Open to opportunities

Alejandro Francisco Rodriguez Velazquez

@alejandrofranciscoro

Message

Bilingual customer service and medical insurance specialist with HR and claims analysis expertise.

Mexico

Message

What I'm looking for

I seek roles leveraging bilingual customer service, claims/insurance support, and HR experience in collaborative teams focused on process improvement and empathetic member care.

I am a bilingual professional with a degree in Psychology and proven experience in customer service, medical insurance support, claims analysis, account reconciliation, and human resources. I combine empathy and analytical thinking to resolve member inquiries, investigate claims, process refunds, and guide patients and customers through authorization and billing processes.

I have led HR operations, recruited and onboarded staff, and provided OPI/VRI medical interpreting (Spanish↔English). I hold certifications in fraud prevention, data privacy/cybersecurity, HIPAA-style training, and anti-money laundering, and I leverage strong communication and technical skills (CRM, Microsoft Excel, Word, PowerPoint) to improve processes and customer outcomes.

Experience

Work history, roles, and key accomplishments

Current

Member Advocate Representative

Current

Results CX

Oct 2023 - Present (1 year 11 months)

Assisted Medicare and Wellcare members with medical insurance inquiries, verified prescription authorizations, investigated coverage and authorization delays, and educated customers on policy terms to resolve billing issues.

Claims Investigation Authorization Customer Education CRM

Customer Service Agent

Telvista

Feb 2023 - Sep 2023 (7 months)

Handled customer inquiries for US and Canada markets regarding purchases, disputes, refunds and account adjustments, initiated account reconciliation, and processed refunds and deposits.

Account Reconciliation Claims Processing Microsoft Excel

Medical Interpreter

Datamark

Jun 2022 - Nov 2022 (5 months)

Provided OPI and VRI medical interpreting between Spanish and English, conducted call outs following physician instructions, and communicated medical appointment information to patients.

Medical Interpretation OPI VRI Medical Terminology Empathy Confidentiality

Human Resources Manager

Protectio

Oct 2021 - Mar 2022 (5 months)

Led HR for the San Luis Potosí division, recruited and onboarded staff, conducted interviews and evaluations, and managed HR operations and personnel processes.

Recruiting Onboarding Interviewing HR Operations Employee Relations Team Leadership

Accounts Receivable Support

Car Rental Division (CARSO Group)

Reviewed disputed charges, issued refunds or discounts, monitored deposit reimbursements and payout timelines, and explained detailed billing and tax charges to customers to resolve account issues.

Accounts Receivable Refund Issuance Deposit Tracking Customer Education Root Cause Analysis