Eber Alfaro
@eberalfaro
Dedicated healthcare customer service SME with expertise in US insurance operations.
What I'm looking for
I am a dedicated Subject Matter Expert and customer service professional with deep experience supporting US-based healthcare insurance operations, focused on compliance, accuracy and empathetic member support.
At ResultsCX I served as a Customer Service Agent for Humana and later as an SME, resolving complex claims, verifying benefits, managing authorizations and explaining billing outcomes while adhering to HIPAA and company policies.
I mentored new hires, upskilled trainees, and acted as the primary contact for escalated issues; I also supported a site launch in Cebu, Philippines, applying leadership, coaching and quality monitoring practices to ensure consistent standards.
I seek a stable opportunity that allows me to continue studying while leveraging my background in medical organization, continuous improvement and teamwork to meet metrics and improve results.
Experience
Work history, roles, and key accomplishments
Subject Matter Expert
ResultsCX
Feb 2024 - Feb 2026 (2 years)
Mentored new hires and upskilled trainees on complex claims handling, escalations and compliance; served as primary contact for escalated issues and supported a new site launch in Cebu, Philippines.
Customer Service Agent
ResultsCX
Apr 2023 - Feb 2026 (2 years 10 months)
Handled high-volume member inquiries for Humana, resolving claims, benefits verification, authorizations and billing issues with 100% data accuracy while maintaining HIPAA compliance and meeting company metrics.
Education
Degrees, certifications, and relevant coursework
Universidad Nacional Autónoma de Honduras
Bachelor's degree, International Business
2020 -
Pursuing a Bachelor's degree in International Business at Universidad Nacional Autónoma de Honduras beginning in 2020.
Hillcrest School, Tegucigalpa
High School Diploma, Primary and Secondary Education
2015 - 2020
Completed primary and secondary education at Hillcrest School in Tegucigalpa from July 2015 to June 2020.
Availability
Location
Authorized to work in
Social media
Job categories
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