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Eber Alejandro Alfaro Pineda

Tegucigalpa, Francisco Morazán Department, Honduras

Customer Service Specialist with 5+ years in healthcare and client support

  • Handled complex healthcare inquiries, ensuring compliance with HIPAA and accuracy in resolving member issues.
  • Mentored new hires and trained trainees in claims handling, compliance, and customer service best practices.
  • Participated in international deployment to the Philippines, establishing a new site aligned with US healthcare standards.
Customer Service
Expert
Provided high-quality support handling healthcare plan inquiries, claims concerns, and patient access management.
Leadership
Advanced
Mentored new team members and supervised quality monitoring, enhancing team effectiveness and operational standards.
Communication
Expert
Effectively communicated complex information with clarity to members, healthcare providers, and team members.
Technical Tools & Navigation
Advanced
Utilized various system tools to manage high-volume scheduling, claims, and enrollment discrepancies efficiently.
Compliance & Quality Standards
Advanced
Ensured adherence to healthcare regulations including HIPAA during all operations, both locally and internationally.

Languages

English
Spanish
See Full Skillset on CazVid
Apr 2023 - Feb 2026
Customer Service Agent
Results-CX
Assist members with general inquiries about their healthcare plans, Ensure every interaction is handled with accuracy, empathy, and compliance based on company policies such as HIPAA, Assist members with claims concerns, verifying benefits with accuracy and efficiency, Explain denials, billing...
Feb 2024 - Feb 2026
Subject Matter Expert
Results-CX
Mentor new hires and upskill trainees on sharing best practices for handling complex claims and compliance processes, Act as the primary point of contact for escalated customer issues requiring expert resolution, Perform on 2 deployments to Philippines during October 2024 until July 2025 for...
View Complete Work History
🎓
Hillcrest School
Bachelor of Science and Humanities
Completed Jun 2020
🎓
Universidad Nacional Autonoma de Honduras (UNAH)
Bachelor ́s degree in International Business
Completed Present
See Education & Certifications
✨

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