Claudia Rodriguez
El Paso,Texas
Summary
Detail-oriented insurance and billing professional with 15+ years of insurance operations and claims experience, including commercial auto insurance management, ACA, and Medicaid enrollment, and payer communications. Proven ability to handle insurance documentation, eligibility verification, claims follow-up, and discrepancy resolution. Licensed Life & Health Insurance Agent, bilingual (English/Spanish), and experienced working with Medicare-adjacent insurance programs in fast-paced, compliance-driven environments.
Overview
16
16
years of professional experience
Work History
OWNER/General Manager
MR TRANSPORTATION
El Paso, Texas
03.2010 - Current
- Managed all commercial insurance operations, including annual renewals, coverage analysis, and submission of loss runs to insurance carriers.
- Served as primary liaison with insurance companies for accident and claims handling, including serious incidents and rollover claims.
- Coordinated claim reporting, documentation submission, investigation follow-up, and settlement review to ensure accurate and timely payouts.
- Reviewed repair estimates and carrier determinations to verify appropriate claim resolution.
- Maintained organized insurance records, correspondence, and compliance documentation.
- Communicated bilingually (English/Spanish) with insurers, drivers, vendors, and service providers regarding claims and coverag
ACA & MEDICAID INSURANCE AGENT
SELF
El Paso, Texas
07.2023 - 01.2026
- Assisted clients with ACA and Medicaid enrollment, plan selection, eligibility verification, and documentation requirements.
- Verified coverage, explained benefits, premiums, and cost-sharing to clients in clear, understandable terms.
- Worked directly with insurance carriers and state systems to resolve eligibility issues, application discrepancies, and coverage gaps.
- Maintained accurate records in compliance with regulatory and privacy standards.
- Provided bilingual (English/Spanish) customer support to diverse client populations.
Education
Bachelor of Science - Architecture
TEXA TECH UNIVERSITY
El Paso, TX12-2020
Skills
- Medicare, Medicaid & ACA Insurance Processes
- Insurance Billing & Claims Follow-Up
- Eligibility Verification & Policy Review
- Claims Documentation & Compliance
- Payer Communication & Issue Resolution
- Bilingual Customer Support (English/Spanish)
- Data Entry & Record Accuracy
- Microsoft Word, Excel, Outlook
- HIPAA-Sensitive Information Handling
Timeline
ACA & MEDICAID INSURANCE AGENT
SELF
07.2023 - 01.2026
OWNER/General Manager
MR TRANSPORTATION
03.2010 - Current
Bachelor of Science - Architecture
TEXA TECH UNIVERSITY