Eduardo Calderon
Carrollton,TX
Summary
Bilingual customer service professional with strong expertise in claims management and policy support. Demonstrates exceptional problem resolution abilities, effectively addressing customer inquiries and maintaining in-depth knowledge of insurance products. Committed to delivering high-quality service while fostering positive relationships and ensuring customer satisfaction.
Overview
13
13
years of professional experience
4
4
years of post-secondary education
Work History
Licensed Bilingual Customer Service
Geico Insurance
08.2025 - Current
- Customer Interaction: Respond to inbound calls, emails, and regarding policy details, billing, and coverage.
- Policy Management: Process policy endorsements, cancellations, and updates.
- Problem Resolution: Investigate and resolve customer complaints and concerns efficiently.
- Product Expertise: Maintain deep knowledge of GEICO's insurance products (auto, home, etc.).
- Guidance & Recommendations: Educate customers on options and suggest appropriate coverage.
- Payment Processing: Handle billing inquiries and process payments.
Benefits Administrator Sr. Associate
Allstate Insurance Company
09.2023 - 08.2025
- Handle the day-to-day operations of employee benefits programs, including health insurance, retirement plans, and other employee benefits.
- Ensure compliance with benefit plan guidelines, policies, and regulations.
- Maintain accurate records and data related to employee benefits, including eligibility, enrollment, and claims processing.
- Assist employees with enrollment in benefit plans and ensure smooth onboarding processes.
- Identify and implement process improvements to enhance efficiency and effectiveness of benefit administration.
- Manage relationships with third-party vendors involved in benefit administration.
Bilingual Claims Customer Care Associate
Liberty Mutual Insurance Company
01.2021 - 08.2023
- Always Conveying a calm, caring attitude, while providing best-in-class service to customers while processing new claims and 'First Notice of Loss' forms (the initial report made following a loss, theft or damage to an insured asset)
- Working with internal and external partners, supporting policyholders while their claims are being processed
- Handling customers’ needs—quickly, effectively and in a friendly, caring manner—to meet our Claims Service Center goals
- Constantly utilizing out-of-the-box, creative thinking to resolve a wide variety of claims challenges and customer issues
- Providing policyholders with the information they need by clearly setting expectations and outlining next steps
- Collaborated with team members to resolve complex customer issues effectively.
- Educated customers on policy coverage and claims procedures clearly.
Bilingual Claims Adjuster
State Farm Insurance Company-City Line
12.2018 - 01.2021
- Prepares and/or reviews written or computerized estimates in loss settlements
- Arrangement of rental car, providing towing service (when required)
- Handle claims in a team environment. Working on phone time and task time on a daily basis; While adhering to daily schedule in the process.
- Applies knowledge of policies, procedures, laws, statutes, and insurance regulations when determining coverage, liability, damages of injury (first and third party) and property damages.
- Determines whether additional or specialized investigation is necessary for claim resolution
- Communicates with witnesses, agents, other insurance companies, repair shops, contractors, medical providers, attorneys, and others in the course of conducting investigations.
Vendor Compliance Representative
RealPage Inc.
03.2015 - 12.2018
- Respond promptly to customer inquiries by phone and email
- Work to resolve any customer concerns and answer any questions
- Research customer inquiries using available resources
- Process payments and enrollment requests
- Direct escalation issues to the designated resource
- Maintain accurate records of customer correspondence and transactions in the system
- Work closely with other departments to meet customer’s objectives
- Provide timely follow up on all customer inquiries
- Assist with additional special projects as needed
Bilingual Mail Order Prescription Specialist
Prime Therapeutics
01.2014 - 03.2015
- Answered phone calls from members and providers in call center environment.
- Ensured efficient assistance for members to obtain prescriptions and medications.
- Assisted members with prescription and medication shipping issues.
- Collaborated with departments at Prime Therapeutics to address member inquiries and resolve issues.
- To inform and explain the benefits of using Prime Therapeutics Mail Order Pharmacy.
Data Entry/Document Processor
Southwest Solutions Group
01.2013 - 01.2014
- Followed company standard operating procedures for document submissions to maintain compliance.
- Submitting corporate documents punctually and with quality.
- Ensure that all corporate documents are well checked and submitted on time.
- Checked all documents for errors in filenames and submissions before transferring to next department, preventing confusion.
- Effectively follow the company’s standard operating procedures in submissions of documents.
- Preparation of all documents and communicating with employees in order to make submissions early are part of the job description of a document controller.
- To perform regular audits on corporate documents in order to ensure that all documents are properly submitted to other departments.
- Conducted regular audits of corporate documents to ensure proper submission to other departments.
- Collaborated with various departments to facilitate communication.
Education
High School Diploma -
Newman Smith High School
Dallas, Tx 08.2009 - 06.2013
Skills
- Insurance Knowledge
- Claims Support
- Policy Support
- Policy management
- Salesforce Knowledge
- Customer service
- Customer Relations
- Service Coordination
- Microsoft Office
- Microsoft Excel
- Microsoft Word
- Data compliance
- Vendor management
- Ability to work under pressure
- Detail oriented
Other Related Skills
- Fluent English and Spanish Speaker and Writer
- All-lines Adjuster Licensed - All 50 states
- P&C Licensed - TX & FL
- Great Knowledge in Microsoft Word, Office, and Excel
- Salesforce Knowledge
Qualifications And Specialized Skills
- Ten years of office/admin experience
- Eleven years of customer service
- Very well-organized and detail oriented
- Ability to adapt almost instantly to new tasks
- Ability to work well under pressure
- Good knowledge of computer usage, navigation, and Microsoft Office
Timeline
Licensed Bilingual Customer Service
Geico Insurance
08.2025 - Current
Benefits Administrator Sr. Associate
Allstate Insurance Company
09.2023 - 08.2025
Bilingual Claims Customer Care Associate
Liberty Mutual Insurance Company
01.2021 - 08.2023
Bilingual Claims Adjuster
State Farm Insurance Company-City Line
12.2018 - 01.2021
Vendor Compliance Representative
RealPage Inc.
03.2015 - 12.2018
Bilingual Mail Order Prescription Specialist
Prime Therapeutics
01.2014 - 03.2015
Data Entry/Document Processor
Southwest Solutions Group
01.2013 - 01.2014
High School Diploma -
Newman Smith High School
08.2009 - 06.2013