Nesharrian Holmes
215 Heaton Place Trail, Covington,GA
Summary
Independent insurance adjuster with over 19 years of experience in adjusting catastrophe, property, auto, bodily injury and Litigated claims. Comprehensive understanding of what is required to negotiate claims and interpret policy contract language in multiple jurisdiction. Can efficiently handle high case volumes with accuracy and care.
Overview
19
19
years of professional experience
1
1
NFIP
1
1
Haag Certified Reviewer Level 1
1
1
Texas - Lic
1
1
NC - Lic
1
1
SC - Lic
1
1
Fl - Lic
1
1
GA - Lic
3
3
StateFarm Certified
Work History
Claims Examiner (remote)
FKS Insurance Services
St. Petersburg, FL
06.2021 - 08.2023
- Negotiated with policyholders, contractor, public adjuster, attorney and claimants to reach mutually satisfactory resolution to settle claims.
- Documented all investigation activity and presented reports to management.
- Reviewed all file documents from insolvent companies to assist in determining settlement.
- Meet goal set of closing 5 complex claim per week.
- Sent appropriate correspondence to representatives and homeowner.
- Reviewed field adjuster's estimate for accuracy
- Reviewed estimate photos, general loss report in various software
- Confirmed all damages were related to reported loss
- Reviewed reserves and adjusted as needed
- Collaborated claims in Xactimate as needed
- Negotiated insolvent company claims and resolved per guidelines
- Handled average of 40-60 claims weekly.
Complex File Reviewer (remote)
470 Claim Management
Waco, TX
02.2020 - 04.2021
- Reviewed field adjusters schedule in Xactanalysis made correction recognized any discrepancies and addressed in timely.
- Reviewed files for completeness, adherence to company policies, industry regulations, documentations, correct documentation, reports, and records.
- Implemented and maintain quality control measures to improve accuracy and efficiency of claims processing.
- Collaborated with claims adjusters and other parties to resolve discrepancies and ensure accuracy.
- Ensured claim files complied with all industry applicable, laws, regulations and standards.
- Proved successful working within fast-paced atmosphere reviewing 25 files on average per day.
Pre-litigation Desk Adjuster (remote)
Argent Claims Claims Consultants
West Palm Beach Gardens, FL
02.2019 - 01.2020
- Reviewed field adjusters final report, photos, and estimate to confirm photos depicted all damages indicated in estimate submitted.
- Investigated, negotiated, and reviewed with Attorney's/Public Adjusters to reach claim resolution
- Gathered and documented evidence to support supplement request
- Reviewed contractor's estimate vs company estimate to compare difference in line items, method of repair, and cost of repair to resolve claim
- Requested mediation with state as needed
- Negotiated up to $450,000 and completed litigation process to see if claims can be settled.
- Handled Appraisal claims and paid award as warranted.
- Worked with in house attorney to reach amical settlement
Property Desk Adjuster/CAT/Reconciliation
FKS Insurance Services, LLC
Palmetto, FL
02.2018 - 01.2019
- Reviewed field adjusters reports for accuracy.
- Handled 50 claims on average at all times
- Investigated, negotiated, and settled claims
- Processed Supplement request and paid as warranted according to scope of damages and evidence presented.
- Reviewed contractors estimate versus carriers estimate to determine valid scope of damages
- Revised estimate as need using Xactimate software.
- Investigated claims by reviewing policy contracts to determine claim coverage based on cause and facts of loss.
Complex Litigated Claim Examiner
Professional Staffing Services
W Dundee, IL
04.2017 - 01.2018
- Communicated with insured, attorneys, and public adjusters to bring claims to timely resolution
- Worked case load of 80 -100 files to reduce claim volume to manageable case load.
- Recommended settlement offers and negotiated payment arrangements with PA, Attorney, and or insureds.
- Completed required investigations on referred files; handled demands as submitted timely.
- Monitored field adjusters and desk adjusters investigation reports, photos, and estimate for accuracy.
Team Lead CAT- General Commercial Adj.
Bradley Stinson-BSA
San Antonio, TX
10.2016 - 03.2017
- Deployed as Team Lead of 10 employees
- Maintained case load of 30 Commercial Large Loss claims
- Reviewed field adjuster estimate, report and photos for accuracy
- Reported any and all trends to upper management for training consideration.
- Investigated claims for potential fraud, payment and or denial
- Determine coverage and decided if property warrant re-inspection for supplements.
Auto, CAT, BI, Liability Adjuster Total Loss
E. A. Renfroe & Company, Inc.
Birmingham, AL
11.2010 - 10.2016
- Assisted in training of new employees
- Reviewed Auto estimate for accuracy and paid according to policy provisions.
- Determined if vehicle was totaled or repairable
- Used Mitchell or Auto-tech software to determine vehicle value
- Negotiated settlements with public adjusters and attorneys, during appraisal and litigation
- Reviewed medical records to determine if injuries were consistent with loss claimed
- Maintain contact with treating doctor/facility for status of treatment
- Obtain all necessary information to complete proper evaluation of claims
- Determined rather or not accident was work related
Litigation Claim Adjuster -CAT- Trainer
Alamo Claim Services
San Antonio, TX
10.2005 - 10.2010
- Trained New employee
- Reviewed Auto estimate and adjusted as needed to reflect correct damaged related to loss.
- Request appraiser and notified insured or representative of process.
- Select umpire if appraisers can not come to agreement
- Handled demands effectively and timely with representative
- Handled commercial losses according to policy provisions
- Made initial contact with insureds, inspected properties, prepared Xactimate estimates, documented claim logs and paid claims
- Negotiated settlements with public adjusters and attorney
- Determine if supplement is warranted
- Independently review, analyze & research field adjusters estimates and make appropriate changes to bring estimate into compliance with policy coverage and state laws
- Reviewed contractors estimates to determine it is in line with damages as result of loss
- Addressed recoverable depreciation
- Appraisal
- Quality Control reduced errors 10% by addressing trends
- Sent out appropriate legal correspondence for compliance
- Worked closely with Defense Counsel to reach amical resolution
- Reviewed file to address Ale and Loss Assessment
Education
Associate of Arts - Independent Adjuster License
HCC
TAMPA05.2003
Skills
- Self-motivated, self-starter, self-control
- Strong verbal communication skills
- Problem solver/Experienced Trainer
- Experienced litigated claims handler
- Bodily injury adjuster
- Powerful negotiator
- Increased claim quality by 10%
- Active Listening skills
Certification
Georgia - 2824034
Alabama - 590531
Florida - E103522
Kentucky- 778854
Louisiana -560241
Mississippi- 10261947
Indiana -1102863
North Carolina - 7916412
Oklahoma - 100128716
Rhode Island- 300145700
South Carolina - 7916412
Texas - 1761100
Passport: C13730082
NFIP-FCN: 07060309
Xactimate Certified - Level II - Haag Certified Reviewer Level 1
State Farm Certified - Citizen Certified - TWIA Certified-
Xactimate address: Nesharian.Jacksonville.FL
Affiliations
References upon request
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Claims Examiner (remote)
FKS Insurance Services
06.2021 - 08.2023
Complex File Reviewer (remote)
470 Claim Management
02.2020 - 04.2021
Pre-litigation Desk Adjuster (remote)
Argent Claims Claims Consultants
02.2019 - 01.2020
Property Desk Adjuster/CAT/Reconciliation
FKS Insurance Services, LLC
02.2018 - 01.2019
Complex Litigated Claim Examiner
Professional Staffing Services
04.2017 - 01.2018
Team Lead CAT- General Commercial Adj.
Bradley Stinson-BSA
10.2016 - 03.2017
Auto, CAT, BI, Liability Adjuster Total Loss
E. A. Renfroe & Company, Inc.
11.2010 - 10.2016
Litigation Claim Adjuster -CAT- Trainer
Alamo Claim Services
10.2005 - 10.2010
Associate of Arts - Independent Adjuster License
HCC
Georgia - 2824034
Alabama - 590531
Florida - E103522
Kentucky- 778854
Louisiana -560241
Mississippi- 10261947
Indiana -1102863
North Carolina - 7916412
Oklahoma - 100128716
Rhode Island- 300145700
South Carolina - 7916412
Texas - 1761100
Passport: C13730082
NFIP-FCN: 07060309
Xactimate Certified - Level II - Haag Certified Reviewer Level 1
State Farm Certified - Citizen Certified - TWIA Certified-
Xactimate address: Nesharian.Jacksonville.FL
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