Brenda Collier
Sylacauga,AL
Summary
Seasoned Senior Claims Adjuster with over two decades at Allstate Insurance, demonstrating unparalleled expertise in claims investigation and a steadfast commitment to exceptional customer service. Excelled in high-stakes environments, mastering both technical knowledge and legal compliance, ensuring accurate coverage assessments and efficient claims processing. Proven track record of enhancing operational best practices and resolving complex issues with agility and professionalism.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Commercial Bodily Injury Adjuster
CSAA/ Mobilitas
WFH
03.2025 - Current
- Evaluated bodily injury claims to determine liability and appropriate settlements.
- Collaborated with medical professionals to assess treatment plans and related costs.
- Negotiated settlements with claimants, ensuring fair compensation based on case evaluations.
Senior Claims Adjuster, NY PIP
Allstate Insurance
06.2022 - 02.2025
- Determines coverage, assesses medical bills, evaluates medical bills, and initiates or reviews potential fraud investigations as warranted.
- Explained coverage, negotiated and settled claims, and followed up with the customer on continuing treatments while delivering compassionate service that is fast, fair, and easy to ensure customer retention.
- Capable of working independently, prioritizing, and managing workload.
- Makes and maintains a connection with the customer by understanding and meeting their needs, serves the customer with empathy, and follows up to ensure that customer needs have been met.
- Researches and responds to customer communications, concerns, conflicts, or issues.
- File documentation and reporting.
- Summarizes documents and enters claim system notes.
- Documents a claim file with notes, evaluations, and the decision-making process.
- Assesses the medical and physical condition and prior injuries of the claimant, obtains and analyzes medical bills, wage loss reviews, mileage payments, home service or attendant care, and other related claims to determine the reasonableness of charges and the relation of injuries to the accident, ensures compliance with fee schedules, and detects duplicate billing.
- Conducts first-party file processing and fact gathering, including interviewing the claimant, witnesses, medical providers, and attorneys.
- Monitors treatment and benefit payments for excessive, unreasonable, or abusive claims.
- Evaluates the medical records and treatment plan of the claimant, and determines if continued treatment is reasonable.
- Set up IME, and review results.
Senior Claims Adjuster, SIU, Commercial & BI
Allstate Insurance
05.2015 - 06.2022
- Special Investigation Claims, Commercial, Florida PIP, and Bodily Injury.
- Prepared reports that detail investigation findings.
- Conducted interviews with victims, witnesses, and suspects to gain insight into case details.
- Researches and responds to complex customer communications, concerns, conflicts, or issues.
- Conducts thorough investigations of complex cases that are potentially fraudulent to determine if payment is warranted.
- Validates that the information provided and obtained through investigation is true, accurate, and follows up on all possible leads.
- Conducts complex online data application searches, research, and evaluation.
- Review the investigation with fraud outcomes to validate whether the denial is appropriate.
- Updates files with the investigation outcome.
- Enters SIU claim data into multiple SIU systems.
- Makes claims decisions regarding complex investigations, and pursues restitution.
Claims Adjuster Medical Payments/Customer Service
Allstate Insurance Co
AL
07.2003 - 05.2015
- Managed high volume of claims while prioritizing urgent cases to ensure timely assistance during critical situations.
- Processed claims efficiently, adhering to company policies and regulations while maintaining high accuracy.
- Responded to policyholder inquiries promptly and professionally, resolving concerns effectively.
- Handled difficult conversations professionally while maintaining composure during high-stress situations.
- Managed caseloads efficiently while meeting tight deadlines without compromising quality standards.
- Communicated regularly with claimants via phone calls, emails or letters regarding status updates or additional documentation requests.
- Maintained detailed records of all claim activities in a computer system for accurate tracking purposes.
- Evaluated claims and performed investigations to accurately assess damages and liabilities.
Education
High School Diploma -
B.B.Comer
AL05.1998
Claims Investigation - Completed coursework towards Nursing
CACC
ALSkills
- Technical knowledge
- Legal Compliance
- Financial Acumen
- Policy Interpretation
- Insurance policy coverage knowledge
- Policy investigations
- Claims Processing
- Workers' compensation claims
- Insurance fraud expertise
- Automobile claims specialist
- Claims file management processes
- Claims file documentation
- Best Practices Implementation
- Insurance regulations
- Claims investigations
- Medical Coding
- Coverage assessments
- Medical terminology specialist
Certification
- Non-resident Adjuster-Property and Casualty, 318887, Vermont,
- Non-resident Staff Adjuster, 7639627, New Mexico,
- Non-resident Adjuster, 40109167, Oklahoma,
- Non-resident Adjuster, 189686, Wyoming
- Non-resident Adjuster, 2021123, Rhode Island
- Resident Adjuster, 200650, Alabama
- Non-resident Adjuster, 7639627, South Carolina
- Non-resident Adjuster, 7639627, Connecticut
- Non-resident Adjuster, 7639627, North Carolina
- State Certification Adjuster, Georgia
- Non-resident Adjuster, 497087
- Non-resident Adjuster, 7639627, New Hampshire
- Non-resident Adjuster, W624582, Florida
- Non-resident Adjuster, 3390042, Texas
- Non-resident Adjuster, 189686, Wyoming
- Non-resident Adjuster,3003836153,Delaware
- Non-resident Adjuster, 1421015, Kentucky
Timeline
Commercial Bodily Injury Adjuster
CSAA/ Mobilitas
03.2025 - Current
Senior Claims Adjuster, NY PIP
Allstate Insurance
06.2022 - 02.2025
Senior Claims Adjuster, SIU, Commercial & BI
Allstate Insurance
05.2015 - 06.2022
Claims Adjuster Medical Payments/Customer Service
Allstate Insurance Co
07.2003 - 05.2015
High School Diploma -
B.B.Comer
Claims Investigation - Completed coursework towards Nursing
CACC