Sharon Brown
Wilmington
Summary
Claims Analyst with extensive experience, specializing in complex claims evaluation and resolution. Expertise in insurance coverage and legal processes, complemented by strong communication and conflict management skills. Successfully trained teams and streamlined processes, resulting in enhanced operational efficiency and increased customer satisfaction. Possesses strong analytical, problem-solving, and communication skills for effective liaison between clients and administrative personnel. Have demonstrated ability to streamline processes, improving efficiency and customer satisfaction in previous roles.
Overview
30
30
years of professional experience
Work History
Claims Analyst 2
DELAWARE CLAIMS PROCESSING FACILITY
Wilmington
03.2012 - Current
- Analyzes asbestos claims with an emphasis on Maritime aspects from diverse Law Firms for necessary documentation to facilitate payment to claimants and/or families
- Associates company codes to claims for law firms to facilitate precise information for claims
- Evaluates medical documents and legal affidavits to confirm correctness and legitimacy of documents
UNEMPLOYMENT INSURANCE CLAIMS INTERSTATE SUPERVISOR
Department Of Labor Delaware
Wilmington
01.2010 - 03.2012
- Led and facilitated staff operations for efficient processing of claims and payments related to unemployment
- Evaluated non-monetary eligibility of complex claims
- Served as Delaware's Interstate Coordinator for 49 states, addressing originating issues and supplying information to state coordinators for claim resolution
- Managed policy and procedural questions through telephone and electronic mail for out-of-state claimants, employers, and local offices to maintain alignment with division practices
- Participated in appeal hearings to uphold decisions made by Department of Labor
- Executed competency-based interviews to recruit qualified staff
- Procured office supplies for department
CLAIMS EXAMINER (Direct Marketing Unit)
AIG Domestic Claims
Wilmington
07.2005 - 07.2009
- Examined, reviewed, and concluded complex claims related to Accidental Death and Dismemberment, Accident and Sickness Medical, Family Leave, and Permanent Total Disability through detailed investigation and evaluation in compliance with contract provisions
- Coordinated comprehensive customer service responses for customers, attorneys, policy administrators, and providers
- Generated written correspondence in formats of acknowledgment, informational, denial, and appeal letters
- Guided new employees on processes for adjudicating direct marketing claims
- Communicated updated information to policy administrators when necessary
ASSOCIATE BUSINESS ANALYST
AIG Domestic Claims
Wilmington
06.1996 - 07.2005
- Evaluated, verified, and integrated policy information into claims systems
- Managed file maintenance and documented updates and revisions within claims systems
- Generated and dispatched reinsurance invoices to multiple reinsurance companies
- Input wire transfers into claims systems for several third party administrators
- Instructed new employees on effective policy loading techniques
Education
Project Management Certificate -
University of Delaware
Newark, DE01.2019
Associate of Science Degree - Business Administration
Wesley College
New Castle, DE01-2003
Skills
- Insurance coverage expertise
- Fraud awareness training
- Administrative expertise
- California law practices
- Policy investigations
Training and development - Service-oriented customer support
- ERISA training
- Fraud statute knowledge
- Expertise in legal processes
- Structured interviewing strategies
- Communication proficiency
Positive relationship management
Conflict management skills
Social skills - Enthusiastic professional
- Expertise in verbal and written communication
- Project management skills
- Project management
- Performance assessment
- Performance evaluation
- DMV compliance education
- Labor law knowledge
FMLA/ADA regulations
Legal research and application - Conflict resolution
Accomplishments
Employee of the Quarter in 2014 and consistently surpassing quality benchmarks and production targets.
Timeline
Claims Analyst 2
DELAWARE CLAIMS PROCESSING FACILITY
03.2012 - Current
UNEMPLOYMENT INSURANCE CLAIMS INTERSTATE SUPERVISOR
Department Of Labor Delaware
01.2010 - 03.2012
CLAIMS EXAMINER (Direct Marketing Unit)
AIG Domestic Claims
07.2005 - 07.2009
ASSOCIATE BUSINESS ANALYST
AIG Domestic Claims
06.1996 - 07.2005
Project Management Certificate -
University of Delaware
Associate of Science Degree - Business Administration
Wesley College