Shabreah Brown
@shabreahbrown
Insurance Claims Specialist with 7+ years in workers’ comp, medical claims, and policy analysis—driving accurate, compliant resolutions.
What I'm looking for
I’m a results-driven Insurance Claims Specialist with 7+ years of progressive experience in claims management, settlement negotiation, and policy analysis across personal injury, workers’ compensation, and medical-only claims. I’m trusted for end-to-end claims adjudication, coverage determination, and regulatory compliance, including HIPAA and state/federal insurance regulations.
I manage high-volume caseloads while keeping accuracy and customer service at the center of every decision. At State Farm, I coordinated 100+ active claim files and helped reduce average claim cycle time by 20% through proactive case management and field-adjuster collaboration.
I partner closely with attorneys, medical providers, and adjusters to evaluate liability, determine appropriate claim reserves, and expedite resolution. I also identify fraud indicators, escalate suspicious claims, and support risk mitigation and loss prevention efforts.
From FNOL through final resolution, I maintain detailed documentation in claims management databases and strengthen outcomes with strong system and process skills, including Guidewire ClaimCenter, Salesforce CRM, ISO ClaimSearch, and Xactimate. I’m seeking a remote or Florida-based claims role to leverage deep insurance domain knowledge and drive operational excellence.
Experience
Work history, roles, and key accomplishments
Claims Specialist
Public Partnerships LLC
Jan 2024 - May 2025 (1 year 4 months)
Negotiated fair and equitable settlements by performing thorough policy reviews and claims investigations to identify coverage discrepancies and reduce potential legal/financial exposure. Managed the end-to-end claims lifecycle from FNOL through resolution while maintaining compliant documentation and cross-functional coordination.
Managed 100+ active workers’ comp claim files, coordinating with field adjusters to expedite resolution and reduce average claim cycle time by 20%. Performed coverage analysis and liability assessments, identified fraud indicators, mentored junior staff, and supported accurate policy renewals using electronic claims management platforms.
Medical Only Claims Specialist
Jan 2018 - Feb 2020 (2 years 1 month)
Handled medical-only workers’ compensation claims from intake through closure, assessing medical records and treatment plans to determine compensability and authorize care within jurisdictional guidelines. Coordinated with defense attorneys, IMEs, and third-party carriers, ensured HIPAA-compliant records handling, and analyzed claim facts and statutes to determine settlement amounts.
Education
Degrees, certifications, and relevant coursework
North Florida College
Pharmacy Technician Certificate, Pharmacy Technology
2020 - 2026
Studied toward a Pharmacy Technician Certificate at North Florida College from 2020 to 2026.
Jacksonville Job Corps
General Education Diploma (GED), General Education
2008 - 2009
Completed a General Education Diploma (GED) through Jacksonville Job Corps from 2008 to 2009.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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