Melissa E. Raymer
Dedicated to enhancing claims department operations with an analytical and disciplined approach. Adept at working with minimal direction to solve problems, resolve conflicts, and respond to customer inquiries.
Complex and high exposure claim
Broad range of claims handling
including construction defect
Extensive transportation claim
investigation and resolution
Risk management processes and
Specialized in policy and contract interpretation including defense and indemnity tenders
Highly motivated, hard working, and dedicated
06/2006 – 08/2018
EXECUTIVE LIABILITY SPECIALIST / CLAIMS MANAGER
Western National Insurance Company
Supervised high exposure complex claims and civil litigation including claims of bad faith, coverage matters, extra-contractual exposures, construction defect, large trucking, environmental, wrongful death, and catastrophic injury claims minimizing risk for the company throughout a 13 state region.
Excels at working under limited supervision.
Minimize expenses as it relates to claims handling including legal costs.
Audit claim files as part of the management team.
Collaborate with upper management on the due diligence for merger and acquisitions.
Assist and advise underwriting department researching coverage questions and concerns.
Manage the Western Region liability claim team handling claims in seven states for commercial and personal lines of business.
Taught multiple Associate in Claims (AIC) classes and mentored property, liability and workers compensation adjusters to earn their designations
Five-time presenter at the National Property Liability Research Bureau (PLRB) conferences.
Served on the National PLRB Claims Conference Committee for six years.
President of Twin Cities Claims Association 2010
08/1999 – 06/2006
SENIOR CLAIMS REPRESENTATIVE
Farmers Home Group
Manage high exposure and litigated losses in personal and commercial lines in the company’s seven state region.
Supervise and audit the contracted Third-Party Administrator (TPA) of claims.
Collaborate with outside subrogation defense and complete quarterly file audits.
Write and implement the Farmers Home Group Claims Department Procedures and Guidelines manual.
Assist in improving the company’s reinsurance reporting guidelines and file the facultative and excess of loss billings.
Investigate and recover over $1,000,000 in un-billed reinsurance returns from prior treaties.
02/1995 – 08/1999
SENIOR CLAIMS REPRESENTIVE
National Car Rental Systems, Inc.
Develop and finalize self-insured automobile losses in 12 states and Canada.
Organize three successful settlement conferences involving both litigated and direct contact exposures.
Work closely with our multiple layer excess carriers on high and vicarious liability loss exposures.
09/1994 – 02/1995
Investigate and resolve bodily injury claims for Liberty Mutual’s CAT team handling Schwan’s salmonella event.
07/1991 – 09/1992
FIELD CLAIMS REPRESENTATIVE
Farmers Insurance Group of Companies
Coverage confirmation, investigate, negotiate, and settle bodily injury including first and third-party property damage claims in the eastern third Wisconsin.
Master of Business Administration – Risk Management
Bachelor of Business Administration – Administrative Management and Business Communications
University of Wisconsin – Eau Claire
The Institutes – CPCU, AIC, ARM ARe