Anderson Alicea-Rivera
San Antonio,TX
Summary
Resourceful Bodily Injury Adjuster recognized for high productivity and efficient completion of tasks. Skilled in claims handling, liability assessment, and negotiation, ensuring thorough and fair case resolutions. Excel in communication, problem-solving, and empathy, vital soft skills that enhance performance in managing claimant interactions and facilitating positive outcomes.
Overview
14
14
years of professional experience
Work History
3rd Party Bodily Injury Adjuster - Auto Adjuster II
USAA
San Antonio
06.2022 - Current
- Adjust non-attorney involved soft tissue bodily injury claims, as well as auto physical damage associated with those claims including total loss settlements
- Identify, confirm, and make coverage decisions on soft tissue injury claims
- Investigate loss details to determine legal liability
- Evaluate, negotiate, and arrive at claim settlement within appropriate authority guidelines
- Document thought process for investigation, evaluations, negotiations, and settlement decisions
- Analyze liability with internal Impasse panel review
- Led team as early settlement champion
- Assisting team with AIS bin and CCOM worklists
- Led the Greater Central MST’s PTO Assist team
- Actively mentoring and training external hires
- Shadowing Managers in Non-Injury Express, Non-Injury Complex, and ATF
Over-Night Claims Adjuster - Auto Adjuster III
USAA
San Antonio
09.2019 - 06.2022
- Handling all over-night claims including losses for all international locations, Property, Auto, and Injury related losses
- Assist in Non-Injury special projects, and workload surges, and ATF worklists
- Adjust low to moderately complex Auto liability losses
- Support workload surges and/or Catastrophe operations as needed.
- Maintained accurate documentation of all claim activity within designated system.
- Assisted colleagues with difficult cases; provided guidance regarding complex issues or scenarios.
ATF - Auto Adjuster III
USAA
San Antonio
05.2016 - 09.2019
- Adjusted Auto Theft, Fire, and Vandalism Auto losses
- Also handled Property losses for personal property lost or damaged in previously mentioned losses
- Partners and/or directed vendors and internal business partners to facilitate claims resolution
- Well versed with Xactimate program for property loss and requesting Origin and Cause reports for Fire claims
- Maintained open communications and ongoing relationships with Special Investigations Unit investigators for high frequency fraud prevention.
- Managed heavy workload of ongoing cases thanks to strong organizational, time management, and collaboration skills.
Non- Injury Adjuster- Auto Adjuster III
USAA
San Antonio
- 05.2016
- Adjusted low to moderately complex Auto Non-Injury and liability losses
- Supported workload surges and/or Catastrophe operations as needed to include working significant overtime during designated CAT’s.
F-16 Avionics Technician
US Air Force
Biloxi, MS / Wichita Falls, TX / Spangdahlem, Germany / Eglin, FL
01.2011 - 01.2015
- Troubleshot all Avionic systems for F-16 fighter jets including the Flight Control system, Radar Warning system, Fire Control Radar system, Sniper/Targeting pods, Electronic Countermeasure pods, Navigation systems, etc
- Received Top Performer Award in Maintenance during 6-month deployment to Kandahar, Afghanistan
- Completed Temporary Duty engagements in FOB NATO AB (Konya, Turkey), Los Llanos AB (Albacete, Spain), Nellis AFB (Las Vegas, NV)
- Led Avionic Calendared Maintenance for the 480th Fighter Squadron fleet, assigning schedules to shift
- Led Aircraft Shield Intelligence Safeguard Team (ASIST) and acted as a liaison for Airfield Operations to schedule aircraft pod rotations during international and pre-deployment exercises
Education
Fraud Claim Law Specialist (FCLS) Designation -
American Educational Institute
Legal Principles Claims Specialist (LPCS) Designation -
American Educational Institute
Some College (No Degree) - Medicinal and Pharmaceutical Chemistry
UTSA
San Antonio, TXSkills
- Claims Investigation
- Legal Compliance
- Property adjusting
- Claims Processing
- Insurance fraud expertise
- Policy investigations
- Regulatory Compliance
- Coverage assessments
- Allocating claims
- Highly motivated
- Policy Interpretation
- Multi-tasking
- Identifying and Gathering information
- Communication
- Networking
- De-escalating
- Microsoft Office
- Xactimate, ALR, GW
Timeline
3rd Party Bodily Injury Adjuster - Auto Adjuster II
USAA
06.2022 - Current
Over-Night Claims Adjuster - Auto Adjuster III
USAA
09.2019 - 06.2022
ATF - Auto Adjuster III
USAA
05.2016 - 09.2019
F-16 Avionics Technician
US Air Force
01.2011 - 01.2015
Non- Injury Adjuster- Auto Adjuster III
USAA
- 05.2016
Fraud Claim Law Specialist (FCLS) Designation -
American Educational Institute
Legal Principles Claims Specialist (LPCS) Designation -
American Educational Institute
Some College (No Degree) - Medicinal and Pharmaceutical Chemistry
UTSA
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