Brianna Brown
Avon
Summary
Licensed Workers' Compensation Claims Adjuster with over 11 years of experience managing claims and delivering exceptional customer service. Demonstrates a strong ability to ensure regulatory compliance while handling high-severity cases and driving efficient claims resolution. Recognized for fostering team collaboration and exhibiting leadership qualities, combined with meticulous attention to detail and a proactive approach to problem-solving. Committed to enhancing operational efficiency and achieving optimal outcomes for clients and stakeholders.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Claims Adjuster Technical Assistant
State Auto Insurance Companies / Liberty Mutual
2021.11 - Current
- Oversaw the compliance process for workers' compensation claims by managing timely filings of required state documentation.
- Analyzed and processed wage forms, adhering to specific state regulations for accuracy and compliance.
- Managed daily transactions of indemnity and settlement payments, ensuring compliance with regulatory standards.
- Engaged with EDI and data compliance teams to align processes with regulatory requirements.
- Executed comprehensive management of state closure reports while filing essential claim closure forms.
- Oversaw daily responsibilities and diary scheduling, prioritizing time management and precision in all activities.
- Facilitated the complete lifecycle of medical-only workers' compensation claims, addressing all necessary documentation and communication.
- Oversaw team dynamics by providing guidance and support to enhance skills of both new hires and seasoned employees.
- Achieved compliance with licensure requirements across multiple states, including MN, NC, NJ, SC, FL, IL, CO, AZ, KY, TX, MS, WI, VA, enhancing operational integrity.
Licensed Claims Adjuster
State Auto Insurance Companies
2018.10 - 2021.11
- Evaluated and processed long-term, high-severity injury claims, maintaining compliance with industry standards and regulations.
- Evaluated claims and disbursed indemnity benefits to qualified injured workers, facilitating timely support during their rehabilitation.
- Analyzed and adjusted claims documentation to facilitate just and efficient settlement outcomes.
- Analyzed reports and conducted data research to effectively negotiate and resolve claims, enhancing operational efficiency.
- Engaged in detailed discussions with legal counsel to address and resolve litigated claims.
- Oversaw comprehensive documentation processes through consistent reviews to uphold accuracy and relevance.
- Reviewed medical documentation to ensure alignment with treatment standards and guidelines.
- Conducted detailed assessments of third-party litigation within Minnesota subrogation matters to mitigate risks and enhance recovery efforts.
- Facilitated communication between EDI and data compliance teams to maintain compliance with regulatory requirements.
Triage Claims Specialist Lead
State Auto Insurance Companies
2015.03 - 2018.09
- Designed and executed comprehensive training materials and streamlined team processes.
- Reviewed and analyzed insurance policies and benefits to provide accurate information and support to clients.
- Documented injury and claim data in internal systems to ensure accurate record-keeping and compliance.
- Analyzed incoming workers' compensation claims, determining severity to facilitate timely processing and resolution.
- Spearheaded detailed interview processes with employers, employees, and clients to inform strategic decision-making.
- Executed preparation and documentation of forms, reports, and medical record requests, ensuring compliance with regulatory standards.
Branch Supervisor / Teller
TCF National Bank
2013.08 - 2015.03
- Executed cash vault audits and reconciled general ledger accounts to uphold financial accountability and transparency.
- Oversaw accurate balancing of cash drawers by supplying tellers with necessary coin and currency.
- Facilitated positive customer experiences by addressing inquiries and resolving issues during all transactions.
- Provided expert assistance in account management and loan application submissions, ensuring a seamless experience for customers.
- Developed and implemented targeted marketing campaigns for bank products, contributing to achievement of sales objectives.
- Monitored account transactions and implemented security measures to safeguard facility assets.
- Directed a team of 7 employees, fostering collaboration and achieving departmental goals.
Branch Teller
TCF National Bank
2011.02 - 2013.08
- Processed financial transactions and provided customer support while adhering to established bank protocols.
- Developed and maintained lasting client relationships by providing customized service experiences.
- Enforced strict confidentiality protocols for client and bank information management.
- Managed transaction workflows and ensured timely issuance of receipts, maintaining high standards of accuracy.
Education
High School Diploma -
Robbinsdale Cooper Senior High School
Plymouth, MN01.2012
Skills
- Outstanding customer support
- File and Record Management
- Critical Thinking
- Regulatory Compliance
- Verbal and Written Communication
- Claims Processing
- Claims Evaluation
- Complex Problem Solving
- Proven leadership skills
- Goal-oriented individual
Accomplishments
- Achieved consistent Top Performer recognition throughout tenure in the Workers’ Compensation Claims industry
- Trusted as a team leader responsible for training, mentoring, and supporting both new and existing team members
- Leveraged subject-matter expertise to contribute to the successful creation of a new claims processing system
Certification
Licensed Claims Adjuster, 2018-01-01, Present, MN, NC, NJ, SC, FL, IL, CO, AZ, KY, TX, MS, WI, VA
Timeline
Claims Adjuster Technical Assistant
State Auto Insurance Companies / Liberty Mutual
2021.11 - Current
Licensed Claims Adjuster
State Auto Insurance Companies
2018.10 - 2021.11
Triage Claims Specialist Lead
State Auto Insurance Companies
2015.03 - 2018.09
Branch Supervisor / Teller
TCF National Bank
2013.08 - 2015.03
Branch Teller
TCF National Bank
2011.02 - 2013.08
High School Diploma -
Robbinsdale Cooper Senior High School
Personal Information
Title: Licensed Workers' Compensation Claims Adjuster