Summary
Overview
Work History
Education
Certification
Insurancedomainknowledge
Functionaltechnicalskills
Healthcaredomainknowledge
Timeline

Mahalakshmi Palanisamy

CHENNAI

Summary

With more than 14 years of experience as a business analyst in the insurance and healthcare sectors, worked with some of the top US clients and have a broad knowledge of a variety of business areas, such as Payer and provider services in healthcare and commercial, personal insurance in Insurance industry. Possessing a wide range experience with application value management projects, analysis, business requirement documents (BRD), use cases, user stories, compliance, and regulatory requirements. led the team in the present project, taking the lead in analyzing information needs and functional requirements, collaborating with both internal and external clients to produce the Business Requirements Document and the Functional Requirements Document. Possessing expertise in both Agile and Waterfall approaches

Overview

15
15
years of professional experience
6
6
years of post-secondary education
7
7
Certifications

Work History

Consultant

Cognizant Technology Solutions
CHENNAI
7 2009 - Current
  • Worked as Senior Business Analyst in Insurance and Healthcare domain, with experience in Personal Insurance, Commercial Insurance, Excess & Surplus Business, and Medical Management
  • Played lead role in managing teams, analyzing information needs, and delivering functional requirements and business requirements documents
  • Experienced in Agile and Waterfall methodologies.
  • Improved client satisfaction by effectively managing multiple projects and consistently meeting deadlines

Product Owner

Emblem Health
CHENNAI
02.2021 - Current
  • Played pivotal role as Product Owner in Medical Management team
  • Conducted in-depth requirements gathering sessions with 30+ stakeholders and product owners, ensuring accurate user stories, which improved product quality by 10%.
  • Facilitated sprint planning meetings, retrospectives, and daily stand-ups, ensuring clear communication and alignment among team members; increased team productivity by 50% YoY.
  • Implemented iterative development practices that enabled prompt feedback loops and reduced defects by 55%.
  • Involved in multiple initiatives like consolidating vendors and delegates, preparing business clarification questions, resolving critical issues, creating business requirement documents, standardizing templates, supporting testing activities, and coordinating with team members.
  • Implemented Agile methodologies to increase team productivity and enhance overall project outcomes
  • Collaborated with cross-functional teams to develop high-quality products that met customer needs
  • Managed backlog prioritization, ensuring alignment with business goals and stakeholder expectations
  • Owned and prioritized product backlog
  • Analyzed customer feedback to identify areas for improvement

BRM & Benefit Coder (Rxclaim)

CVS Caremark
Scottsdale
04.2018 - 12.2020
  • Played pivotal role in Medicaid Benefits Coding team, involved in Medicaid implementation, resolving critical issues, creating business requirement documents, standardizing templates, supporting testing activities, coordinating with other teams, and creating reports and dashboards in SFDC. Implemented around 500 Medicaid plans in Automation which increases sale by 30%
  • Expedited project completion timelines with strong time management skills and adherence to deadlines

BRM & Benefit Coder (Rxclaim)

CVS Caremark
Scottsdale
04.2018 - 04.2019
  • Worked on CVS Pharmacy - Anthem integration project, involved in Medicaid Benefits Coding, resolving critical issues, creating business requirement documents, standardizing templates, supporting testing activities, coordinating with other teams, creating reports and dashboards in SFDC, and providing automation rules to RPA team. Created over 450 plans in Automation which increased sales by 50%
  • Delivered consistent results under pressure by prioritizing tasks effectively during periods of high workload or tight deadlines
  • Automated repetitive tasks to increase productivity using RPA

Technical Requirements Analyst

Nationwide Insurance
Scottsdale
05.2017 - 04.2018
  • Worked on MLS Underwriting Solutions - Excess and Surplus project, involved in Agile methodology, gathering requirements, designing and implementing Guidewire solutions, providing technical advisory, suggesting enhancements, analyzing functional requirements, creating backlogs, managing offshore resources, and coordinating with program level RA's and business teams.

Techno Functional Business Analyst

Hartford Insurance
Chennai
03.2015 - 05.2017
  • Worked on MBM - Personal Lines project, involved in engaging clients and stakeholders, documenting business strategy and requirements, managing priorities and conflicts, applying methodologies, determining rules and rates, ensuring timely communication, managing business redesign and software development projects, analyzing business process flows, developing training, consulting with development team, coordinating testing activities, and providing techno-functional expertise.

Mainframe & Documaker Developer

Travelers Insurance
CHENNAI
07.2009 - 09.2014
  • Worked on Claims Production Support team, involved in all facets of software development life cycle, handling claims correspondence application, working with Mainframe and Documaker tools, analyzing production issues, and providing technical and management support.

Education

Bachelor of Electrical and Electronics Engineering - Electrical Engineering

RVS College of Engineering, Dindigul
06.1999 - 05.2003

GPA: 8.3

Master’s in software engineering -

College of Engineering, Guindy, Anna University, Chennai
08.2006 - 05.2008

GPA: 8.2

Certification

Scaled Agile Inc, SAFe POPM, 2023

Insurancedomainknowledge

Project experience & exposure in Commercial lines of business viz., Commercial General Liability, Commercial Property, Small Business, Commercial Auto, Personal lines viz., Home & Auto business and Excess and Surplus Business.

Functionaltechnicalskills

Requirement’s definition, functional specifications, and gap analysis, Agile and Waterfall, Conversant in SQL and DB2, FACETS claims, Guidewire Policy Administration- Underwriting Solutions, Mainframe, JCL, COBOL, Rational Requirements Composer (RRC), Rational Team Concert (RTC), Ms-Word, Ms-Excel, Ms-Power point, Ms-Visio, Application Lifecycle management (ALM), Rxclaim, Ezquery EzTest, Benefit builder, SFDC, RPA UI Path, Documaker, Docucorp, Quality Centre, SAFe POPM, CSPO, CSM Certified, AHM250, AHM540 External Certified, Certifications –INS21 Property and liability insurance principles

Healthcaredomainknowledge

Project experience & exposure in PBM in Medicaid, Medicare and BCI line of Business. Hands on Experience in Rxclaim. Project Experience and Exposure in UM and CMDM in Medical Management.

Timeline

Product Owner - Emblem Health
02.2021 - Current
BRM & Benefit Coder (Rxclaim) - CVS Caremark
04.2018 - 04.2019
BRM & Benefit Coder (Rxclaim) - CVS Caremark
04.2018 - 12.2020
Technical Requirements Analyst - Nationwide Insurance
05.2017 - 04.2018
Techno Functional Business Analyst - Hartford Insurance
03.2015 - 05.2017
Mainframe & Documaker Developer - Travelers Insurance
07.2009 - 09.2014
College of Engineering, Guindy, Anna University - Master’s in software engineering,
08.2006 - 05.2008
RVS College of Engineering - Bachelor of Electrical and Electronics Engineering, Electrical Engineering
06.1999 - 05.2003
Consultant - Cognizant Technology Solutions
7 2009 - Current

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Mahalakshmi Palanisamy