Open to opportunities

sofia delcid

@sofiadelcid

Customer Service Representative helping customers resolve healthcare billing, claims, and coverage issues with HIPAA compliance.

Honduras

Message

What I'm looking for

I’m looking for a fast-paced customer-focused role where I can resolve billing and coverage issues, support customers with clear communication, meet quality and performance metrics, and grow in healthcare support while maintaining strict compliance.

I’m a Customer Service Representative with experience supporting U.S. healthcare members in Individual and Family Plans, handling high-volume calls while resolving complex inquiries across billing, claims, eligibility, and benefits. I bring bilingual English and Spanish communication, strong problem-solving, and confidence in educating customers on deductibles, copayments, and provider coverage.

At UnitedHealthcare (UHC), I focused on meeting performance metrics and maintaining high customer satisfaction through active listening, conflict resolution, and careful handling of sensitive information in compliance with HIPAA. I’m also experienced in outbound customer outreach and sales support as a Sales & Customer Service Assistant, using digital tools and multiple systems to coordinate orders and deliver responsive service.

Experience

Work history, roles, and key accomplishments

Customer Service Representative

UnitedHealthcare

Jan 2025 - Jan 2026 (1 year)

Assisted U.S. Individual and Family Plan members with claims, billing, eligibility, and coverage inquiries, handling high-volume inbound calls while maintaining performance metrics. Ensured HIPAA compliance, resolved complex issues, and educated customers on deductibles and copayments in English and Spanish.

Customer Service Health Insurance Claims Billing Support Eligibility Verification Coverage HIPAA compliance Conflict Resolution

Sales & Customer Service Assistant

American Paint Franchise

Conducted outbound calls in English and Spanish to promote products and special offers, providing customer service and product information to prospects and existing clients. Coordinated with suppliers in English for order and product availability, supporting sales through customer relationship building and follow-up.

Outbound Calling Customer Service Product Promotion Client Coordination And Follow Up Supplier Coordination Lead Nurturing