Nikkie Rivera

• Evaluated coverage, liability and damages and investigated suspicious claims.
• Conducted claims investigations by obtaining photos, taking statements, and researching public records to obtain all facts of loss
• Worked closely with internal SIU department to handle suspicious claims. Gained regional recognition for large, quality referrals.
• Handled complex coverage investigations to determine if and to what extent there may be coverage.
• Established initial reserves for all potential exposures and adjusted as appropriate throughout the life of the claim
• Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
• Prepared and presented complex cases to management, in-house medical team, and legal counsel.
• Attended arbitration, meditations and other settlement conferences. Certified arbitrator.
• Maintained appropriate diary of open claims with over 350 BI/UBI exposures.
• Determined appropriate reasonable range of value to negotiate fairly with attorneys and unrepresented claimants based on the merits of their case.
• Draft precisely accurate settlement agreements in compliance with state laws that also provided protection to policy holders and insurance carriers.
• Trained other claims staff members on proper handling and evaluation of injury claims; mentored other adjusters with overdue diary management.

Experienced Handling:

Attorney Represented and Unrepresented Claimants

• Property Damage claims •Subrogation •Arbitrations
• PIP/Medpay Claims •BI/UBI •UM

Have handled claims in Virginia, Washington D.C., North Carolina, Mayland, and Tennessee