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Shabreah Brown

@shabreahbrown

Insurance Claims Specialist with 7+ years in workers’ comp, medical claims, and policy analysis—driving accurate, compliant resolutions.

United States
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What I'm looking for

I’m seeking a remote or Florida-based claims role where I can leverage end-to-end adjudication, coverage and reserve accuracy, and HIPAA-compliant documentation—partnering with legal and medical teams to expedite resolution and improve cycle time.

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

PL

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.

SI

Senior Claims Specialist

Mar 2020 - Dec 2023 (3 years 9 months)

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.

Sedgwick Claims Management Services logoSS

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 logoNC

North Florida College

Pharmacy Technician Certificate, Pharmacy Technology

2020 - 2026

Studied toward a Pharmacy Technician Certificate at North Florida College from 2020 to 2026.

JC

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

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