Nicole Coleman is seeking a position to improve company performance through quality standards and claims management experience. She has over 15 years of experience managing short term disability claims and investigating property damage and liability claims. Her most recent role supports healthcare marketplace operations by triaging issues and maintaining reconciliation processes.

1. Nicole A. Coleman
115 Hollywood Avenue
West Hartford, CT 06110
Telephone: (Cell phone) (860) 833-4078
Email: cola081702@yahoo.com
OBJECTIVE: To obtain a position within a company where I can improve company performance through
enhanced quality standards by maximizing my claims management, quality assurance, and training
experience.
EXPERIENCE: Proven project management experience with the ability to work independently on multiple
tasks to achieve necessary deadlines and quality expectations.
EMPLOYMENT:
Operations Associate (Durational)
Access Health CT
2/16 -Present Hartford, CT
Supports the healthcare marketplace by triaging and tracking system issues, customer complaints, and
maintaining the reconciliation process between AHCT and the insurance carriers. Responsible for working
with, and communicating to, staff from AHCT and DSS as well as various vendors and partners on issues
impacting eligibility and enrollment.
Short Term Disability Case Specialist
MetLife
11/06-9/15 Bloomfield, CT
Managed Short Term Disability claims. Proactively communicates with claimants, employers, and medical
professionals to make initial and ongoing determinations of approvals and or denials. Effectively
communicates to set expectations with claimant, employer and healthcare providers. Assess functional
capacity and limitations. Ensure accuracy of data including ICD9 and CPT4 coding. Provides high-level of
service to the claimant, employers, attorneys, and medical providers, by delivering on commitments.
Executes individual claim action plans in diary.
Claims Adjuster
St. Paul Travelers Hartford, CT
12/04-3/06
Investigate personal automobile Property Damage Claims. Research and analyze claims to include
coverage, compensability, and reserve exposure. Evaluate and recommend reserves and settlement values
on assigned cases. Conduct settlement negotiations as applicable. Interview insured’s& claimants. Answer
inbound calls. Process claim payments.
Claims Adjuster
Zurich American Insurance Rocky Hill, CT
12/01-11/04
Investigate Commercial General Liability and Automobile claims from inception to conclusion. Investigation
of coverage and claim facts. Once investigation has been completed, settles claim.
SKILLS: Software Knowledge: Microsoft Word, Outlook, Excel, Windows 2010, Access, Lotus Notes and
company databases. Computer, Photocopier, Fax, printer, Meridian Max ACD system and 10 key entry.
***References Available by Request***