1. Vijay Sharma Contact No.: 9213277444 E-Mail: yours_vij81@yahoo.com
Professional Profile
A professional with about 9+ years (US Health and Welfare Domain) of extensive expertise in running successful process
management with experience of developing service standards and meeting service levels for business excellence.
Known for integrity and direct approach in dealing with process and and people issue. Ability to support and sustain a
positive work environment that fosters innovation beyond existing practices and mindsets.
Support like workflow management, manpower planning, new hire process training etc.
Mercer India Pvt. ltd., Gurgaon: (Since 2008 till date)
Mercer is provider of human capital and management consulting services. It operates 500 offices in 120 countries
providing consulting, outsourcing, and insurance brokerage services.
Major responsibilities as Process Champion/Business Analyst:
• Creating Test Plan as per requirement.
• Performed execution of test cases manually to verify expected results.
• Designed Test Plans and Test Cases for User Acceptance testing (UAT) with the help of QA teams.
• Clarified QA team issues and reviewed test plans and test scripts developed by development team and QA team
to make sure all requirements have been covered in scripts and tested properly.
• Responsible for the administration of all health and welfare benefits including medical, dental, disability, life
insurance, flexible spending accounts.
• Responding to escalated inquiries regarding benefit plans; investigating issues and providing resolution.
• Research and resolve membership enrollments concerns.
• Responsible for interpreting plan documents to assist colleagues in understanding and utilizing the benefits for
participants.
• Conducting internal process audit, continuously review, modify and adjust back-office administrative processes to
make sure benefit plans operate in compliance with policy and corporate standards.
• Creating Standard operating procedure (SOP) for new transition & Knowledge Tests (KT) for new hires.
• Monitoring the overall functioning of team, preparing RCA for error, identifying improvement areas and
implementing adequate measures to maximize client satisfaction level.
• Responsible for Automation for Carrier file testing process.
• As an MIS SPOC of the Team, responsible to prepare monthly dashboard & utilization reports.
• How to research and resolve New Hire Workflow, Dependent Verification Workflow, HR Data Edits, Vendor Files,
Payroll process etc.

2. • US Health and Welfare Domain knowledge :-HRIS Import, Communication(PEW -Personal Enrolment
Worksheet, Communication),Payroll, Vendor File( Vendor File, Cobra, Medicare and Direct Bill) and Premium
• Qualified Status Changes- Marriage, Birth, Death, Divorce
• New Hire- Enrolling New Hire into H&W coverage based on Benefits Group Matrix.Trigger out New Hire
Enrolment Worksheet and New Hire COE
• Dependent Verification-Verify if adequate documentation received for enrolling dependents into H&W coverage.
Enroll dropped dependents into H&W coverage if sufficient documentation received otherwise triggers out denial
notice.
Project Initiated
• Standard Template created for working Vendor Files process with all H&B Client.
• Created Standard Template for preparing Reporting work.
• I have initiated SQL for fetching test case which we move for cloning as per our data where we can make
changes in Test Database
• Created Macro and SQL which has removed manual review for Cobra file shared with all H&B Client.
• I have automated the Carrier File Testing process during Open Enrolment.
Carrier File Testing during Open Enrollment:-
Manual testing for H&B Domain where we checked benefit is passing correctly for new/ongoing plan during open
enrolment period.
• Creating Test plan as per test requirement document.
• Populate test scenario by writing SQL as per our requirement document.
• Execute Test plan with output files to make sure fields are assign correctly as per our requirement using
SQL.
• Executing the testing to make sure all scenarios have passed as per our requirement using database and
output files.
• Acceptance Testing mode is being used.
• I had automated the carrier File Testing project where we were creating Test Plan manually and using
multiple SQL for testing. I have created Standard Template for Test Plan creation and customized the SQL
where multiple SQL used to one SQL.
• By Automating the Carrier File Testing I have saved 1658 hours annually which has saved time and
enhanced accuracy/quality.
• Created 834 Template for reviewing the file while executing. It will highlight the error in file.
Noteworthy Milestones
• Highest approved Pragati’s (Process Improvement Idea in the entire organization 85+) leading to 4000 hrs.
• Carrier File Testing Automation (450 test plan creation automated leading save in about 1658 hrs and 100%
accuracy)
• Created Macro and SQL which has removed manual review for Cobra file shared for 78 H&B Client.
 Rewards and Recognition:
• Green Belt Rapid Certified (Participation)
• Yellow Belt Certified

3. • Team of the Quarter
• Sleep Tight Award
• Green Star
• Star of the month
• Received Runners up for Quality Idea in the organisation Q1,14
Extra Initiatives:
• Member of Altius Trainers Team
• Technical Pragati Spoc for US H&B
• Query Resolution Program Trainer
• Process Trainer.
Competent Aon Hewitt, Gurgaon (Sep 2005 – Sep 2007) -Benefit Administrator (Team Developer)
Aon Hewitt (formerly known as Hewitt Associates) is an American provider of human capital and management consulting
services. It operates 500 offices in 120 countries providing consulting, outsourcing, and insurance brokerage services.
• Joined as Team Member September ‘05 promoted as BA TD in December 06.
Major responsibilities handled:
• Responsible for all process SLA's adherence for my client from offshore.
• Handling exception client escalated issues analyzing plan provision and finding reason behind errors to resolve
them for future reoccurrence.
• Creating Standard operating procedure (SOP) for processing associate.
• Preparation of Process Knowledge Test.
• Quality Auditing of processing associate work. Reporting responsibility for ISSUE data base for entire US H&B
lob.
Academic Credential
• BCA from MCRPV ’Bhopal in 2004.
• 12th from C.B.S.E. Board in 2001.
• 10th from C.B.S.E. Board in 1997.
Certifications
• Yellow Belt Certificate
• Green Belt Participation Certificate
Application Tools and Working knowledge

4. • Basic SQL, Excel, Visio, TBA, Siebel, Benefit Workstation, Infomaker
SKILLS:
• US Healthcare Domain
• Process Improvement and Management
• Business Operations
Personal Details:-
Date of Birth: 10th
March. 1981
Address: Narayan Niwas 1st Floor R-94 Gali No-3 Vikas Nagar Near Taxi Stand Uttam Nagar New
Delhi-59
Languages Known: English, Hindi & Assamese.
Passport: Indian having US B1/B2 Visa.