Summary
Overview
Work History
Education
Skills
Timeline
Generic
Brandi Edwards

Brandi Edwards

Summary

Diligent Adjuster qualified in fact-finding, damage assessments and claims processing. Offers excellent judgment and decision-making for accurate claims analysis and settlement with attorneys. Compassionate with clients and articulate in communicating important details.

Overview

5
5
years of professional experience

Work History

Claims Adjuster

GEICO
Fredericksburg, VA
08.2021 - Current
  • Interprets medical reports and billing, evaluates claim value and manages claims process to ensure efficient resolution
  • Investigates and settles injury claims with attorneys prior to litigation
  • Mentors peers on negotiation strategies with attorneys, best practices for claim evaluation and early settlement resolutions
  • Controlled loss ratios by investigating, evaluating and settling claims up to $100,000.00 in value.
  • Resolved complex and severe exposure claims through expert file handling and knowledge of Bodily Injury settlements.
  • Drafts settlement agreements in compliance with state laws that provide protection to policyholders and insurance carriers

Operations Specialist

IQVIA
01.2021 - 07.2021
  • Maintained quality standards with team quality assurance monitoring and coaching.
  • Tracked and reported adverse events to regulatory authorities, ethics committees, institutional review boards, investigators, oversight groups in accordance with legislative standards
  • Developed meaningful deliverables while coordinating efforts with external stakeholders and maintaining compliance throughout the process
  • Resolved operational project issues by coordinating efforts between functional team members, e.g
  • Identified and documented quality control issues and determined escalation requirements
  • Provided training and coaching to incoming operations analysts regarding work process, deliverables, and regulatory and compliance expectations.

Clinical Associate

CARILION CLINIC
Blacksburg, VA
09.2018 - 03.2021
  • Coordinated COVID testing and sick appointment schedules for 3+ providers, who would see up to 200+ patients per day
  • Maintained and updated patient progress reports ensuring patient data and health history was most accurately reflected through narrative writing
  • Served as a team lead, developed and implemented training procedures for new employees
  • Organized the implementation of the clinic’s first telehealth phone line during the COVID-19 pandemic
  • Conducted a COVID-19 study to assess the accuracies of a rapid antigen based COVID-19 test against alternatives, working against a strict project deadline
  • Worked with other functional leads to open one of the organization’s first COVID-19 testing centers.

Education

Bachelor of Science, Psychology -

RADFORD UNIVERSITY
05.2019

Skills

  • Microsoft Office
  • Communication
  • Claims Processing
  • Reserve Management
  • Negotiation Skills
  • Time Management
  • Attention to Detail
  • Team Leadership
  • Analytical Skills
  • File Auditing

Timeline

Claims Adjuster

GEICO
08.2021 - Current

Operations Specialist

IQVIA
01.2021 - 07.2021

Clinical Associate

CARILION CLINIC
09.2018 - 03.2021

Bachelor of Science, Psychology -

RADFORD UNIVERSITY

Similar Profiles

CREATE PROFILE
Brandi Edwards