Leah Brawley
Atlanta,Georgia
Summary
Dynamic operations and risk professional with nearly a decade of expertise in regulatory compliance, case review, and risk assessment. Proven ability to identify trends and enhance workflows while translating complex information into clear, actionable insights. Recognized for exceptional critical thinking skills and structured documentation practices, adept at managing intricate processes in fast-paced environments. Committed to driving operational efficiency and fostering effective stakeholder communication to support informed decision-making.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Claims Associate – Coverage & Risk Evaluation
State Farm Insurance
Atlanta, GA
05.2017 - Current
- Interpret and analyze policy language to determine coverage, liability exposure, and claim outcomes with accuracy and consistency
- Conduct in-depth claim evaluations, ensuring alignment with regulatory requirements, internal policies, and procedural standards
- Manage a high-volume caseload, handling over 200 claims per week while maintaining accuracy and timeliness
- Analyze supporting documentation and eligibility criteria to make well-informed coverage determinations
- Identify claim trends and recurring risk patterns, contributing insights that support broader business decision-making
- Maintain highly detailed, audit-ready documentation through structured reporting and clear case narratives
- Collaborate with internal teams to improve workflow efficiency, contributing to more consistent claim handling and reduced processing delays
- Consistently meet or exceed internal performance standards for quality, accuracy, and turnaround time
- Worked effectively in fast-paced environments.
Office & Project Coordinator
Panther City Contracting
Hurst, TX
01.2016 - 01.2017
- Organized and maintained operational data, ensuring accuracy across multiple active project logs and reports
- Streamlined day-to-day operations to enhance project efficiency across multiple initiatives.
- Managed client account records to ensure accurate documentation and streamlined internal communications.
Early Intervention Specialist
Metrocare Services
Dallas, TX
07.2013 - 07.2015
- Performed comprehensive developmental assessments to ensure compliance with established program standards for eligibility determinations.
- Oversaw daily management of caseloads comprising 5-6 clients, ensuring comprehensive documentation and progress tracking. Facilitated client development by providing regular updates and insights. Cultivated strong relationships to enhance client engagement and outcomes.
- Developed and executed customized intervention plans based on targeted evaluation findings.
- Facilitated collaboration with families and multidisciplinary teams to enhance client development and achieve program objectives.
- Conducted comprehensive assessments to monitor client progress and address specific needs.
Education
Bachelor of Science - Human Development & Family Studies
University of Houston
Houston, TX01.2013
Skills
- Coverage analysis
- Policy interpretation
- Risk assessment
- Eligibility review
- Claims trend analysis
- Regulatory compliance
- Data Reporting
- Project coordination
- Administrative excellence
- Adept multitasking
- Technical proficiency
- Claims processing/investigation
- Microsoft office
- Quickbooks
Certification
Foundations of Project Management
Timeline
Claims Associate – Coverage & Risk Evaluation
State Farm Insurance
05.2017 - Current
Office & Project Coordinator
Panther City Contracting
01.2016 - 01.2017
Early Intervention Specialist
Metrocare Services
07.2013 - 07.2015
Bachelor of Science - Human Development & Family Studies
University of Houston