Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
Employe of the month for August 2024
Generic

Nikolas Etling

Peralta

Summary

Dynamic and adaptable professional with a strong background in classroom management and special education at Los Lunas Public Schools. Proven ability to enhance student engagement through creative lesson planning and positive reinforcement. Skilled in documentation review and compliance, fostering strong relationships with students and parents to support diverse learning needs. As a Recent graduate with foundational knowledge in History and hands-on experience gained through academic work. Demonstrates strong teamwork, problem-solving, and time-management skills. Prepared to start career and make meaningful contributions with commitment and drive.

Overview

16
16
years of professional experience
1
1
Certification

Work History

Contract Substitute Teacher

Los Lunas Public
02.2022 - Current
  • Assisted classroom management by implementing lesson plans and maintaining student engagement.
  • Adapted instructional materials to meet diverse learning styles and needs of students.
  • Supported teachers by preparing educational resources and organizing classroom activities.
  • Encouraged positive behavior among students through effective communication and reinforcement techniques.
  • Monitored student progress and provided feedback to enhance learning outcomes.
  • Collaborated with staff to create a safe and inclusive learning environment for all students.
  • Engaged in professional development opportunities to improve teaching strategies and classroom effectiveness.
  • Implemented technology tools to facilitate interactive learning experiences for students.
  • Followed classroom plans left by class teacher to continue student education and reinforce core concepts.
  • Upheld classroom routines to support student environments and maintain consistent schedules.
  • Developed strong rapport with students through consistent encouragement and support, fostering a positive learning atmosphere conducive to academic growth.
  • Kept students on-task with proactive behavior modification and positive reinforcement strategies.
  • Maintained day-to-day classroom management and discipline to promote learning initiatives.
  • Enhanced classroom management by implementing positive reinforcement strategies and maintaining clear expectations for behavior.
  • Supervised lunchroom and recess activities.
  • Boosted student engagement with interactive lessons, incorporating real-world examples and hands-on activities.
  • Promoted a collaborative learning environment through group projects and peer-to-peer activities, fostering teamwork and communication skills.
  • Provided support to special education students in inclusive classrooms, developing accommodations and modifications to meet their unique needs.
  • Maintained accurate records of student attendance, grades, and progress reports, ensuring timely submission to administration for reporting purposes.
  • Engaged parents and guardians in their children's learning process through regular communication and feedback.
  • Integrated technology into lesson plans, increasing student interest and participation in subjects.

Eligibility Representative

CIGNA HealthCare of AZ
01.2021 - 01.2022
  • Evaluated eligibility for various programs, ensuring compliance with regulations and guidelines.
  • Processed applications efficiently, maintaining high accuracy in data entry and documentation.
  • Assisted clients in understanding program requirements, providing clear guidance on next steps.
  • Coordinated with external agencies to verify applicant information and resolve discrepancies.
  • Reduced errors in eligibility determinations through meticulous attention to detail and rigorous quality control measures.
  • Collaborated with team members to maintain accurate records and provide seamless service for applicants.

Reimbursement Representative

HME Specialists, LLC
10.2020 - 11.2020
  • Reviewed and processed reimbursement claims for accuracy and compliance with regulatory standards.
  • Collaborated with healthcare providers to resolve billing discrepancies and enhance reimbursement timelines.
  • Utilized electronic medical record (EMR) systems to track and manage patient accounts effectively.
  • Conducted audits of reimbursement submissions to identify areas for process improvement and increased efficiency.
  • Analyzed reimbursement trends to provide insights that informed strategic decision-making for revenue cycle management.

Appeals Specialist

Blue Cross Blue Shield of IL, MT, NM, OK & TX -
10.2018 - 11.2019
  • Analyzed appeal cases to determine eligibility for benefits and compliance with regulations.
  • Reviewed and interpreted policy guidelines to ensure accurate processing of appeals.
  • Collaborated with cross-functional teams to resolve client issues effectively and efficiently.
  • Developed training materials for new staff on appeal procedures and documentation standards.
  • Identified trends in appeal outcomes to enhance future decision-making processes.
  • Provided expert guidance on complex case reviews, enhancing team knowledge and performance.
  • Led initiatives to improve customer service response times related to appeal inquiries and resolutions.
  • Collaborated with cross-functional teams to gather necessary documentation and evidence to support the appeals process.
  • Managed high-stress situations with professionalism, ensuring that appeals were handled promptly and accurately even under tight deadlines or heavy caseloads.
  • Achieved successful appeal outcomes by meticulously reviewing and analyzing claim denials, identifying errors, and presenting persuasive arguments.
  • Maintained high levels of accuracy in all written correspondence, ensuring clear communication with relevant stakeholders during the appeals process.
  • Demonstrated exceptional attention to detail when evaluating medical records in order to identify discrepancies or inconsistencies that could impact an appeal''s outcome positively or negatively.

Customer Advocate II

Blue Cross Blue Shield of IL, MT, NM, OK & TX
12.2014 - 10.2018
  • Led customer issue resolution initiatives, enhancing overall satisfaction and retention rates.
  • Mentored junior staff in product knowledge and customer service best practices.
  • Streamlined feedback collection processes to identify trends and improve service delivery.
  • Developed training materials for new hires, fostering consistent service standards across teams.
  • Implemented quality assurance protocols, ensuring compliance with company policies and procedures.
  • Analyzed customer feedback data to drive strategic improvements in product offerings.
  • Collaborated with cross-functional teams to resolve complex customer inquiries efficiently.
  • Advocated for customer needs during product development meetings, influencing key decisions and enhancements.
  • Handled difficult customer situations with grace and professionalism, consistently meeting first-call resolution metrics.
  • Provided exceptional customer service to high-volume customer base, resolving issues, answering inquiries and providing product information.
  • Listened to customers in actively to assess issues and provide accurate information.
  • Developed and maintained strong customer relationships by promptly addressing and resolving customer concerns.
  • Conducted thorough research to provide accurate information and resolve complex issues for customers.
  • Developed strong relationships with clients, promoting trust and loyalty through excellent service.
  • Generated higher customer loyalty by consistently meeting or exceeding service-level agreements and performance metrics.

Special Education Assistant

Los Lunas Public Schools
01.2014 - 05.2014
  • Supported individualized education plans (IEPs) to enhance student learning and development.
  • Collaborated with teachers to adapt classroom materials for diverse learning needs.
  • Implemented behavior management strategies to promote positive student interactions.
  • Assisted in monitoring student progress and documenting behavioral observations.
  • Developed resources that addressed sensory integration for students with special needs.
  • Managed crisis situations calmly, maintaining safety protocols while supporting the emotional well-being of affected students during challenging moments within the school day.

Retail Skills Trainer

ADELANTE DEVELOPMENT CENTER
07.2012 - 05.2013
  • Developed training programs to enhance employee skill sets and operational efficiency.
  • Facilitated workshops to promote team engagement and continuous learning among staff.
  • Assessed training needs through performance evaluations and feedback sessions.
  • Implemented new training methodologies to improve retention of critical skills.
  • Led cross-functional teams in developing comprehensive onboarding processes for new hires.
  • Collaborated with fellow trainers to share best practices and improve overall training quality in the organization.
  • Conducted regular evaluations of current training resources for relevance and effectiveness, refining materials as necessary.
  • Achieved higher trainee retention rates by incorporating engaging activities and real-world examples into training sessions.
  • Enhanced training effectiveness by customizing lesson plans to cater to diverse learning styles.
  • Conducted pre-and post-assessments to evaluate trainee progress and identify areas for improvement in future sessions.
  • Provided ongoing support and mentorship to former trainees, fostering long-term professional growth within the organization.

Plumbers Helper

A LOGICAL CHOICE PLUMBING
05.2009 - 06.2012
  • Assisted in installation and repair of plumbing systems, ensuring compliance with local codes.
  • Supported lead plumber in diagnosing plumbing issues, demonstrating strong problem-solving skills.
  • Operated various hand and power tools safely and efficiently for plumbing tasks.
  • Maintained accurate records of work completed, contributing to overall project organization.
  • Implemented preventative measures to reduce future plumbing issues, promoting long-term efficiency.
  • Collaborated with team members to streamline workflows and improve service delivery times.
  • Contributed to a significant reduction in project completion time through efficient collaboration with team members and proper task delegation.

Education

No Degree - Education

University of New Mexico
Albuquerque, NM

Bachelor of Arts - History

Grand Canyon University
Phoenix, AZ
06-2025

Associate of Arts - Secondary Education

Central New Mexico Community College
Albuquerque, NM
05-2023

High School Diploma -

Los Lunas High School
Los Lunas, NM
05-2009

Skills

  • Classroom management
  • Adaptable
  • Relationship building and management
  • Student engagement
  • Documentation Review
  • Teaching - 3 years
  • Special Education
  • Plumbing
  • Customer Service
  • Developmental Disabilities Experience
  • Positive reinforcement
  • Creativity in teaching
  • Lesson plan implementation
  • Lesson planning

  • Parent-teacher communication
  • Disciplinary procedures
  • Discipline
  • IEP documentation
  • Compliance
  • Proficient in Microsoft office
  • Social studies instruction
  • Proctoring
  • Lecturing and teaching
  • Enforcing classroom rules
  • Documentation and reporting
  • Student progress reporting
  • Student needs assessments

Accomplishments

  • Completed extra training to further help students under care.
  • Enhanced student learning with Responsibility Centered Discipline
  • Won “Staff of the Month” award at Century High School in 2024.
  • Student Motivation - Developed materials for after-school club to motivate student and help earn additional credits
  • Took all offered shifts to maintain coverage for students
  • Managed Social Studies classroom for several semesters.
  • Conflict Resolution - Responsible for handling customer account inquiries, accurately providing information to ensure resolution of product/service complaints and customer satisfaction.
  • Telephone Service - Professionally processed 80+ calls per day, providing information and service to ensure customer satisfaction.
  • Customer Relations - Earned highest marks for customer satisfaction, company-wide.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.

Certification

  • Licensed Teacher via the NMPED - June 2025 till June 2027
  • Licensed Substitute - June 2024 till June 2026


Timeline

Contract Substitute Teacher

Los Lunas Public
02.2022 - Current

Eligibility Representative

CIGNA HealthCare of AZ
01.2021 - 01.2022

Reimbursement Representative

HME Specialists, LLC
10.2020 - 11.2020

Appeals Specialist

Blue Cross Blue Shield of IL, MT, NM, OK & TX -
10.2018 - 11.2019

Customer Advocate II

Blue Cross Blue Shield of IL, MT, NM, OK & TX
12.2014 - 10.2018

Special Education Assistant

Los Lunas Public Schools
01.2014 - 05.2014

Retail Skills Trainer

ADELANTE DEVELOPMENT CENTER
07.2012 - 05.2013

Plumbers Helper

A LOGICAL CHOICE PLUMBING
05.2009 - 06.2012

No Degree - Education

University of New Mexico

Bachelor of Arts - History

Grand Canyon University

Associate of Arts - Secondary Education

Central New Mexico Community College

High School Diploma -

Los Lunas High School

Employe of the month for August 2024

was awarded Staff of month for August 2024 at Century High School