Brenda Esparza
Aliso Viejo,CA
Summary
Results-driven Sr. Claims Adjuster with 16+ managing litigated and complex workers' compensation claims and special-handling accounts at Copperpoint Insurance. Skilled in liability assessment, reserve strategy, settlement negotiation, and litigation management, with proven ability to drive efficient, cost-effective claim resolutions in high-volume environments.
Overview
1
1
year of post-secondary education
22
22
years of professional experience
Work History
Sr. Claims Adjuster
Copperpoint Insurance
Irvine, California
05.2026 - Current
- Evaluated complex insurance claims for accuracy and compliance.
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
- Negotiated settlements with policyholders and legal representatives effectively.
- Negotiated settlement of claims with claimants and attorneys to ensure fair outcomes.
- Collaborated with clients to gather necessary documentation and information.
- Maintained communication with clients throughout the life cycle of their claim regarding status updates and resolution options.
- Developed detailed reports summarizing claim investigations and findings.
- Developed strategies for expediting the processing of large volumes of claims while maintaining quality standards.
- Handled and processed a variety of claims.
- Provided guidance to junior adjusters on best practices and protocols.
- Advised colleagues regarding best practices when handling difficult cases or challenging circumstances.
Claims Representative III
Compwest Insurance
12.2009 - Current
- Managed a complex caseload of 135+high-exposure worker's compensation claims, included both non-litigated and litigated matters. Oversaw all aspects of claim evaluation, strategy, and resolution while ensuring compliance with legal standards and company policies.
- Assessed liability, exposure, and compensability for diverse claim types, including litigated claims with significant financial risk, facilitating informed decision-making.
- Directed litigation strategy by coordinating with defense counsel, setting depositions, preparing case files, and negotiating settlements.
- Collaborated with internal teams, medical providers, and legal partners to drive claims toward cost-effective and timely closure.
- Oversaw medical management, including treatment plans, utilization review and return-to-work initiatives to support efficient claim resolution.
- Collaborated with internal teams, medical providers, and legal partners to achieve cost-effective and timely resolution of claims.
Administration/Accounting
Sikder Holdings International
01.2005 - 12.2009
- Oversaw day-to-day administrative and financial operations, ensuring compliance and accuracy while streamlining workflow across multi-location organization.
- Managed accounts payable and receivable, prepared financial reports, processed payroll for 250+ employees, and assisted with worker's compensation audits by providing documentation and payroll data. Supported compliance with federal, state and local permits for 13 business locations and coordinated personnel administration.
- Maintained accurate financial records for effective administration.
- Prepared budgets and forecasts to support strategic planning.
- Coordinated audits and ensured compliance with regulations.
Education
B.A. - Business Administration, Concentration Marketing
California State University
Fullerton, CA 08.2003 - 01.2005
Skills
- Litigation strategy
- Loss Reserve Analysis
- Risk Assessment
- Cost Containment
- Negotiation skills
- Special-Handling Account Management
- Caseload management
- Guidewire Claims Center Expertise
- Diary Management
- Adaptability
Awards
- WCCP Certificate, 2013
- CAWC Certificate, 2017
Languages
- WCCP Certificate, 2013
- CAWC Certificate, 2017
Timeline
Sr. Claims Adjuster
Copperpoint Insurance
05.2026 - Current
Claims Representative III
Compwest Insurance
12.2009 - Current
Administration/Accounting
Sikder Holdings International
01.2005 - 12.2009
B.A. - Business Administration, Concentration Marketing
California State University
08.2003 - 01.2005