Melissa E. Raymer

*** ******* ****, **********, ** 55317

651-***-**** ac7cru@r.postjobfree.com

Professional Summary

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.

Skills

Complex and high exposure claim

coverage analysis

Broad range of claims handling

including construction defect

Extensive transportation claim

investigation and resolution

Risk management processes and

analysis

Specialized in policy and contract interpretation including defense and indemnity tenders

Highly motivated, hard working, and dedicated

Work History

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

CLAIMS REPRESENTATIVE

Claims Overload

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.

Education

Master of Business Administration – Risk Management

Walden University

Bachelor of Business Administration – Administrative Management and Business Communications

University of Wisconsin – Eau Claire

Certifications

The Institutes – CPCU, AIC, ARM ARe

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