HOLLY ALVAREZ
Marlton
Summary
Detail-oriented Examiner with 12 years of experience. Strong command of medical management and customer service skills combined with excellent documentation and investigation. Thorough understanding of claims process and working with internal and external contacts to ensure a smooth and efficient claims process for all parties.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Senior Claims Adjuster-AGL/PIP
ESIS Claims
01.2025 - Current
- Investigate coverage issues and work with carrier, counsel and client to ensure accurately interpreting policy and statute language.
- Investigate details of the loss, medically manage, pay medical bills and communicate effectively to all parties on PIP/Med pay claims for all US states with potential exposures in excess of $1,000,000+.
- Expedited PIP litigation/arbitration settlements with successful negotiation strategies and effective communication skills.
- Collaborated with clients, claimants and attorney's to expedite claim handling processes, enhancing overall efficiency and client satisfaction.
- Developed strong relationships with external partners such as medical providers, and legal professionals to facilitate seamless claim resolutions.
- Enhanced customer satisfaction by promptly addressing and resolving complex claim issues through thorough investigation and analysis.
PIP Supervisor
UNITED AUTOMOBILE INSURANCE CO.
03.2023 - Current
- FL/TX PIP Supervisor - specializing in coverage and qualification
- Ensure my team is meeting or exceeding all customer service, productivity and quality metrics.
- Coach and provide guidance in a remote environment
- Foster a culture of learning, compassion and excellence in a remote environment
- REMOTE
Excess medical benefit specialist
NJ PLIGA
01.2023 - 01.2024
- FL/TX PIP Supervisor - specializing in coverage and qualification
- Ensure my team is meeting or exceeding all customer service, productivity and quality metrics.
- Coach and provide guidance in a remote environment
- Foster a culture of learning, compassion and excellence in a remote environment
- REMOTE
co-owner
HOLLY ROSE WHOLESALE, LLC
01.2021 - 01.2023
- Launched NJ location of family flowers wholesale business
- Established vendor relationships and negotiate fair floral pricing
- Hiring and employee management of NJ and NY teams
- Acquire accounts in PA/NJ/DE region
MED/PIP SUPERVISOR
FARMERS INSURANCE EXCHANGE
01.2017 - 01.2021
- NJ/PA/MD No Fault Team Supervisor including all PA Litigation
- Responsible for ensuring my team achieved all productivity, quality and customer service metrics.
- Mentored and coached employees within and outside of my immediate team.
- East Coast Customer Service Experience Team Lea
- Rated Exceeds Expectations all years of my tenure as a supervisor
Litigation Med/PIP Team Manager
LIBERTY MUTUAL INSURANCE
01.2015 - 01.2017
- Manager of FL No Fault litigation and pre-suit demand team.
- Responsible for ensuring my team achieved all expense budget, quality and production goals.
- Mentored and coached employees within and outside of my immediate team.
- Developed and maintained strong relationships with attorneys, line adjusters and helped build collaboration between litigation and frontline teams.
Med/PIP Learning Delivery Specialist
FARMERS INSURANCE EXCHANGE
01.2014 - 01.2015
- Collaborated to redesign Med/PIP New Hire Fundamentals content.
- Serve as Med/PIP and systems SME for business partners and FL Med/PIP operation.
- Managed training and projects focused on professional development and employee engagement.
- Collaborate with business partners to determine training needs of FL Med/PIP operation.
Special Claims Adjuster
FARMERS INSURANCE EXCHANGE
01.2012 - 01.2014
- Primary Claims Handler Pilot Med/PIP NJ Claims Representative Lead
- Successfully maintained mentorships with National Learning Delivery and the Liability Department.
- Determine business and training needs, coordinate development schedules, and analyze business results to enhance performance by developing action plans to turn opportunities into strengths.
- Collaborate with management personnel on evaluation, remediation, and retention of staff members.
- Local project Manager/Lead with new system deployment, staffing, consultation projects.
- Managed projects and system development as ‘superuser’; tracked and tested software, documented results, wrote formal analysis and recommendations, and updated offices on results and new updates.
Med/PIP Senior Claims Representative
FARMERS INSURANCE EXCHANGE
01.2011 - 01.2012
- Heart User Acceptance Tester and continued activity as the NJ Med/PIP Heart office lead/expert.
- Active member and local site lead of many initiatives including the Office Eligibility Pilot, the PIP/Liability Collaboration Team and the Farmers Employee Focus Group.
- Assumed supervisory responsibilities during a transitional period within the NJ COE by completing activities such as leading CCR and Eligibility reviews and taking escalation calls/requests.
- Communicated via telephone and face-to-face interactions with clients and business partners.
- Assisted with initiatives development, training modules, system testing/presentations.
- Ended these Employment Periods as an Exceeds Employee.
- Medically manage advanced claim files and acted as a peer guide to new Claims employees.
Education
Bachelor of Arts - Dual Major in Writing and Education
Rowan University
Skills
- Claims investigation
- Policy interpretation
- Medical bill management
- PIP claim negotiation
- Litigation settlement strategies
- Team leadership
- Customer service excellence
- Coverage analysis
- Relationship building
- Cross-functional collaboration
Certification
FLORIDA All LINES ADJUSTER LICENSE
Timeline
Senior Claims Adjuster-AGL/PIP
ESIS Claims
01.2025 - Current
PIP Supervisor
UNITED AUTOMOBILE INSURANCE CO.
03.2023 - Current
Excess medical benefit specialist
NJ PLIGA
01.2023 - 01.2024
co-owner
HOLLY ROSE WHOLESALE, LLC
01.2021 - 01.2023
MED/PIP SUPERVISOR
FARMERS INSURANCE EXCHANGE
01.2017 - 01.2021
Litigation Med/PIP Team Manager
LIBERTY MUTUAL INSURANCE
01.2015 - 01.2017
Med/PIP Learning Delivery Specialist
FARMERS INSURANCE EXCHANGE
01.2014 - 01.2015
Special Claims Adjuster
FARMERS INSURANCE EXCHANGE
01.2012 - 01.2014
Med/PIP Senior Claims Representative
FARMERS INSURANCE EXCHANGE
01.2011 - 01.2012
Bachelor of Arts - Dual Major in Writing and Education
Rowan University