Jesse Rivera
Long Beach,CA
Summary
Versatile Claims Adjuster bringing proficiency in investigating, negotiating, and settling insurance claims. With a strong background in interpreting policy language and determining coverage, have demonstrated success in managing multiple cases simultaneously with professionalism and accuracy. Known for exceptional communication skills combined with analytical acuity to identify fraudulent claims and protect company assets. Always proactive and resourceful, making positive impacts on operational efficiency and customer satisfaction rates.
Overview
16
16
years of professional experience
Work History
Casualty Adjuster
Pacific Adjusting and Claim Services
01.2023 - Current
- Liable for the investigation and resolution of first- and third-party claims. Handled all first- and third-party coverages including Bodily Injury for both non-attorney represented claims.
Casualty Adjuster
ASPIRE Claims
01.2022 - 01.2023
- Liable for the investigation and resolution of first- and third-party claims. Handled all first- and third-party coverages including Bodily Injury for both non-attorney represented claims.
Resolution Adjuster
Kemper Insurance
01.2020 - 01.2022
- Handling of unresolved first- and third-party claims due to the primary adjuster departure. Resolve first- and third-party coverages including early resolution of Bodily Injury claims.
Casualty Adjuster
AFA Claims
01.2018 - 01.2020
- Company Overview: In 2020 AFA Claims was acquired by Kemper Insurance
- Casualty Adjuster: Responsible for the investigation and resolution of first- and third-party claims. Handled all first- and third-party coverages including Bodily Injury.
- In 2020 AFA Claims was acquired by Kemper Insurance
Administrative Clinic Coordinator
MSLA
01.2017 - 01.2018
- Communicated with client’s regarding appointment scheduling, cancellations, obtaining medical records, etc.; Confirmed appointments with assigned physicians’ offices or designated MSLA clinics; Prepared and provided medical charts for facilities as requested and per state guidelines.
Claims Adjuster II
Infinity Insurance
01.2016 - 01.2017
- Liable for the investigation and resolution of first- and third-party claims. Handled all first- and third-party coverages including Bodily Injury for both non-attorney represented, and attorney represented claims.
Casualty Adjuster
AFA Claims
01.2014 - 01.2016
- Casualty Adjuster: Responsible for the investigation and resolution of first- and third-party claims. Handled all first- and third-party coverages including Bodily Injury.
Claims Adjuster
Mercury Insurance
01.2009 - 01.2014
- Started the company working as clerical for a casualty claims branch. Duties included answering/ transferring calls, sending/ receiving facsimiles, and other general office duties.
- Subrogation Representative: Responsible for the collection of funds owed on claims from third parties directly, insurance carriers, etc.
- Non-disputed Liability Claims Adjuster: Responsible for the investigation and resolution of first- and third-party claims. Exposures included Property Damage Liability, Collision, Collision Deductible Waiver, Comprehensive and Rental Car Coverage.
- Casualty Adjuster: Responsible for the investigation and resolution of first- and third-party claims. In addition to coverages noted above was also responsible for the evaluation and resolution of third-party Bodily Injuries.
Education
High school diploma - General Studies
Pioneer High School
Whittier, CA 01.1993
Skills
- Microsoft Office Suite
- Bodily injury assessment
- Insurance policy analysis
- Subrogation processes
- Legal documentation
- Customer relationship management
- Conflict resolution
- Negotiation strategies
- Problem solving
- Team collaboration
- Claims investigation
- Guidewire office application
- Claims investigations
- File documentation
- Claims negotiations
- Coverage assessments
Languages
Spanish
Professional
Timeline
Casualty Adjuster
Pacific Adjusting and Claim Services
01.2023 - Current
Casualty Adjuster
ASPIRE Claims
01.2022 - 01.2023
Resolution Adjuster
Kemper Insurance
01.2020 - 01.2022
Casualty Adjuster
AFA Claims
01.2018 - 01.2020
Administrative Clinic Coordinator
MSLA
01.2017 - 01.2018
Claims Adjuster II
Infinity Insurance
01.2016 - 01.2017
Casualty Adjuster
AFA Claims
01.2014 - 01.2016
Claims Adjuster
Mercury Insurance
01.2009 - 01.2014
High school diploma - General Studies
Pioneer High School
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