ALEXIS HOLMES
Jacksonville,FL
Summary
Experienced professional with a solid background in customer interactions and service solutions. Demonstrates expertise in conflict resolution, communication, and problem-solving to ensure high levels of customer satisfaction and loyalty. Proven ability to collaborate effectively with teams, adapt to changing needs, and consistently deliver results through efficient and empathetic service. Recognized for reliability and a proactive approach in meeting both customer and organizational goals.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Casualty Claims Adjuster
Crawford & Company
08.2023 - Current
- Examines claims forms, policies and endorsements, client instructions and other records to determine coverages
- Prepares reports by collecting and summarizing information required by client, local, state and federal government and by Crawford
- Settles claims by determining client's coverages, liability, client's instructions and authority levels required by obtaining demands and making offers to claimants, issuing settlement checks, making filings with regulatory agencies, disposing of salvage, pursuing subrogation when appropriate
- Improved claim resolution times by efficiently managing caseloads and prioritizing urgent cases.
- Increased accuracy of loss evaluations by conducting comprehensive reviews of property damage estimates submitted by contractors or appraisals performed internally.
- Conducted thorough investigations of complex claims, gathering information from various sources to make informed decisions on coverage eligibility.
- Managed litigated claims through settlement negotiations or trial preparation, minimizing potential financial exposure for the company.
- Ensured compliance with state regulations regarding licensing requirements, continuing education mandates, and reporting deadlines.
Senior Property Adjuster
Progressive Insurance
09.2022 - 08.2023
- Handle assigned claims' caseload comprised of claims with complex damages including specialty claims
- Partners with vendors and internal business partners to facilitate complex claims
- Assessed property damages to determine appropriate claim settlements.
- Collaborated with clients and contractors for accurate damage evaluations.
- Identified discrepancies in claims, enhancing accuracy of settlements.
- Increased accuracy of damage estimates by utilizing advanced software programs for appraisal calculations.
Senior Claims Adjuster (Auto and Property)
The Hartford Insurance
01.2020 - 09.2022
- Handle assigned claims in a manner consistent with corporate claim policies and procedures, and statutory, regulatory and ethics requirements and business unit goals
- Properly assess the exposure of assigned claims; set appropriate and timely reserves
- Manage all aspects of assigned claims, which includes initial claim contact, reserve and execute accurate and timely payments, investigate coverage and recovery opportunities, manage file to timely resolution, and complete all data integrity components
- Utilize organization and communication skills to effectively resolve assignments, manage claim deadlines, and appropriately manage vendors
- Develop technical and jurisdictional expertise, including knowledge of independent adjusters, contractors, vendors, etc
Catastrophe Claims Representative
Nationwide Insurance
09.2019 - 01.2020
- Ensure that all assigned claims are resolved timely, accurately and resolved fairly
- Communicate and connect with policyholders, agents, engineers, and service providers daily
- When necessary, utilize appropriate third-party resources to investigate and evaluate all claims
- Calculate benefits payable under the policy and either make payments or decline payments on claims
- Provide exceptional customer service by establishing and maintaining effective relationships with customers
- Ability to make decisions with the customer at the center of everything we do
- Utilize critical thinking skills to gather and analyze information which leads to sound claims decisions
- Continually evaluate self against performance targets and strive to exceed expectation
Commercial Lines Processor
Nationwide Insurance
10.2015 - 09.2019
- Reviews and processes most types of commercial and/or specialty risks in accordance with established procedures and practices
- Performs necessary rating and coding for quotes, new business, renewals and policy changes, reinstatements, rejections, cancellations and audit changes
- Reviews submitted materials for completeness and accuracy and may follow up with agent, Underwriting and/or policyholder/applicant for missing/inaccurate information
- Analyzes and corrects validity errors for all products in the account
- Compiles information, reviews and prepares account breakdown as needed
- Handles agent, policyholder and/or insurance department correspondence and related paperwork, depending on focus of the business unit
Education
Associate of Science - Criminal Justice
College of Central Florida
Ocala, FL12.2019
Skills
- Critical Thinking
- Clerical
- Judgment and Decision Making
- Active Learning
- Complex Problem Solving
- Service Orientation
- Time Management
- Negotiation
- Customer service
- Claims investigation
Certification
- Class D Security
- 6-20 All-Lines Adjuster License
- 4-40 Customer Representative (CSR) license
- Xactimate Certification Levels 1-3 – Xactware Solutions Inc.
- Basic Life Support Certification (BLS)
- CPR/AED Certification
Timeline
Casualty Claims Adjuster
Crawford & Company
08.2023 - Current
Senior Property Adjuster
Progressive Insurance
09.2022 - 08.2023
Senior Claims Adjuster (Auto and Property)
The Hartford Insurance
01.2020 - 09.2022
Catastrophe Claims Representative
Nationwide Insurance
09.2019 - 01.2020
Commercial Lines Processor
Nationwide Insurance
10.2015 - 09.2019
Associate of Science - Criminal Justice
College of Central Florida
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