Summary
Overview
Work History
Education
Skills
Languages
References
Timeline
Generic

Karla Tavarez

South Florida

Summary

Dynamic professional with extensive experience at United Healthcare, excelling in document management and compliance. Proven ability to enhance data integrity while delivering exceptional client-focused communication. Bilingual in English and Spanish, I thrive in high-pressure environments, ensuring accurate records and seamless coordination across teams to support organizational goals.

Overview

17
17
years of professional experience

Work History

Senior Enrollment & Eligibility Representative

United Healthcare
04.2021 - 01.2025
  • Processed complex enrollment and eligibility documentation with strict attention to detail and compliance.
  • Maintained accurate member records, resolving discrepancies and reconciling transactional data.
  • Coordinated with internal teams to support document updates and changes related to member plans.
  • Served as a technical resource, offering guidance on contract amendments and system updates.
  • Prioritized tasks to meet tight deadlines while ensuring data integrity and confidentiality.

Out of Area Specialist

United Healthcare
05.2018 - 04.2021
  • Managed member document updates and address verification, ensuring compliance with USPS and CMS standards.
  • Maintained accurate digital records in secure systems, supporting service area transitions and cancellations.
  • Collaborated with departments to verify documentation and streamline communication with members.

Provider Education Specialist

United Healthcare
06.2008 - 05.2018
  • Delivered orientation and support to new providers, focusing on accurate documentation and compliance.
  • Responded to provider inquiries about documentation requirements, benefits, and eligibility.
  • Ensured complete and organized records within internal systems.

Customer Service Representative

United Healthcare
10.2007 - 06.2008
  • Responded to inquiries and ensured customer satisfaction.
  • Promoted additional products/services and resolved issues efficiently.
  • Collaborated with cross-functional teams to deliver effective solutions.

Education

Associate of Science - Biology

Broward Community College
Coconut Creek, FL

Skills

  • Document Management & Compliance
  • Secure Data Entry & File Organization
  • Administrative and operational support
  • Client-Focused Communication
  • Eligibility & Records Reconciliation
  • Proficiency in Microsoft Office (Word, Excel, PowerPoint)
  • Multitasking in High-Volume Environments
  • Bilingual: English & Spanish
  • Operating systems: Windows, macOS
  • Software: Microsoft Word, Excel, PowerPoint
  • Versatile and Adaptable
  • Self-Motivated and Reliable
  • Excellent Organizational and Multitasking Skills
  • Fast Learner in High-Pressure Environments

Languages

English (Fluent), Spanish (Fluent)

References

Available upon request

Timeline

Senior Enrollment & Eligibility Representative

United Healthcare
04.2021 - 01.2025

Out of Area Specialist

United Healthcare
05.2018 - 04.2021

Provider Education Specialist

United Healthcare
06.2008 - 05.2018

Customer Service Representative

United Healthcare
10.2007 - 06.2008

Associate of Science - Biology

Broward Community College

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