Francisco J Rivera
Mulberry,FL
Summary
Experienced Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 12+ years of experience and willingness to take on any challenge. Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Payment Recovery Tech Auto Claims
GEICO, Government Employees Insurance
07.2018 - 04.2023
- Successfully negotiated settlements with claimants and insurers.
- Negotiated with claimants to settle claims.
- Evaluated and investigated over 2000+ auto claims in 2022 and decided whether insurer should pay claim.
- Analyzed complex data and prepared accurate and comprehensive reports for clients.
- Examined photographs and surveillance and any other documents relating to claims.
- Identified suspicious claims, escalating issues to supervisor for further investigation and analysis.
- Reviewed police reports, photographs and other documentation to gain complete understanding of accident.
- Developed and maintained courteous and effective working relationships.
- Excellent communication skills, both verbal and written.
- Proven ability to learn quickly and adapt to new situations.
- Assessed complex claims and accurately determined value of damages.
Customer Service Representative
GEICO, Government Employees Insurance
05.2017 - 07.2018
- Collaborated with staff members to enhance customer service experience and exceed team goals through effective client satisfaction rates.
- Educated customers about billing, payment processing and support policies and procedures.
- Promoted available products and services to customers during service, account management, and order calls.
- Provided necessary updated information to customer Auto policies as requested.
- Investigated and resolved customer inquiries and complaints quickly.
Insurance Underwriter
GEICO, Government Employees Insurance
01.2015 - 04.2017
- Utilized knowledge of insurance principles, policies and procedures to make decisions on risk assessment.
- Negotiated terms and conditions of coverage with clients to acquire maximum profitability.
- Evaluated applications to determine insurance coverage and appropriate risk classifications.
- Studied insurance industry changes, remaining up-to-date with latest trends and protocols.
- Learned and adapted quickly to new technology and software applications.
- Applied effective time management techniques to meet tight deadlines.
- Identified issues, analyzed information and provided solutions to problems.
Customer Service Trainer
GEICO, Government Employees Insurance
12.2012 - 12.2015
- Educated associates about billing, payment processing and support policies and procedures.
- Developed highly empathetic associate/employer relationships and earned reputation for exceeding service standard goals.
- Cross-trained and backed up other customer service managers.
- Responded proactively and positively to rapid change.
Customer Service Representative
GEICO, Government Employees Insurance
12.2010 - 12.2012
- Collaborated with staff members to enhance customer service experience and exceed team goals through effective client satisfaction rates.
- Educated customers about billing, payment processing and support policies and procedures.
- Increased efficiency and performance by monitoring team member productivity and providing feedback.
- Promoted available products and services to customers during service, account management, and order calls.
Mail Processing Clerk
Publix
01.2008 - 12.2010
- Used computer systems to track packages and update client information.
- Checked parcels were securely sealed to eliminate losses.
- Utilized customer service skills to provide exceptional service for repeat clientele.
- Used automated mail processing equipment to sort and collate mail.
Warehouse Associate
Publix Warehouse
01.2007 - 01.2008
- Labeled and accurately moved customer orders to meet shipment timetables and minimize errors.
- Alternated goods in inventory by observing first-in and first-out approach to keep shelves organized and properly stocked.
- Handled daily customer service aspects and maintained positive relationships with external customers and freight partners.
- Performed inventory control, such as counting, and stocking merchandise.
- Cleaned and maintained warehouse in compliance with OSHA safety standards.
- Manually or mechanically loaded and unloaded materials from pallets, skids, platforms, cars, lifting devices, or other transport vehicles
- Worked safely around moving machinery.
Grocery Stock Clerk
Publix Grocery Store
09.2004 - 01.2007
- Rotated stock correctly to prevent out-of-date products and removed aging items from main shelving to build special promotional displays.
- Collected, analyzed and modeled sales trends and customer preferences data to inform inventory development decisions.
- Moved merchandise using forklifts, pallet jacks and hand trucks.
- Stocked shelves, racks and cases with new or transferred merchandise.
- Answered customer questions and provided detailed product information.
Education
High School Diploma -
Saint Raymond High School
The Bronx, NY06.2004
Skills
- Data Entry
- Organization and Time Management
- Critical Thinking
- Multitasking Abilities
- Decision-Making
- Problem-Solving
- Flexible and Adaptable
- Clerical Support
- Training and Development
Certification
- Licensed 220 Insurance License - 9 years
Timeline
Payment Recovery Tech Auto Claims
GEICO, Government Employees Insurance
07.2018 - 04.2023
Customer Service Representative
GEICO, Government Employees Insurance
05.2017 - 07.2018
Insurance Underwriter
GEICO, Government Employees Insurance
01.2015 - 04.2017
Customer Service Trainer
GEICO, Government Employees Insurance
12.2012 - 12.2015
Customer Service Representative
GEICO, Government Employees Insurance
12.2010 - 12.2012
Mail Processing Clerk
Publix
01.2008 - 12.2010
Warehouse Associate
Publix Warehouse
01.2007 - 01.2008
Grocery Stock Clerk
Publix Grocery Store
09.2004 - 01.2007
High School Diploma -
Saint Raymond High School
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