Claudia Duran

Manchester, NH

603-***-****

acpc7g@r.postjobfree.com

SUMMARY

Accomplished, achievement-driven and results-oriented recent Honors Graduate. Bilingual with

fluency in Spanish and English, praised for applying strong personal management skills and

ability to learn quickly. Seeking opportunity to demonstrate potential to make a positive impact

in the Information Technology field.

EXPERIENCE

May 2012 – April 2015

Aetna Healthcare – Bedford, NH

Medicaid - Care Management Associate

• Responsible for initial review and triage of Care Team tasks.

• Screen patients using targeted intervention business rules and processes to identify necessary

medical services, make appropriate referrals to medical services staff, and coordinate required

services.

• Provide support services to team members by answering telephone calls, taking messages,

researching information, and assisting in solving problems.

• Protect the confidentiality of member information and adhere to company policies regarding

confidentiality.

• Familiarity with basic medical terminology and concepts used in care management.

November 2008 – October 2012

Commonwealth of Massachusetts Division of Employment and Training - Lawrence, MA

Interviewer III

• Interviewed claimants by telephone to obtain, record, and input data required to determine

initial and ongoing eligibility.

• Accurately explained and applied the laws, rules, policies and procedures by using different

computer programs.

• Quickly and effectively solved customer problems by actively listening to their needs and

finding the appropriate satisfactory solution.

EDUCATION

September 2010 – May 2014

Southern New Hampshire University – Manchester, NH

Bachelor - Computer Information Technology GPA 3.7

SKILLS

Listens attentively; thoroughly researches background information; develops strategies; thinks

critically to solve problems; coordinates and completes tasks; meets deadlines; multitasks;

trains/instructs; fast learner; cooperates and works well with others.

LANGUAGES

English/Spanish

SPECIAL PROJECTS

• Successfully completed projects by following the life cycle phases; planning, analysis, design

and implementation.

• Using MS Access created databases with given specifications to attain specific reports.

• Completed Problem Statement Matrix and Request for System Services to explain

problems/opportunities, the urgency of the problem, and the proposed solution.

• Utilized Languages/Tools such as C++, Java, and Software Packages such as MS Access, MS

Office, MS Outlook, MS Word and MS Visio to complete various assignments.

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