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miguel riveros

Bogota Cundinamarca, Colombia

Phone: xxx-xxx-xxxx

Email: xxx@xxxx.xxx



  • Looking For: claims, analyst

  • Occupation: Business and Finance

  • Degree: Bachelor's Degree

  • Career Level: Experienced

  • Languages: Spanish and English (Native)

Career Information:

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Highlights:I have achieved the completion of several improvement processes on multiple insurance carriers and private companies to efficiently surpass cost and process time.

Skills:claims, Business analyst, Insurance, Property and Casualty, General Insurance

Goal:Develop my career in the insurance and oil field or where can I apply my expertise and knowledge for continuous improvement.

Membership:Insurance licenses

Certification:TDI license, Devops, Agile project management.


Experiences:

CFO 10/2015 - current
The Corner Companies, Bogota, Cundinamarca Colombia
Industry: Entertainment
In charge of all financial, administrative & personnel areas of the company. Mapping out company goals. Organize personnel and material according to the company plans. Responsible for creating company procedures for the different administrative areas such as HR, financial etc. Leading and directing employees to achieve each of the contracted functions inside the company.
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Government Claims Analyst 03/2013 - 05/2013
British Petroleum Company, Houston, TX United States
Industry: Oil & Gas
Conducted thorough reviews of the Court Supervised Settlement Program economic loss calculations to identify errors and misinterpretations of the Deepwater Horizon settlement agreement which were the basis for appeals by BP. Analyzed financial statements including income statements, tax returns, cash flow statements, general ledgers, etc. to verify the authenticity of claims submitted by the different Government entities, such as States, towns, counties etc; and to validate compensation amounts awarded by the Court Supervised Settlement Program.
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Claims Analyst for Commercial Losses 01/2013 - 03/2013
CNA Insurance, Nashville, TN United States
Industry: Insurance
Heavy loss commercial and business interruption assessment. o In coordination with an Adjuster, analyzed and managed claims by verifying coverage, investigating and gathering pertinent information to determine the exposure on the claim; all this through well-developed action plans to achieve an appropriate and timely resolution. o Calculated and assigned financial reserves to each claim; monitoring reserve adequacy throughout the life of the claim. o Negotiated settlements or denied payments where no overage, liability or compensability existed.
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Complex Claims Business Analyst 05/2013 - 09/2015
British Petroleum Company, Houston, TX United States
Industry: Oil & Gas
Worked in the GCRO business economic loss department. o Lead developer of BEL-financial model to achieve business assessments as establish by the court. Development of calculation models compatible in VBA for more than 50 satellite workstations with centralized global updates from a unified command center.
o Perform enhancement to other class financial models written in different computer languages and unified all models to a compatible system required to analyze businesses economic trends and to corroborate indemnity amounts. o Conduct Analysis on claimant’s financial statements including but not limited to profit & Loss statements, tax returns, cash flow statements and general ledgers, required to verify and substantiate compensation amounts awarded by the Court Supervised Settlement Program. o Performed thorough reviews of all loss calculations to determine any possible errors and or misinterpretations of the agreement. o Analysis of gross revenue, gross profit figures and production volume for multiple industries to determine the best calculation period.--
Claims Analyst 11/2012 - 01/2013
The Hanover Insurance Group, Worcester, MA United States
Industry: Insurance
Inside claims analyst for commercial losses with Business Interruption for Hurricane Sandy. o Provide service to commercial policyholders in response to property losses in lieu of Hurricane Sandy and various storms across the United States. Service includes prompt contact, investigation of coverage and liability issues, determination of damages, disposition of claim, and business income (or business interruption), when appropriate. o Key competencies: Investigation, evaluation, negotiation, documentation/reporting, time management.
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QA Analyst 10/2008 - 12/2012
Texas Windstorm Insurance Association, Austin, TX United States
Industry: Insurance
Quality Review Process o Development, testing, analyzing, deployment, installation and capacitation of a series of pilot applications, reports and procedures to analyze claims performance data according to company guidelines, policies and TDI regulations for adjusters and inside claim examiners. o Manage process improvement and develop measures of success.
o Provide an infrastructure accountable for executing TWIA policies and procedures in a compliant and consistent manner. o Provide guidance to stakeholders on devising effective and efficient approaches to achieve business objectives. o Conducts examiner claim file quality reviews with the development and implementation of web applications and to participates in other quality assurance projects as needed. o Responsible for data collection, analysis, recommendations and reporting of claim file quality reviews. o Claims Complaint Resolution.--

Education:

Universidad Javeriana 01/1993 - 01/1998
Bogota, Cundinamarca, Colombia
Degree: Bachelor's Degree
Major:Business Administration
Completion of BA


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