Jesse Lopez
Grapevine, TX 76051
Phone: 972-***-****
Email: adzzap@r.postjobfree.com
Profile
. I am a career minded, motivated employee who excels in all aspects of
claims adjusting, & technical supervision in multiple jurisdictions, with
emphasis in 3rd party claims recovery, claims litigation & litigation
management.
. I am a proven leader with excellent people & mentoring skills.
. I am eager to encompass, learn & conquer new challenges.
. I am focused on achieving all goals & objectives set by management.
. I am a loyal team player.
. I am dedicated to the pursuit of excellence in customer service for the
sole purpose of establishing long term customer relationships, both
inside & outside the company.
. I am Bilingual in the spoken & written Spanish. I am knowledgeable
regarding multiple Latin dialects & mannerisms'.
. W/C Licenses: Texas, Arkansas, Indiana & Oklahoma (License Information
available upon request).
Work Experience
10/06-Present Broadspire a Crawford Company
Senior Claims Specialist/Workers Compensation
. Dedicated to eight specific accounts in approximately eight
jurisdictions, Texas, Oklahoma, Illinois, Louisiana,
Indiana, Missouri, Arkansas and U.S. L & H / P & I - Jones
Act Seaman.
. Average case load - 180 - 200 files.
. 60% of my case load consists of litigated claims and / or,
are of a large loss nature due to catastrophic injury
resulting in a Permanent & Total status or death. My
remaining case load is made up of new losses in the multiple
jurisdictions as noted above.
. Of the 60% case load mentioned, approximately 95% of those
losses are reserved at or above account retention levels
thereby necessitating carrier correspondence on a 90 day
basis consisting of status updates with action plans to bring
files to closure.
. The U.S. Longshore & Harbor accounts I handle have on average
a Self-Insured Retention or Large Deductible Plan of $750K to
1 million per incident.
. I currently report to the following carriers for excess
coverage; Chartis/AIG, XL Specialty, ACE American, Zurich,
Old Republic, Liberty Mutual, Texas Guaranty Fund & The
Louisiana Guaranty Fund.
. Provide font line safety managers and supervisors with
continuing education regarding changes in the workers
compensation law: Clayton Homes, Trinity Industries (USL&H),
Boeing, SeaBoard Foods, Kaiser Aluminum, Sam Sung, Roll
Global - Paramount Citrus, and Tuesday Morning.
12/01-06/06 Federated Mutual Insurance Company
Workers Compensation Technical Supervisor
. Responsible for the technical supervision of four Claims
Adjusters, and two Nurse Case Managers.
. Maintained claims case load for six jurisdictions including
Texas, Oklahoma, Louisiana, Arizona, Mississippi, and New
Mexico (Resident State).
. Other responsibilities included scheduling continuing
education seminars for adjuster licensure.
08/97-12/01 Liberty Mutual / Helmsman Insurance & TPA Company
Senior Case Manager/Workers Compensation
. Responsible for the supervision of two teams consisting of
four Case Managers.
. Duties included the opening, settling, and closing of workers
compensation claims case load for four jurisdictions
including Texas, Oklahoma, Mississippi, and Colorado.
. Other responsibilities also included scheduling and
conducting yearly seminars on current events in workers
compensation for International Paper, MBNA, Morgan
Stanley/Dean Witter and 3M Account Managers.
. Worked closely with Liberty Mutual Team Managers to ensure
that the Case Managers were properly trained pursuant to
Liberty Mutual's Best Practices Guidelines for handling
workers compensation claims.
Jesse Lopez, Page Two
08/96-08/97 Gates McDonald (TPA)
Senior Case Manager/Workers Compensation
. Responsibilities included opening, settling and closing of
workers compensation claims in Texas and Oklahoma for a
dedicated account, Albertson's Food Stores.
. Other duties included coordinating and conducting quarterly
Continuing Education seminars for Albertson's front line
supervisors.
06/06 -10/06
06/95-08/96 Insurance Overload Systems
Contract Claims Adjuster/Workers Compensation
. Worked while looking for permanent employment.
03/93-05/95 AIAC/AIG/CHARTIS
Senior Case Manager/Hearing Representative/Workers Compensation
. Responsibilities included opening and closing workers
compensation claims for multiple accounts under Texas workers
compensation jurisdiction
. Other duties included the attendance of Benefit Review and
Contested Case Hearing as a hearing representative for AIG.
03/90-03/93 Insurance Overload Systems
Contract Claims Adjuster/Workers Compensation
Also worked during 8/06 - 10/06 while looking for employment;
. Responsible for opening, settling and closing of workers
compensation claims for insurance companies, and third party
administrators at a Sr. Claims Adjuster level. My experience
allowed me to handle multiple statutory jurisdictions
including U.S. L & H and Protection & Indemnity (P. & I.) -
Jones Act Semen, first and third party claims.
09/87-03/90 CIGNA Insurance Company
Workers Compensation Claims Examiner Trainee
. I was promoted to Claims Adjuster within my first year of
employment with CIGNA.
. Responsibilities included the opening, negotiating and
closing of statuary workers compensation and U.S. Longshore &
Harbor claims (U.S. L & H) / Protection & Indemnity (PI)
claims.
Education
01/77-05/78 St. Edwards University, Austin, TX
08/85-05/89 Houston Baptist University, Houston, TX