Summary
Overview
Work History
Education
Skills
Affiliations
Accomplishments
Certification
Timeline
Generic

Eric Coulter

Gray,GA

Summary

Skilled in handling complex insurance claims and policy processing with experience in navigating through various insurance software systems. Demonstrates strong analytical skills, adept at interpreting policies and efficiently resolving claims to the satisfaction of all parties involved. Known for maintaining high accuracy levels in document processing and data entry, contributing to streamlined operations and improved customer service outcomes. Continuously seeks ways to optimize workflows and enhance team productivity, leading to more efficient claim resolution processes.

Overview

12
12
years of professional experience
1
1
Certification

Work History

Claims Specialist

GEICO
Macon, GA
01.2015 - Current
  • Managed a caseload of claims efficiently, ensuring adherence to company standards.
  • Provided customer service by responding promptly to inquiries from claimants regarding their benefits or coverage.
  • Communicated effectively with policyholders to explain claims processes and outcomes.
  • Examined automobile policies with third-party liability, accident benefits, and collision benefits.
  • Supported efficient handling of complex claims and followed up on open, denied, or suspended claims to complete required line items.
  • Compiled data from multiple sources for reporting purposes.
  • Processed payments for valid claims according to established procedures.
  • Communicated with other departments to establish action plans and manage open claims to closure.
  • Investigated complex claims to determine coverage and liability.
  • Resolved disputes between claimants and providers through negotiation.
  • Evaluated claims for potential fraud and took appropriate actions.

Customer Care Representative

SYKES
01.2013 - 01.2015
  • Performed data entry of financial transactions into internal systems.
  • Identified, researched, and resolved customer billing issues.
  • Assisted customers with payment arrangements who were experiencing difficulties making payments.
  • Maintained accurate records of all customer interactions.
  • Prepared and completed finance paperwork for customer transactions.
  • Provided customer assistance with financial inquiries and account management.
  • Provided technical support for customers having problems with their telephone systems.
  • Diagnosed complex hardware and software problems related to telephone systems.
  • Updated software and firmware on various types of phone systems.
  • Recognized by management for providing exceptional customer service.

Education

GED -

CGTC
Gray, GA

Skills

  • [GA,KY,SC,LA] claims adjuster license
  • Coverage assessments
  • Policy interpretation
  • Liability denials
  • Policy investigations
  • Liability assessment
  • Accident scene investigations
  • Decision-making
  • Critical thinking
  • Active listening
  • Rules of evidence
  • Exposure analysis
  • Interviewing techniques
  • Caseload management
  • Customer service
  • Evidence reviews
  • Verbal and written communication
  • Conflict resolution
  • Advanced computer skills
  • Claims file documentation
  • Multitasking and organization
  • Problem-solving

Affiliations

  • I like to travel and explore places I have not visited, I also enjoy hiking, being outdoors, and spending time with friends and family.

Accomplishments

  • Chairman's club award at GEICO multiple years and many top 10 claims associate of the month awards.

Certification

  • I am currently Licensed in the states Georgia, South Carolina, Kentucky, and Louisiana.

Timeline

Claims Specialist

GEICO
01.2015 - Current

Customer Care Representative

SYKES
01.2013 - 01.2015

GED -

CGTC

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Eric Coulter