BRENDA M. BELCHER
Santa Fe,NM
Summary
Professional claims specialist skilled in liability assessment, negotiation, and resolution. Strong collaboration with teams to achieve optimal outcomes, adapting to changing needs effectively. Expertise in claims investigation, analysis, and communication, ensuring reliable and consistent performance. Known for integrity, accountability, and results-driven approach.
Overview
1
1
Certification
20
20
years of professional experience
Work History
SENIOR LIABILITY CLAIMS REPRESENTATIVE
AmGUARD Insurance Company
07.2024 - 09.2026
- Adjudicated a claims portfolio of 100-120 litigated claims
- Investigated liability claims to determine coverage and assess potential exposure.
- Collaborated with legal teams to evaluate claim merits and recommend resolutions.
- Reviewed and analyzed documentation for accuracy, ensuring compliance with regulations.
- Negotiated settlements with claimants, fostering positive relationships and trust.
- Mentored junior representatives in best practices for claims handling and customer service.
- Led initiatives to streamline claims processing workflows, improving overall efficiency.
- Reduced company exposure to potential losses by conducting thorough investigations of each claim.
- Contributed to the development of improved claims handling procedures for greater efficiency and effectiveness.
- Reviewed policy coverage terms carefully for accuracy when determining appropriate payouts on settled claims.
- Focused on continuous professional development through participation in relevant industry seminars and workshops.
- Analyzed liability claims to determine coverage and assess settlement potential.
- Collaborated with legal teams to gather pertinent evidence and documentation for claims processing.
Senior Litigation Adjuster
Allstate Insurance Company
08.2017 - 07.2024
- Managed portfolio of 100- 120 litigated claims
- Analyzed liability claims to determine coverage and assess settlement potential.
- Collaborated with legal teams to gather pertinent evidence and documentation for claims processing.
- Conducted thorough investigations of incidents, interviewing involved parties to gather comprehensive statements.
- Managed complex claim files, ensuring accuracy in documentation and adherence to company policies.
- Effectively managed time-sensitive tasks under pressure without compromising the quality of work or customer service.
- Collaborated with legal counsel to successfully defend against litigation related to disputed liability claims.
- Expedited claim settlements by effectively negotiating with claimants, attorneys, and other stakeholders.
- Managed a caseload of diverse liability claims, ensuring timely resolution and accurate documentation.
- Managed complex litigation claims, ensuring thorough investigation and analysis for accurate resolution.
- Collaborated with legal teams to develop strategic defense plans against liability claims.
Senior Claims Adjuster
ESIS
08.2016 - 08.2017
- Manages case load of 100 - 120 litigated files
- Achieved favorable case outcomes by thoroughly investigating claims, identifying liability, and evaluating damages.
- Managed complex litigation claims, ensuring thorough investigation and analysis for accurate resolution.
- Evaluated evidence and documentation to assess claim validity and recommend appropriate actions.
- Collaborated with legal teams to develop strategic defense plans against liability claims.
- Facilitated negotiations between parties, achieving favorable settlements while minimizing litigation costs.
- Mentored junior adjusters on best practices in claim handling and dispute resolution techniques.
Senior Resolution Manager
Gallagher Bassett
05.2014 - 08.2016
- Managed a diverse caseload of property and casualty claims while maintaining strict adherence to state regulations and internal guidelines.
- Examined claims forms and other records to determine insurance coverage.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Expedited claims settlements with successful negotiation strategies and effective communication skills.
- Enhanced customer satisfaction by promptly addressing and resolving complex claim issues through thorough investigation and analysis.
- Coordinated investigations with legal teams
- Participated in ongoing professional development opportunities such as industry conferences, workshops and webinars to stay current with industry trends and advancements.
Senior Claims Adjuster
Tristar Risk Management
11.2012 - 05.2014
- Managed case load of litigated claims
- Analyzed policies to determine coverage limitations and values within policy limitations.
- Reviewed policies to determine appropriate coverage according to policy limits.
- Complete investigations to secure documents, statements and appropriate reports to make final liability and case value determination
- Worked with legal team on litigated files
- Evaluated and processed complex claims, ensuring compliance with company policies and regulations.
- Led investigations into disputed claims, collaborating with legal and medical professionals to resolve issues.
Senior Claims Represntative
Broadspire Services, Inc
06.2006 - 11.2012
- Investigated and resolved complex general liability and auto claims for Carlson Restaurants Worldwide, including claims in litigation and subrogation.
- Took recorded statements, conducted investigations, reserved claims, reviewed medical records, managed litigation files, and negotiated settlements with attorneys and claimants.
Education
Associate of Science - Insurance
AIC Designation
On Line12-2008
Skills
- Claims investigation
- Liability analysis
- Coverage verification
- Settlement evaluation
- Settlement negotiation
- Dispute resolution
- Legal compliance
- File management
- Time management
- Problem-solving
- Effective communication
- Team collaboration
Certification
Current State licenses – TX home state, CT, DE, FL, KY, LA, NH, NM, NC, OK, RI, SC, VT, WV, WY
Section name
Confidential Information
Timeline
SENIOR LIABILITY CLAIMS REPRESENTATIVE
AmGUARD Insurance Company
07.2024 - 09.2026
Senior Litigation Adjuster
Allstate Insurance Company
08.2017 - 07.2024
Senior Claims Adjuster
ESIS
08.2016 - 08.2017
Senior Resolution Manager
Gallagher Bassett
05.2014 - 08.2016
Senior Claims Adjuster
Tristar Risk Management
11.2012 - 05.2014
Senior Claims Represntative
Broadspire Services, Inc
06.2006 - 11.2012
Associate of Science - Insurance
AIC Designation