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Litigation Specialist Resume Example

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Maricela
Rivera-Jara
Professional Summary

Multi-talented Specialty Claims Litigation Adjuster with over 10 years experience in the insurance industry, 7 years of combined experience in Casualty/ Complex Property Damage and Corporate Litigation claims. Over 2 years of claims leadership experience as a LADR to the Tampa Subrogation Organization and 2 years as a PD Litigation Lead. Dynamic top performer who has significantly impacted organizations through various contributions affecting efficiency, quality, accuracy, and profitability. Recognized for inspiring management team members to excel and encouraging creative work environments. Consistently rewarded for success in planning and operational improvements. Experience in policy development and staff management procedures positively impacting overall morale and productivity. Have Suitcase Will Travel.

Skills
  • Over 18 years of advanced
  • Customer Service experience, 11
  • Years in management (internal &
  • External)
  • Effective in influencing others by
  • Using decisive and just reasoning
  • Proficient in MS Word, MS Office,
  • MS Teams, Excel, Lotus Notes,
  • And Outlook,Data Entry, and
  • Analysis
  • Creative problem solving/Process
  • Improvement/Operational
  • Improvement
  • Administrative, Materials
  • ADR, Meetings
  • Arbitration, Excel
  • Budget, MS Office
  • Business operations, Office
  • Coach, Outlook
  • Interpersonal, MS Word
  • Concept, Negotiations
  • Conferences, Policy
  • Consultant, Analysis
  • Creative problem solving, Policies
  • Criminal Justice, Process
  • Customer Service experience, Improvement
  • Data Entry, Processes
  • Databases, Public Speaking
  • DOS, Quality
  • Fluent in English, Research
  • Filing, Risk assessment
  • Financial, Sales
  • Insurance, Selling
  • Inventory, Spanish
  • Leadership, Spreadsheets
  • Legal, Strategic
  • Law, Team management
  • Litigation, Teamwork
  • Lotus Notes, Software support
  • Managerial, Troubleshooting
Education
Hillsborough Community CollegeCity, StateExpected in 2022Bachelor of Science: CriminologyCurrently enrolled in BFAST
Hillsborough Community CollegeCity, StateB.A. degree: Business Administration, Legal StudiesADR-Inter Company Arbitration vs. Litigation-Offset Defense Costs -, . Regularly, train FL PD Litigation
Eastbay High SchoolCity, StateHigh School Diploma
  • College Preparatory counter parts using Arbitration Forums as a resource to offset claims costs and unnecessary personal exposure to our customers. Currently working on the second phase: Filing Breach of Contract suit against other insurance carriers for purposes of recovery on excessive defense costs due to noncompliance of Inter-company Arbitration Membership Agreement.
  • Policy Language Revision-Special Lines-Concurrent Cause Doctrine Application -, . Corporate Claims Consultant-Provide feedback and make recommendations to claims leaders, claims legal, and zone/product managers regarding concurrent cause language missing from our policies; causing us thousands of dollars in defense costs. Provide examples and data of claims payouts to support the need for a revision.
  • Property Damage Litigation Handling Procedures/Best Practices- May 2019 to July 2019. Created PD Litigation Claims Training Best Practices Guidelines and Job aides to assist with streamlining work flow and ensure accuracy/efficiency metrics are met. Incorporated Corporate Compliance requirements for both FL Litigation and FL House Counsel metrics. Training rolled out to adjusters in June and in July to FL House Counsel conference.
  • Onboarding PD Lit Reps and House Counsel Attorneys
Associate of Science: Paralegal Studies, Legal Studies. Presented PD Litigation to Tampa HC onboarding attorneys utilizing previously created trainings materials, job aids, and discussed alternative dispute resolution to offset costs and minimize workload. Discussed leveraging Intercompany Arbitration as well as provided FL statues to mitigate and diffuse excess litigation exposures. Incorporated local State Regulations as well as Progressive's claim standards.
Coursework in Criminal Justice Technology, Contract Law and Public Speakingto
Work History
Company Name- Litigation Specialist
City, State09/2010 - Current
  • Individual Collaborator -Individually Collaborate with Claims Leaders: LLU/Lit Leadership, Product & Zone managers, Commercial Lines, SIU/F&T, Special Lines, Subro, CAT, Claims Legal, HC & Outside Counsel.
  • Work and coordinate roundtables and conferences to discuss risk assessment, proposed resolution action plans, to seek authority.
  • FL PD and Specialty Claims Team SME, House Counsel PD Lit Onboarding Coach.
  • Prior Roles: Underwriting/Policy Services, CCU, FL & TN Field Claims, Subrogation LADR.
Company Name- Lead Administrative Support Assistant/Dispatcher/Quality Assurance Analyst
City, State06/2009 - 11/2010
Company Name- Assistant Store Manager
City, State12/2001 - 05/2009
  • Maintained knowledge of regulatory requirements, to include accrediting bodies, federal, state and local requirements, as well as Fedex's policies.
  • Facilitated negotiations between Route Contractors and management during contract renewal periods.
  • Supported company in maintaining work environment focused on quality, communication, collaboration, integration and teamwork.
  • Appointed as main corporate office contact, handling all questions and issues from customers and vendors.
  • Coached new employees on administrative procedures, company policies and performance standards.
  • Developed andupdated spreadsheets and databases to track, analyze and report on performance and sales data.
  • Offered office-wide DOS software support and training, including troubleshooting issues and optimizing usage.
  • Identified and recommended changes to existing processes to improve accuracy, efficiency and quality service.
  • Applied performance data to evaluate and improve operations, target current business conditions and forecast needs.
  • Engaged and interacted with customers to create positive shopping experiences and drive revenue growth.
  • Scheduled and led weekly store meetings for all employees to discuss sales promotions and new inventory while providing platform for all to voice concerns.
  • Established and administered annual budget with effective controls to prevent overages, minimize burn rate and support sustainability objectives.
  • Oversaw, trained and encouraged 10-15 cashiers and dept managers, promoting culture of efficiency and performance.
  • Promoted team collaboration, performance and efficiency by fostering healthy environments focused on mutual success.
  • Executed proof of concept strategic initiatives for future goals, including digital signage and guided selling plans.
  • Boosted revenue by $1.3 million annually by developing and deploying strategies to effectively improve operations.
  • Reported to district manager regarding all store and staff issues, financial goals and sales.
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Resume Overview

School Attended

  • Hillsborough Community College
  • Eastbay High School

Job Titles Held:

  • Litigation Specialist
  • Lead Administrative Support Assistant/Dispatcher/Quality Assurance Analyst
  • Assistant Store Manager

Degrees

  • Bachelor of Science : Criminology
    B.A. degree : Business Administration, Legal Studies
    High School Diploma
    Associate of Science : Paralegal Studies, Legal Studies
    Coursework in Criminal Justice Technology, Contract Law and Public Speaking

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