Claudia Duran
Manchester, NH
*******.*****@****.***
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.