshops with underwriters, TPAs, policy administrators, and end users to capture requirements and user pain points.
- Identified and corrected critical flaws in the Sum Insured and Balance Sum Insured logic, improving compliance and payout accuracy.
- Enhanced claims turnaround time and reduced operational risk through impact assessments and process maps.
- Ensured requirement traceability through test cases and UAT, validating scenarios for premium calculations, eligibility checks, and benefit payouts.
- Mentored junior analysts on claims automation and BA best practices.
- Client: Royal Sundaram / HITPA (Health Insurance TPA).
- Key Achievements:
- Improved claims processing accuracy by resolving benefit calculation gaps.
- Reduced turnaround time for high-priority claims by streamlining workflows.
Senior Business Analyst – Policy Admin & Claims (Wynsure System, Production Support)
Mphasis India Pvt. Ltd.
05.2022 - 04.2023
- Supported U.S.-based health and life insurance clients in policy administration and claims operations.
- Conducted root cause analysis and impact assessments, reducing downtime by 20%.
- Designed and executed UAT strategies, lowering post-deployment defects by 30%.
- Ensured compliance with audit and risk standards, maintaining the enterprise risk log.
- Contributed to Agile sprints, providing business inputs for continuous system enhancements.
- Key Achievements:
- Achieved a 98% on-time resolution rate for client tickets.
- Strengthened compliance reporting for regulatory audits.
Business Analyst – Policy Admin System (Wynsure, Configuration & Maintenance)
Mphasis India Pvt. Ltd.
05.2018 - 04.2022
- Configured and maintained the policy administration system for U.S. healthcare and insurance clients.
- Spearheaded automation initiatives, saving significant manual processing time.
- Conducted gap analysis and root cause analysis, reducing recurring issues by 25%.
- Developed test cases and validation frameworks, improving system reliability by 30%.
- Ensured 100% regulatory compliance during validation and rollout.
Education
MBA - Hospital & Healthcare Management
Symbiosis Institute of Health Sciences
Pune, India04-2018
Post-Graduate Certificate - Medico Legal Management
Symbiosis International Deemed University
Pune, India 04.2001 -
Bachelor of Ayurvedic Medicine & Surgery (BAMS) - Ayurvedic Medicine
AVS Ayurveda Maha Vidyalaya
Bijapur, India 04.2001 -
Skills
Requirements documentation
Gap analysis
Claims processing and policy management
Proficient in eligibility assessment and network analysis
Problem-solving
Requirements gathering
Analytical thinking
Project management
Risk management and compliance analysis
Efficiency improvement and compliance preparation
JIRA project management
Stakeholder relationship management
Certification
CBAP Professional Development (in progress) – TechCanvass (2025)
Awards & Recognitions
Mettle of Honor – Mphasis Wyde (2020), Monthly Summit Award – Mphasis Wyde (2020 & 2021), Star Alumni – Symbiosis Institute of Health Sciences (2019)
Timeline
Business Analyst – Health Insurance (ClaimsLive System)
iNube Software Solutions Pvt Ltd.
05.2023 - Current
Senior Business Analyst – Policy Admin & Claims (Wynsure System, Production Support)
Mphasis India Pvt. Ltd.
05.2022 - 04.2023
Business Analyst – Policy Admin System (Wynsure, Configuration & Maintenance)
Mphasis India Pvt. Ltd.
05.2018 - 04.2022
Post-Graduate Certificate - Medico Legal Management
Symbiosis International Deemed University
04.2001 -
Bachelor of Ayurvedic Medicine & Surgery (BAMS) - Ayurvedic Medicine
AVS Ayurveda Maha Vidyalaya
04.2001 -
MBA - Hospital & Healthcare Management
Symbiosis Institute of Health Sciences