Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Royette Holmes

Killeen,TX

Summary

Motivated catastrophe claims adjusters specializing in personal, property, and casualty loss and damages. Negotiates peaceful resolutions of all claims with an emphasis on fairness and thoroughness. Trustworthy and dependable. Detail-oriented Examiner with 8 years of experience. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills. Thorough understanding of the claims process.

Overview

10
10
years of professional experience
14
14

Certifications

Work History

Catastrophe Claims Adjuster

Alacrity Solutions
Carrollton, TX
08.2017 - 02.2024
  • Evaluated and resolved property and casualty insurance claims, ensuring fair and efficient settlement outcomes for all parties involved.
  • Managed total loss claims, meticulously assessing extent of damages to establish liability.
  • Negotiated settlements for claims involving supplemental payment requests, depreciation, and scope discrepancies, achieving resolution in line with policy stipulations.
  • Reduced average time taken to process claims by 20% by streamlining claims processes and implementing efficient procedures. This resulted in quicker resolutions for policyholders, allowing them to receive their settlements within 10 days on average, compared to industry average of 15 days.

Auto Claims Adjuster

Liberty Mutual
Allentown, PA
12.2014 - 09.2017
  • Assessed and processed range of auto claims, from straightforward to complex, determining settlement adequacy based on thorough evaluation and investigative efforts.
    • Established and maintained effective relationships with agents, actively involving them in claims processes, and consistently served as primary point of contact for clients.
    • Analyzed insurance policies for coverage applicability, conducted detailed investigations into claim validity and damage assessments, and proficiently managed claims, including tracking critical legal timelines and negotiating settlement amounts with carriers.
    • Through exceptional customer service skills and prompt communication, customer satisfaction rating of 92% was achieved.

Medical Claims Examiner

United Health
Fogelsville , PA
09.2013 - 11.2015
  • Verified patient insurance coverage and benefits for medical claims.
  • Evaluated necessities of additional treatments or procedures based on established criteria, protecting patients from unnecessary interventions or costs.
  • Managed large volume of medical claims on daily basis.
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
  • Examined claims forms and other records to determine insurance coverage.
  • Paid or denied medical claims based upon established claims processing criteria.
  • Negotiated fair settlements with healthcare providers to minimize financial risk while ensuring adequate compensation for services rendered.

Education

Associate of Applied Science - Human Resources Management

Lehigh Carbon Community College
Schnecksville, PA
05.2015

Skills

  • Multiple State Adjuster Licenses
  • Advanced computer skills
  • Insurance policy coverage knowledge
  • Administrative background
  • Policy investigations
  • Hail and wind damage specialist
  • Flood Certified
  • Customer service-oriented

Certification

* Licensed Property Inspector

* Xactimate Level I & II Certified

* Notary Public

* Commercial Real Estate agent

* NFIP Certified


Timeline

Catastrophe Claims Adjuster

Alacrity Solutions
08.2017 - 02.2024

Auto Claims Adjuster

Liberty Mutual
12.2014 - 09.2017

Medical Claims Examiner

United Health
09.2013 - 11.2015

Associate of Applied Science - Human Resources Management

Lehigh Carbon Community College
Royette Holmes