Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Work Availability
References
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Monica Ragsdale

Richmond,USA

Summary

Adept at navigating complex insurance fraud cases and enhancing underwriting processes, my tenure at Elephant Insurance showcases a proven track record in risk assessment and cross-functional collaboration. Leveraging analytical prowess and exceptional communication skills, I've driven process improvements and mentored teams, significantly elevating operational efficiency and accuracy in claims handling.

Overview

18
18
years of professional experience

Work History

Multi-skill Special Investigations Claims Adjuster

Elephant Insurance
Richmond, VA
11.2023 - 11.2024
  • Conducted thorough investigations into various cases, including fraud, unlisted drivers, mid-term amendments, and theft
  • Gathered evidence through interviews, surveillance, and research to build strong case files
  • Interviewed witnesses and suspects to obtain statements and gather additional evidence
  • Prepared detailed reports outlining findings, conclusions, and recommendations for further action
  • Managed multiple cases simultaneously while adhering to strict deadlines and prioritizing tasks effectively
  • Coordinated efforts with other investigators during joint investigations
  • Leveraged social media platforms for open-source intelligence gathering
  • Demonstrated exceptional attention to detail in analyzing complex data sets for patterns or anomalies
  • Leveraged strong analytical skills to connect seemingly unrelated pieces of information into cohesive narratives
  • Conducted interviews with policyholders, witnesses, and other relevant parties to gather information for claim assessment
  • Reviewed policy terms and conditions to ensure accurate interpretation and application during the claims process
  • Evaluated potential fraud indicators in claims submissions and reported suspicious activity following company protocols
  • Collaborated closely with underwriters during the investigation phase of auto insurance claims
  • Participated in regular meetings with supervisors/team leads to discuss case progress/status updates

Hybrid Anti-Fraud Associate

Elephant Insurance
Henrico, VA
10.2022 - 11.2023
  • Identified potential fraud indicators through careful analysis of application details and supporting documentation
  • Utilized underwriting guidelines and company policies to assess the insurability of applicants
  • Prepared detailed reports summarizing investigation findings, supporting evidence, and recommended actions
  • Reviewed police reports/witness statements/photos/videos etc. to establish liability/fault in auto accident-related claims
  • Coordinated inspections/assessments by arranging appointments between adjusters/surveyors/contractors and policyholders
  • Provided guidance and mentorship to junior claims representatives by sharing knowledge/experience in handling challenging cases
  • Collaborated with internal departments such as underwriting or risk management to identify potential fraud indicators in new claims
  • Conducted thorough investigations into potentially fraudulent claims using available resources and tools
  • Communicated effectively with policyholders regarding the status of their claims throughout the entire process
  • Collaborated with underwriters to review complex or high-value claims requiring additional expertise or analysis

Senior Underwriter

Elephant Insurance
Henrico, VA
04.2015 - 07.2023
  • Assist in the implementation of improvements to existing underwriting processes; constant review for efficiency and accuracy with regards to the company’s guidelines as well as statutory requirements.
  • Constantly work with Operations to educate departments on updated underwriting procedures.
  • Assist in training and development of junior staff in evaluating risks associated with new business opportunities
  • Review agent audit reports and implement strategies to address potential concerns.
  • Work with IT, operations, compliance and other support departments to implement process improvements including integration with new data vendors.
  • Analyzed and evaluated complex financial data to determine risk levels and make informed underwriting decisions
  • Collaborated with cross-functional teams including claims adjusters, actuaries, and legal counsel to gather necessary information for underwriting decisions
  • Identified potential fraud indicators through careful analysis of application details and supporting documentation
  • Implemented process improvements that resulted in increased efficiency in the underwriting workflow
  • Maintained accurate records of all underwriting activities including correspondence, decisions made, and supporting documentation

Marketing and Production Auto Underwriter

State Farm
Charlottesville, VA
01.2009 - 04.2015
  • Analyzed and evaluated insurance applications to determine the level of risk involved
  • Reviewed and verified accuracy of all underwriting data, ensuring compliance with company guidelines and industry regulations
  • Utilized underwriting software systems to process applications efficiently and accurately
  • Collaborated with agents or brokers to obtain additional information or clarify details on insurance applications
  • Maintained up-to-date knowledge of industry trends, market conditions, and regulatory changes affecting underwriting practices
  • Participated in training sessions to enhance understanding of new products, processes, or technologies related to underwriting
  • Contributed insights for the development of underwriting guidelines based on risk assessment analysis
  • Managed a high volume of incoming insurance applications while maintaining accuracy in decision-making processes
  • Consistently met or exceeded established productivity targets for processing insurance applications
  • Prepared comprehensive reports detailing findings from risk assessments for management review
  • Served as a subject matter expert providing guidance on complex cases requiring specialized attention
  • Developed and executed comprehensive marketing strategies to increase brand awareness and drive customer acquisition
  • Analyzed market trends and competitor activities to identify opportunities for growth and develop targeted marketing initiatives
  • Utilized data analytics tools to track campaign performance, measure ROI, and optimize marketing efforts for maximum impact

Auto/Bank/Life Insurance Specialist

Ray Garfinkel - State Farm Insurance
Richmond, VA
06.2006 - 01.2009
  • Assisted clients in selecting appropriate insurance coverage based on their needs and budget
  • Provided excellent customer service by promptly responding to client inquiries and resolving issues
  • Maintained a high level of knowledge regarding various insurance products, industry trends, and regulatory changes
  • Educated clients on the importance of maintaining adequate insurance coverage to protect against financial loss
  • Maintained accurate records of all interactions with clients, including phone calls, emails, and in-person meetings
  • Participated in industry conferences and workshops to stay updated on emerging trends in the insurance field
  • Conducted policy reviews for clients to ensure their coverage remained adequate and up-to-date
  • Served as a subject matter expert on various types of insurance policies such as auto, home, life, etc
  • Increased cross-selling opportunities by identifying additional coverage needs during client interactions

Education

Bachelor's Degree - Interior Design

Virginia Commonwealth University
Richmond, VA

Property and Casualty License -

Bureau of Insurance
08.2005

Life & Annuities -

Bureau of Insurance
06.2006

Health -

Bureau of Insurance
06.2006

Associate in General Insurance -

The Institutes
01.2020

Associate in Personal Insurance -

The Institutes
01.2020

Associate in Insurance Services -

The Institutes
01.2020

Skills

  • Accident scene investigations
  • Policy investigations
  • Insurance fraud expertise
  • Claims processing
  • Risk management
  • Cross-functional coordination
  • Insurance policy coverage expertise
  • Caseload management
  • Verbal and written communication
  • Data analysis
  • Policy Interpretation
  • Workflow management
  • Claims investigation
  • Customer service
  • Multitasking and organization
  • Claims file documentation
  • Interviewing techniques
  • Coverage assessments
  • Claims file management processes
  • Critical thinking
  • Regulatory compliance
  • Attention to detail
  • Risk assessment
  • Problem-solving
  • Fact-finding
  • Decision-making
  • Insurance regulations
  • Data entry
  • Online training experience
  • Classroom expertise
  • Reference material development
  • Project implementation
  • Job training
  • Branding
  • Customer research
  • Project management
  • Cross-functional collaboration

Accomplishments

  • Participated in training over 500 agent team members and agents on a regular basis when new guidelines and procedures presented for applications.
  • Responsible for Marketing and Portfolio Management for 25 new agents in NC.
  • Provided cross-training to underwriting peers from other regions in the US to be able to handle WV/DE/VA/MD/DC/NC underwriter responsibilities.
  • Created and maintained all the underwriting resources and job aids from 2017-2023 to be up-to-date with rating and guideline changes
  • Recognized with the Travis Boggs Award - Specialized Claims Adjuster for the 3rd quarter of 2023
  • Detected 40 claims out of 158 total in 2024 that were determined to be fraudulent or disclaimed due to misrepresentation in the risk exposure.
  • Over 350,000 in detections recorded in 2024 with a 24.39% detection rate.

Timeline

Multi-skill Special Investigations Claims Adjuster

Elephant Insurance
11.2023 - 11.2024

Hybrid Anti-Fraud Associate

Elephant Insurance
10.2022 - 11.2023

Senior Underwriter

Elephant Insurance
04.2015 - 07.2023

Marketing and Production Auto Underwriter

State Farm
01.2009 - 04.2015

Auto/Bank/Life Insurance Specialist

Ray Garfinkel - State Farm Insurance
06.2006 - 01.2009

Bachelor's Degree - Interior Design

Virginia Commonwealth University

Property and Casualty License -

Bureau of Insurance

Life & Annuities -

Bureau of Insurance

Health -

Bureau of Insurance

Associate in General Insurance -

The Institutes

Associate in Personal Insurance -

The Institutes

Associate in Insurance Services -

The Institutes

Work Availability

monday
tuesday
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thursday
friday
saturday
sunday
morning
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References

References available upon request.

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Monica Ragsdale