PATRICIA HAYNES
Charlotte,NC
Summary
Seasoned insurance professional with proven track record of effectively managing claims from initiation to resolution. Highly skilled in assessing coverage, coordinating with clients, and ensuring compliance with industry standards. Valued for strong team collaboration and adaptability in dynamic environments.
Overview
14
14
years of professional experience
Work History
Claims Representative for National Accounts
Corvel
Baltimore, Maryland
10.2022 - 10.2024
- Transferred to the National Accounts WC Team in the Baltimore, Maryland office. Responsible for the dedicated accounts assigned. Investigate, evaluate and handle their Medical Only WC claims. This position is in Baltimore, MD
- Managed claims processing, ensuring compliance with state regulations and company policies.
- Collaborated with medical providers to obtain necessary documentation for claims adjudication.
- Resolved complex claims disputes, utilizing negotiation skills to achieve favorable outcomes for clients.
- Analyzed claim data to identify trends and improve overall operational efficiency.
Claims Representative
CorVel
Largo, MD
03.2020 - 10.2022
- Responsible for handling Medical Only WC claims for Prince Georges County - Police Team in Largo. MD.
Employment Service Representative
Workforce
Dallas, Texas
12.2018 - 05.2019
- Responsible for certifying clients for Government issued benefits (SNAP program) and assist them in their search for employment. This position was in Dallas, Texas.
Medical Only Claims Representative
CorVel
Glen Allen, VA
01.2016 - 08.2018
- Investigated, evaluated and handled their Medical Only WC claims for VA Municipality / Public School and National Accounts. This position was in Glen Allen, VA.
Lost time Claims Adjuster
Corvel
02.2011 - 04.2013
- Investigated, evaluated and handled the lost time claims for PG County – Police Team.
Education
Associate of Arts - Liberal Arts
St.Petersburg College
St. Petersburg, FLSkills
- Microsoft office
- Insurance claims review
- Claims investigation
- Time management
Section name
20+ years claims handling experience for insured and Self-Insured clients. Knowledge of the Workers’ Compensation claim process. Experience with claims ranging from medical only to Lost Time and complex litigation.
Timeline
Claims Representative for National Accounts
Corvel
10.2022 - 10.2024
Claims Representative
CorVel
03.2020 - 10.2022
Employment Service Representative
Workforce
12.2018 - 05.2019
Medical Only Claims Representative
CorVel
01.2016 - 08.2018
Lost time Claims Adjuster
Corvel
02.2011 - 04.2013
Associate of Arts - Liberal Arts
St.Petersburg College