Brandy Walker
Vidalia,GA
Summary
Professional in field of special investigations, prepared to lead and drive impactful results. Extensive experience in conducting and managing thorough investigations, with focus on maintaining ethical standards and compliance. Known for fostering team collaboration and adaptability to changing circumstances, with proven skills in investigative techniques and risk assessment.
Overview
22
22
years of professional experience
1
1
Certification
Work History
SIU Director
Veracity Research Corp
01.2020 - 05.2025
- In 2024, facilitated measurable investigative impact of $3.8m for a single carrier client across three lines of business.
- Managed complex investigations involving multiple policies/parties/organizations/providers, coordinating resources to achieve successful outcomes in a timely manner.
- Increased claim recovery rates through diligent pursuit of subrogation opportunities and strategic negotiation efforts.
- Ensured regulatory compliance within the SIU department by staying current with industry regulations and best practices.
- Developed and managed case investigation strategy according to each case's specific needs.
- Oversaw caseload and reporting requirements for all team members.
- Conducted Investigator/Manager mentoring on policy and coverage fundamentals, in-person and telephonic statements, canvass opportunities, when and how to think outside typical parameters.
Private SIU Contractor / Consultant
Various
10.2017 - 01.2020
- Established SIU guidelines and compliance standards for newly established TPA/MGA.
- Filed required fraud plans and personnel designations. Create vendor relationship and pricing standards.
- Facilitated NICB member relationship between carrier and TPA/MGA.
- Establish and implement SIU referral standards and mandatory referral requirements.
- Conducted Individual and complex claim investigation management and investigation to include auto, property and casualty, workers’ compensation, commercial liability.
- Review of investigated losses for appropriate state fraud referrals.
- Development and expansion of data pool associated with organized entities.
- Establishing and maintaining relationships within the organization, law enforcement, and industry.
Major Case Investigator
Progressive Insurance
04.2003 - 12.2013
- Conducted proactive data mining and pattern detection across personal and commercial lines of business to establish viable casework.
- Investigated multi-claim and multi-entity organized activity.
- Conducted thorough and timely statements and EUOs.
- Completed articulate and detailed reports.
- Skilled in large loss, medical provider and facility investigation; including coding manipulation, billing for services not rendered, emergency service activation coding outside appropriate perimeters, facility inspection and personnel interviews.
- Background investigation and link analysis of individuals and business entities.
- Accident, fire, and theft investigation for commercial and personal lines of business.
- Liaison to the claims organization and local law enforcement agencies.
- Serve as representative for the National Insurance Crime Bureau Major Medical Task Force.
Skills
- Claims analysis
- Ethics enforcement
- Interview / EUO techniques
- Data analytics / Link analysis
- Compliance awareness and adherence
- Technology proficiency
- Teamwork and collaboration
- Customer engagement
- Attention to detail
Training
- Reid Interview and Interrogation training
- IHC Academy, Dr. R Wakefield (Medical provider fraud)
Certification
FCLS
Timeline
SIU Director
Veracity Research Corp
01.2020 - 05.2025
Private SIU Contractor / Consultant
Various
10.2017 - 01.2020
Major Case Investigator
Progressive Insurance
04.2003 - 12.2013
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