Summary
Overview
Work History
Education
Skills
LANGUAGES
Accomplishments
Timeline
CustomerServiceRepresentative

Karla Ivonne Hernandez

Riverside,CA

Summary

Applied in-depth knowledge of Covered California to enhance understanding of coverage and benefits, while maintaining adherence to quality and productivity standards.

Overview

15
15
years of professional experience

Work History

Customer Service Representative

TTEC
09.2025 - 12.2026
  • Supported members with eligibility, enrollment, renewals, and plan changes.
  • Explained coverage, benefits, premiums, and cost-sharing.
  • Identified errors and coordinated corrections and resubmissions.
  • Maintained HIPAA compliance and productivity standards.

Customer Service Representative

AT&T
El Salvador
01.2017 - 06.2019
  • Handled 40+ calls daily providing professional customer service.
  • Accurately documented customer interactions and account updates.

Administrative Assistant

Congress of El Salvador
El Salvador
01.2016 - 06.2017
  • Managed documentation and performed accurate data entry.
  • Maintained organized administrative records.

Customer Service Representative

MetLife
El Salvador
04.2012 - 06.2016
  • Assisted customers with insurance inquiries and claims support.
  • Collaborated on claim issue resolution and workflow improvements.

Education

Bachelor of Business Administration - undefined

Scott Community College
Bettendorf, IA

Skills

Led initiatives to enhance claims support processes through effective research methodologies Oversaw the analysis of claims data to identify opportunities for improvement Collaborated with stakeholders to implement strategic solutions based on research insights

Oversaw claims adjustments and resubmissions to enhance operational efficiency Coordinated with cross-functional teams to address and rectify claims issues Implemented strategies to improve claims processing workflows

Oversaw customer service operations within healthcare and managed care sectors to enhance client experiences Developed strategies to address customer needs and improve service efficiency Trained staff on best practices for customer engagement and support

Oversaw the interpretation of coverage and benefits to enhance client satisfaction Guided team efforts in delivering accurate policy information Championed initiatives to improve communication of benefits to stakeholders

Oversaw data entry operations to enhance record accuracy and reliability Managed record maintenance initiatives to uphold data quality standards Coordinated with cross-functional teams to optimize data handling procedures

Implemented HIPAA compliance measures to safeguard sensitive health information and maintain regulatory standards

Oversaw project timelines and resource allocation to enhance operational efficiency Led initiatives to optimize task management and improve team productivity Championed strategies that fostered effective multitasking across departments

Oversaw implementation of Microsoft Office tools to enhance team productivity Guided staff in optimizing computer systems for improved workflow Championed best practices for digital file management across departments

LANGUAGES

Spanish: Native/Bilingual
English: Full Professional Proficiency

Accomplishments

  • Dean’s List – GPA 3.8/4.0

Timeline

Customer Service Representative

TTEC
09.2025 - 12.2026

Customer Service Representative

AT&T
01.2017 - 06.2019

Administrative Assistant

Congress of El Salvador
01.2016 - 06.2017

Customer Service Representative

MetLife
04.2012 - 06.2016

Bachelor of Business Administration - undefined

Scott Community College
Karla Ivonne Hernandez