The document provides a resume for Karla Janeth Amador listing her qualifications and professional experience including 18 years of customer service experience and being bilingual in Spanish. Her experience includes various administrative, customer service, and human resources roles for companies like Robert Half, Amerisource Bergens, Kaiser Permanente, and Alameda County Register of Voters, demonstrating skills in areas such as benefits coordination, case management, and training. She provides her contact information and education background at the end.

1. Karla Janeth Amador
376 Medford Ave Hayward Ca 94541
510-706-8057-Kamador376@yahoo.com
QUALIFICATIONS SUMMARY
• 18 years of excellent customer service relations, (High level customer service)
• Bilingual/Spanish-interpreter, Case Manager/Patient services coordinator.
• Experience with benefit investigations, reimbursement and scheduling.
• Enrollment services, claims processing, benefits & coverage.
• Excellent interpersonal skills, highly organized, self-motivated and hardworking achiever.
• Experience with Word, Excel, Power Point, Lotus Notes and Outlook.
• Proven success in multi-tasking and handle multiple projects simultaneously.
• Excellent administrative skills including, e-mail and in-person communication.
• Ability to operate multi- line phone system, photocopying, faxing, ups and fed ex.
PROFESSIONAL EXPERIENCE
12/09/15-03/14/16 Robert Half Half Moon Bay, Ca
Bilingual HR Coordinator
• Provide assistance as initial point of contact with employees and management to answer questions and
resolve concerns or issues such as, payroll/pay adjustment forms, benefits, HR policies. Assist with
registration to time clocks, tracking and entering PTO’s in to system, creation of badges and purchasing.
• Provide administrative support to human resources functions as needed including record keeping, file
maintenance and HRIS entry, tracking of LOA’s, change of status forms, FMLA packets and Benefit
posters.
• Support Safety team with day-to-day issues such as, claims, worker’s comp issues and reporting
Audits, tailgate trainings, safety inspections, work orders and safety posters
11/24/2014-06/05/2015 Amerisource Bergens/Las Group San Bruno, Ca
Bilingual Case Manager
• Case manager to patients with MPS IV and Morquio A syndrome. Provide support to physicians, CNE’s,
sales force and other case managers.
• Responsible for reimbursement process (Medicare, Medicaid). Identify and facilitate alternative coverage
options for patients who are under insured or uninsured.
• Conduct document process for testing, enrollment, pre infusion planning, transition to home infusion and
adherence.
• Responsible for benefit investigations process such as, deductibles ,out of pocket cost, verification of
CPT Codes, Admin Codes , Specialty drugs –Pharmacy benefits –Home infusions –Therapy and medical
equipment through privet insurance, medicaid or medicare.
• Process prior authorizations, referrals, coordination of transportation and reporting adverse events while
on treatment
• Schedule shipment with specialty pharmacy for meds and supplies. Assist with difficult cases such as
insurance coverage for undocumented patients to commercial insurance which resulted in cost saving
for business.
• Conduct special projects: Yearly benefit investigation projects, educational and special events. Travel
to meet patients and offer support.
09/27/2014-11/21/2014 Kaiser Permanente Oakland, Ca
Physician Recruitment Coordinator
• Coordinate hiring process for future KP Physicians and creation of profiles.
• Set and send application links to candidates and creation of agendas/interviews.
• Assist with all uploads of Curriculum Vitae, reference letters, applications, drug enforcement
administration, license and certifications.
• Process of cases for all Reimbursements interview process such as mileage, airfare, lodging, car rental
etc. Used Taleo system, Sapphire, Lotous Notes and internet.

2. 05/2014-07/2014 Kaiser Permanente Alameda, Ca
Benefits/HR Analyst
• Processing moderate to complex HR transactions related to employee changes.
• Provide High level service to all Kaiser Permanente employees and Retirees.
• Case creation and process of event to all removals on dependent benefits.
03/03/2014-05/22/14 Alameda County ROV Oakland, Ca
Bilingual Instructor-Team Persona
• Conduct Bilingual Trainings for Clerk, Inspector/Judge classes at the Register of Voters of Alameda
County. Conduct equipment training for warehouse employees.
• Responsible for Procedures and Document training and Disability Etiquette.
09/30/2013-01/04/14 Employee Benefit Specialist Pleasanton, Ca
Bilingual Benefits Specialist
• Assist with information to active/terminated employees, cobra members and retirees regarding their
employee benefits, open enrollment, medical benefits, claims, PA’s, Referrals, flex spending accounts,
cobra medical benefits and Retiree medical benefits, transits reimbursement, EAP, Dependent care.
• Open enrollment/on-line enrollment to PPO-HMO enrollment. Provide (High level Customer Service) to
Employee Benefit and Human Resources.
• Assist with Benefit selection for Medical/Vision/Dental coverage/Verifications/Life insurance, accidental-
death & dismemberment, short term disability/long term disability, spouse insurance, child insurance and
employee and family insurance.
• Provide information on flex spending accounts (FSA)/Prescription drug programs.
• Claims process for Flex spending reimbursement.
• Qualifying Event Process such as (child birth, marriage, spouse/child loss or gain of coverage, surcharge,
divorce, death, adoption and changes in other coverage)
• Cobra accounts, Service cobra members with information on cobra benefits, recording elections of
benefit coverage, assist with payment information/issues.
• Preparation of Cobra/Retiree enrollment packages. Retiree accounts, Service members with information
about medical coverage, payments/issues.
12/12/11-05/11/12 (THK)Toughness High Quality Livermore, Ca
Sales Administration Specialist
• Support all Area Sales Managers/Engineers with sales administration. Provide Information about THK
products to customers and distributors. Negotiate delivery with Japan. Create and process quotations
for customers.
• Enter order inquiries and process all files. Assist all Division Managers by updating individual Account
status. Process Payments and delivery freight changes.
04/07-10/08 L’bel Paris corp San Francisco, Ca
Bilingual Service Specialist/Area Sales Manager
• Responsible for operations /report generation of campaign sales in (Excel form) to be delivered via-
email to all area sales managers and sales executives.
• Provide high level service to beauty consultants and ASM’s with accurate process of orders/exchanges/
claims and returns.
• Educated/trained independent beauty consultants to expand their knowledge on L’bel Paris products.
Process payments phone.
• Assist BC’s with payments over the phone on past due accounts-track credit references and payment
history of new accounts. Process of Blocking and unblocking BC’s accounts.
• Prepare monthly statements/edit (letters-memos-payment arrangements.)
• Creation of Collection report 14 days late 21 and 31 days late 40 to 60
• Develop research data for collections system. Gather information on BC’s order history patterns of
claim, returns and exchanges for security/fraud.
Education
Regional Occupational Program - Business Ownership/Management – 06/1999
San Lorenzo High school - Diploma – 06/1999
Western Career College - Medical Assistant