Summary
Overview
Work History
Education
Skills
Timeline
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Ardell Brown

Memphis

Summary

Analytical Claims Specialist with proven experience investigating and resolving property, health, and business claims. Delivers professional and balanced customer service and meets the needs of insured, claimant, and internal and external customers—insurance expert with exceptional knowledge of legal liabilities and claims practices and superior interpersonal skills.

Overview

5
5
years of professional experience

Work History

Claims Specialist (Remote)

Sedgwick
12.2022 - 06.2025
  • Handled all assigned claims promptly and effectively
  • Ran all claim reports through the company system
  • Determined proper policy coverages and applied appropriate claims practices to reach case resolution
  • Escalated all claims to the necessary departments and reviewed all claims documents for accuracy
  • Acted as liaison in reference to all severe incident reports, reinsurance reports, and all other case needs
  • Built long-lasting client relationships and prioritized outstanding customer service

Claims Processor (Remote)

Gopuff
07.2021 - 08.2022
  • Reported claims to insurance companies and gathered the adjuster information and claim number
  • Kept an accurate record of claim recoveries in the company system
  • Generated all Claims acknowledgment documents
  • Resolved claims by approving or denying documentation, calculating benefits due and determining compensation settlement
  • Contacted injured parties and legal representatives to negotiate final settlements for claims

Insurance Claims Representative (Hybrid)

SCR Medical
01.2020 - 06.2021
  • Delivered quality customer service to assigned, insured, and claimants throughout the entire claims lifecycle to promote service times
  • Negotiated settlements for uncomplicated claims in accordance with actual company liability
  • Determined liability, compensability, and benefits due on each claim
  • Checked computations of interest accrued, premiums due, and settlement surrender on loan values
  • Drafted statements of loss to summarize payments, underlying policy coverages, and damages

Education

Diploma -

Kirby High School
08-2013

Skills

  • Documentation Review
  • Coverage Assessments
  • Accident Investigations
  • Settlement Determinations
  • Data Entry
  • Verbal and Written Communication
  • Claim Amount Calculations
  • New Policies Processing
  • Eligibility Determination
  • Coverage Determination
  • Customer Service
  • Microsoft Office
  • Data Analysis

Timeline

Claims Specialist (Remote)

Sedgwick
12.2022 - 06.2025

Claims Processor (Remote)

Gopuff
07.2021 - 08.2022

Insurance Claims Representative (Hybrid)

SCR Medical
01.2020 - 06.2021

Diploma -

Kirby High School

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Ardell Brown