Marc Rivera
Summary
Highly motivated and reliable fraud investigator with 5 years of experience, conducting in-depth investigations and collaborating with teams to develop proactive measures. Excels in providing client satisfaction and demonstrating exceptional problem-solving abilities, coupled with a strong work ethic. An effective team player with a knack for resolving disputes and conflicts professionally.
Overview
9
9
years of professional experience
Work History
Inside Property Claims Adjuster
Allstate Insurance
08.2025 - 02.2026
- Investigated and evaluated residential property damage claims, ensuring accurate coverage determinations and timely claim resolution.
- Assessed liability and damages by reviewing policy provisions, inspection reports, estimates, photographs, and supporting documentation.
- Conducted detailed interviews with policyholders, contractors, and third parties to gather facts and validate claim details.
- Handled high-volume caseload while ensuring compliance with company guidelines, state regulations, and service-level expectations.
- Identified potential indicators of fraud, escalating suspicious claims for further investigation and mitigating financial risk.
- Negotiated settlements with customers and vendors, ensuring customer satisfaction aligned with accurate claim outcomes.
- Provided exceptional customer service during challenging situations, explaining coverage decisions and guiding customers through the claims process.
- Collaborated with internal departments, field adjusters, and external partners to ensure efficient claim handling and resolution.
Fraud Investigator
Dish Wireless/Boost
09.2024 - 08.2025
- Investigated fraudulent activities using advanced analytical tools and techniques, identifying patterns that mitigated risk.
- Monitored customer accounts for suspicious activities, facilitating prompt investigations and resolutions of potential fraud incidents.
- Collaborated with sales teams to conduct credit qualification reviews, improving approval processes and minimizing potential financial losses.
- Handled inbound calls to resolve order issues, maintaining a high customer satisfaction.
First Party Fraud Investigator
Chase Card Services
02.2019 - 08.2024
- Successfully identified compromised accounts, preventing financial losses and securing client assets.
- Conducted in-depth fraud investigation into personal and business accounts, reducing fraudulent activities through continuous monitoring.
- Resolved complex fraud cases efficiently and professionally, enhancing client satisfaction.
- Collaborated with team to analyze fraud trends and develop proactive measures that decreased scam activity.
- Demonstrated strong work ethic and problem-solving skills in high-pressure situations.
- Fostered collaboration and teamwork to streamline dispute resolution processes.
Sapphire Representative
JPMorgan Chase
05.2017 - 02.2019
- Resolved customer complaints, increasing loyalty and repeat business.
- Managed high-stress situations, ensuring client satisfaction through effective dispute and conflict resolution.
- Utilized proactive measures to identify and address potential issues, preventing escalation.
- Exhibited strong work ethic and commitment to enhancing client satisfaction.
- Mentored and coached 10+ new hires, fostering a collaborative team environment.
Education
High School Diploma -
Dobson High School
Mesa, AZ01-2013
Skills
- Fraud investigation
- Dispute resolution
- Client satisfaction
- Claims assessment
- Problem-solving
- Collaboration
- Team player
Timeline
Inside Property Claims Adjuster
Allstate Insurance
08.2025 - 02.2026
Fraud Investigator
Dish Wireless/Boost
09.2024 - 08.2025
First Party Fraud Investigator
Chase Card Services
02.2019 - 08.2024
Sapphire Representative
JPMorgan Chase
05.2017 - 02.2019
High School Diploma -
Dobson High School