April Haynes
Lakeland,FL
Summary
Dynamic Sr. Claims Consultant with expertise in negotiation and risk analysis. Proven track record of resolving claims effectively while mentoring junior staff to enhance team performance.
Overview
1
1
Certification
22
22
years of professional experience
Work History
Sr. Claims Consultant
Publix Super Markets Inc
Lakeland, FL
12.2014 - Current
- Conducted thorough investigations into claims, ensuring accurate evaluations to support fair and timely resolutions.
- Negotiated settlements with claimants and representatives, ensuring alignment with company policies and maximizing recovery for the insurance company.
- Trained and guided junior staff on claims procedures, enhancing their understanding and effectiveness in claims management.
- Reviewed documents such as bills, invoices, photographs. related to claim processing.
Claims Consultant
Sedgwick CMS
Lakeland, Florida
01.2011 - 12.2014
- Communicated with claimants and attorneys to clarify information and facilitate resolution of claims.
- Reviewed documentation for accuracy and completeness to ensure compliance during claims process.
- Discussed claim details with store employees to assess liability and support claims evaluation.
Claims Adjuster
Hartford SRS
Lakeland, Florida
10.2009 - 01.2011
- Managed diverse claims, including litigated and non-litigated cases, ensuring timely processing and resolution.
- Evaluated and negotiated claims for over 120 pending files, ensuring fair resolutions.
- Consistently maintained a 100% closure ratio.
Claims Examiner
Polk County Board of County Commissioners
Bartow, Florida
01.2005 - 10.2009
- Investigated discrepancies in claims and resolved issues promptly.
- Paid and processed claims within designated authority level.
- Communicated claim decisions to applicants clearly and effectively.
- Maintained detailed records of claims processing activities.
Education
Bachelor of Science - Psychology
Southeastern University
Lakeland, FL12-2009
Skills
- Claim assessment
- Claim investigation
- Claims resolution
- Litigation management
- Risk analysis
- Insurance Law Understanding
- Negotiation and mediation
- Team leadership
- Training and mentoring
- Analytical reasoning
- Time management
- Task prioritization
- Effective communication
- Communication skills
Certification
- Licensed in the following states: Florida, Georgia, North Carolina, South Carolina, Alabama, Virginia, Tennessee & Kentucky
Timeline
Sr. Claims Consultant
Publix Super Markets Inc
12.2014 - Current
Claims Consultant
Sedgwick CMS
01.2011 - 12.2014
Claims Adjuster
Hartford SRS
10.2009 - 01.2011
Claims Examiner
Polk County Board of County Commissioners
01.2005 - 10.2009
Bachelor of Science - Psychology
Southeastern University