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Ayyalasomayajula Shiva Sai Manikanta Rohith

@ayyalasomayajulashiv

Business Analyst at Lodestone Solutions, specifying claims workflow SaaS features and maintaining under 5% defect escapes.

India
Message

At Lodestone Solutions Pvt. Ltd., I write specifications for claims workflow SaaS features, including AI and payment integrations, 837 claim files, the claim wizard, and FNOL. Mapping edge cases during payment integration helped avoid significant development rework.

I handle end-to-end QA across three active product modules, writing manual test cases in Zephyr and managing defects and release versions in Jira. My work has kept the defect escape rate under 5%, with zero critical production incidents across four consecutive releases.

At Carelon Global Solutions LLP, I designed SOPs for U.S. healthcare claims workflows and served as the business-side SPOC for requirement validation and UAT. I also processed complex claims as a Claims Associate and contributed to cross-functional process improvements.

Experience

Work history, roles, and key accomplishments

LL
Current

Business Analyst & Quality Analyst

Lodestone Solutions Pvt. Ltd.

May 2024 - Present (2 years 5 months)

Write specifications for new features on a claims workflow SaaS platform, including AI integration, payment integration, 837 claim files, the claim wizard, and FNOL. Own end-to-end QA for 3 active SaaS product modules, wrote 200+ manual test cases in Zephyr, and manage the defect lifecycle and release versions in Jira.

JU

MBA Candidate (Full-Time)

Jain (Deemed-to-be University)

Sep 2023 - Apr 2025 (1 year 7 months)

Completed full-time academic MBA coursework bridging the gap between roles.

CL

Senior Claims Associate

Carelon Global Solutions LLP

Oct 2022 - Sep 2023 (11 months)

Designed and implemented SOPs for 4 U.S. healthcare claims workflows, reducing onboarding time for new associates by 35%. Conducted monthly quality audits across a team of 15, identifying top recurring error types and driving coaching that improved team accuracy by 18%.

CL

Claims Associate

Carelon Global Solutions LLP

Nov 2020 - Oct 2022 (1 year 11 months)

Processed 100+ complex U.S. healthcare claims daily with 98%+ accuracy and consistent SLA adherence across all billing categories. Acted as SPOC for escalations and inter-team audits, resolving 95% of cases without supervisor escalation.

Education

Degrees, certifications, and relevant coursework

Jain (Deemed-to-be University) logoJU

Jain (Deemed-to-be University)

MBA, Finance

2023 - 2025

Grade: CGPA 9.11/10

Completed full-time academic MBA coursework bridging the gap between roles.

MU

Mahbub Degree College, Osmania University

Bachelor of Commerce, Commerce

2017 - 2020

Grade: CGPA 8.79/10

Bachelor of Commerce degree from Mahbub Degree College, Osmania University.

UpGrad logoUP

UpGrad

Generative AI Foundation, Generative AI

Completed the Generative AI Foundation certification in collaboration with Microsoft.

LE

Learntube.ai

Introduction to SQL, SQL

Completed the Introduction to SQL course.

PMI logoPM

PMI

Fundamentals of Predictive Project Management, Project Management

Completed the Fundamentals of Predictive Project Management certification by PMI.

PMI logoPM

PMI

Fundamentals of Agile Project Management, Project Management

Completed the Fundamentals of Agile Project Management certification by PMI.

McKinsey & Company logoMC

McKinsey & Company

McKinsey Forward Program, Agile Leadership & Digital Problem Solving

Completed the McKinsey Forward Program focusing on Agile Leadership and Digital Problem Solving.

IBM logoIB

IBM

Project Management Fundamentals, Project Management

Completed the Project Management Fundamentals certification by IBM.

Tech stack

Software and tools used professionally

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