Karan Sood Email & Phone Number

Chapel Hill, Nc, Us

Newark, New Jersey, Us

New York, Ny, Us

Led a team of vendor , matrixed and directed resources, overseeing solution architecture, system design, and testing practices for a range of insurance products. Directed a multi-year / multi million dollar transformational program focusing on development of an end-to-end commercial off-the-shelf insurance administration platform.Integrated interactive voice response (IVR) and call center solutions to provide seamless customer service across legacy and new platforms. Drove agile transformation within group benefits organization, establishing robust quality assurance practices. Supervised business user acceptance testing (UAT) / QA functions for entire E2E customer journey, new quote generation, claim and administration capabilities, for monthly Agile development releases.Established feature vs. story testing practices, including team, feature, and epic level QA execution reporting KPI's and processes for group benefits organization.Key Deliverables;• Spearheaded integration of fine grained microservices, enabling a seamless customer service experience across platforms.• Reduced manual claim management processes by 20% through the implementation of automated workflow solutions.• Achieved an 80% reduction in platform regression testing effort by implementing test automation.• Boosted processing efficiency by improving underwriting practices through automated workflows; improved digital experience for brokers, employers, and employees by innovating business intake through billing and payment management processes.• Enhanced online digital experience by streamlining new business intake/payment management and improving customer interactions.• Reduced processing time by 25% by transforming underwriting practices, leveraging automation.

New York, Ny, Us

Managed significant application development and infrastructure chargeback IT portfolio for multiple group benefit products. Direct people management responsibility for team of developers, project leads, system analysts and vendor on and offshore resources. • IT Program delivery lead for government, , TRICARE, Affordable Health Care Act, etc., and new customer contracts. • Participate in routine client interface touchpoints with government and private sector clients. • Achieved 15% reduction in yearly non-discretionary expense via adoption of new technologies and tech debt elimination.• Formulated, with Business Product Heads, a 3-5-year product modernization and new capability provisioning roadmap.• Created workforce allocation and work sizing estimation leading to estimates coming in within 5% of actual expense.• Deployed new absence management capability by integrating COTS product into the core disability administrative system

New York, Ny, Us

Directed cross-functional teams, including core product, data science, business operations, and knowledge management, to deliver innovative solutions. Streamlined real-time claims adjudication by leveraging an active scoring system.Led development/execution of a dental provider quality review process, integrating data analytics to enhance claim payout accuracy and reduce operational expenses.Key Deliverables;• Contributed to operational efficiency think tank by identifying and steering process efficiency improvements.• Ensured seamless product delivery and management by serving as a bridge between technical and operational teams.• Enhanced real-time risk scoring system for 350K practicing/contracted dentists, improving accuracy/efficiency of claims processing.• Reduced overpayments/fraudulent payments by 30% by developing provider payment practices risk assessment analytics model.• Yielded significant staffing and process efficiencies by implementing strategic changes to claims adjudication.• Agile Scrum Product Owner responsible for interfacing with multiple business product and IT teams • Solution Design Lead responsible for defining data structures that can accommodate current and future data analytics provided outputs as well as UX/UI design that provides a single point of entry and 360ο view of analytics driven insights for practicing/contracted dentists• Operational Efficiency Team Member responsible for analyzing current operational processes to determine and propose revised operational processes and solutions

Ms, Computer Science

Bachelor'S Degree, Computer Science