TIFFANY PADILLA
ORLANDO
Summary
Health Insurance Representative with over a decade of expertise in customer service and claims processing, specializing in healthcare regulations and HIPAA compliance. Demonstrates strong skills in data entry and documentation, effectively contributing to team success in remote work settings. Committed to enhancing customer experience through precise communication and a keen attention to detail.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Insurance Assistant
Liberty Mutual
Orlando, FL
07.2025 - Current
- Assisted in processing insurance claims, ensuring accuracy and adherence to company policies.
- Coordinated communication between clients and underwriters to facilitate policy endorsements and renewals.
- Managed documentation workflow, optimizing records retrieval for efficient claims handling.
- Trained new staff on software systems and operational procedures to enhance team performance.
CSR (Health Insurance Rep), Sales Rep., Claims Rep. (Remote/WFH)
United Healthcare/Optum
07.2023 - 07.2025
- Licensed representative assisting future and current members with their health insurance and prescription drug insurance
- Follow and comply with HIPPA, healthcare regulations and state and confidentiality laws
- Answer inbound calls and emails in a timely manner with patience to provide information on supplemental insurance benefit details, claims, and payments
- Document member and provider information into the system and transfer to correct departments in the company when necessary
- Maintain constant communication with managers, supervisors and colleagues via email, team chats and company zoom meetings
- Maintain a quiet, distraction-free home office area with appropriate internet speed and wired connection
- Meet and exceed company metrics for sales, sentiment and NPS scores to ensure the best experience are given to the members and provider at company standards
Chat Representative (Remote/WFH)
Reynolds & Reynolds/Gubagoo
03.2022 - 07.2023
- Engage in 4-5 live online chats with customers to assist and collect leads for automotive dealerships
- Accurately input guest information in a timely manner and provide a positive customer experience
- Maintain proficient communication and any concerns with supervisors
Chiropractic/Physical Therapist Assistant
COR Medical Center
01.2021 - 01.2022
- Assist doctor in physical therapy and chiropractic relief services for car accident patients
- Record new and current patient information and follow up with patients’ insurance carrier
- Maintain a clean and sanitized workspace for patients and fellow colleagues
- Ensure patient privacy and confidentiality/HIPPA
Stocker
Amazon Fulfillment Center
06.2019 - 07.2021
Floor Associate/Cashier
ABC Fine Wine & Spirits
01.2019 - 01.2019
Cashier/Registry Associate
Buy Buy Baby
01.2017 - 01.2019
Women’s Lead
Old Navy
01.2015 - 01.2017
Education
Associate in Arts - Computer Engineering
Seminole State College
01-2027
Diploma - undefined
Colonial High School
01-2014
Skills
- Customer Service
- HIPAA
- Healthcare
- Sales
- Claims Processing
- Documentation
- Remote Work
- Communication
- Data Entry
Certification
- License
- State of Florida Department of Insurance and Financial Services
- Accident and Health
COURSES
- Medical Terminology and Anatomy
- AAPC
- 2024
Timeline
Insurance Assistant
Liberty Mutual
07.2025 - Current
CSR (Health Insurance Rep), Sales Rep., Claims Rep. (Remote/WFH)
United Healthcare/Optum
07.2023 - 07.2025
Chat Representative (Remote/WFH)
Reynolds & Reynolds/Gubagoo
03.2022 - 07.2023
Chiropractic/Physical Therapist Assistant
COR Medical Center
01.2021 - 01.2022
Stocker
Amazon Fulfillment Center
06.2019 - 07.2021
Floor Associate/Cashier
ABC Fine Wine & Spirits
01.2019 - 01.2019
Cashier/Registry Associate
Buy Buy Baby
01.2017 - 01.2019
Women’s Lead
Old Navy
01.2015 - 01.2017
Diploma - undefined
Colonial High School
Associate in Arts - Computer Engineering
Seminole State College