Aundrina Gulihur
Santee,CA
Summary
Dynamic insurance professional with extensive experience at GEICO, excelling in claims handling and risk assessment. Proven ability to enhance customer satisfaction through empathy and effective communication. Skilled in negotiating fair settlements and managing complex claims, consistently delivering results in high-pressure environments. Committed to maintaining confidentiality and upholding industry standards.
Overview
6
6
years of professional experience
Work History
Lit/Com Examiner
GEICO
07.2022 - Current
- Verified insurance claims and determined fair amount for settlement.
- Managed catastrophic loss events effectively by coordinating rapid response efforts and providing support to impacted policyholders.
- Collaborated with legal team members to strategize defense plans and prepare for potential litigation proceedings.
Telephone Claims Representative II
GEICO
08.2021 - 07.2022
- Enhanced customer satisfaction by promptly and accurately addressing insurance claims over the phone.
- Maintained high-quality standards in claim handling by adhering to company policies and industry regulations.
- Negotiated fair settlements for both parties involved in the claim while keeping the company''s financial interests aligned.
- Upheld strict confidentiality standards when discussing sensitive information related to policyholder''s personal details or claim specifics.
PIP/Medpay Examiner
GEICO
10.2020 - 07.2021
- Conducted thorough investigations of medical claims to ensure proper payment or denial.
- Managed large volume of medical claims on daily basis.
- Properly reviewed and handled Medpay demands on attorney represented cases.
- Reviewed the policy contract(s) accordingly for out of state policies to determine proper first party medical eligibility and handling.
Telephone Claims Representative I
GEICO
02.2020 - 09.2020
- Maintained accurate records of all claims and consistently updated the database with relevant information, ensuring easy access for future reference.
- Adapted quickly to changing company policies, procedures, or technology updates—ensuring seamless service delivery at all times.
- Enhanced customer satisfaction by promptly and accurately addressing insurance claims over the phone.
CSR
GEICO
06.2019 - 02.2020
- Managed high call volumes, maintaining a professional demeanor during peak hours and effectively multitasking in a fast-paced environment.
- Demonstrated empathy and active listening skills, resulting in a higher rate of customer satisfaction and repeat business.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Answered constant flow of customer calls with minimal wait times.
Education
Business
Grossmont College
El Cajon, CASkills
- Empathy and sensitivity
- Claims handling
- Claims reports and documentation
- Presentation skills
- Risk assessment skills
Timeline
Lit/Com Examiner
GEICO
07.2022 - Current
Telephone Claims Representative II
GEICO
08.2021 - 07.2022
PIP/Medpay Examiner
GEICO
10.2020 - 07.2021
Telephone Claims Representative I
GEICO
02.2020 - 09.2020
CSR
GEICO
06.2019 - 02.2020
Business
Grossmont College
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