Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Raquel Ramirez

Des Moines,IA

Summary

Experienced Bodily Injury Claims Adjuster with extensive background in managing and resolving complex insurance claims. Demonstrates proficiency in policy interpretation, settlement negotiations, and claims investigation, leading to efficient and fair resolutions. Excels in streamlining processes to enhance customer satisfaction. Adept at working collaboratively with legal teams, policyholders, and insurance companies.

Overview

21
21
years of professional experience
1
1
Certification

Work History

Bodily Injury Claims Adjuster

Nationwide
Des Moines, IA
08.2012 - 10.2024
  • Evaluated bodily injury claims, ensuring adherence to company guidelines and accurate assessment of medical records.
  • Led investigations into liability issues, employing data analysis from accident reports and witness statements for informed claim resolution.
  • Streamlined case resolution strategies, enhancing efficiency in handling difficult cases.
  • Maintained positive working relationship with fellow staff and management.
  • Provided mentorship to junior Claims Adjusters, fostering a supportive team environment.

Customer Service Supervisor

Blue Cross and Blue Shield
Des Moines, IA
04.2004 - 08.2012
  • Monitored customer service performance metrics, such as call response times, resolution rates, and customer satisfaction ratings.
  • Provided guidance and support to junior customer service representatives, including coaching and mentoring.
  • Identified areas of improvement in the customer service process and developed strategies to address them.
  • Developed policies and procedures for handling incoming calls, emails, complaints, returns, refunds.

Education

MBA - Risk Management

University of Saint Mary
Leavenworth, KS
03-2017

Skills

  • Adaptability
  • Experience working with Excel
  • Communication skills, both written and verbal
  • Policy Interpretation and Coverage Expertise
  • Time management abilities
  • Analytical Thinking
  • Negotiation and Settlement Negotiation
  • Computer Skills
  • Risk Management
  • Customer Service Excellence

Certification

  • Adjuster License from state of Florida

Languages

Spanish
Professional

Timeline

Bodily Injury Claims Adjuster

Nationwide
08.2012 - 10.2024

Customer Service Supervisor

Blue Cross and Blue Shield
04.2004 - 08.2012

MBA - Risk Management

University of Saint Mary

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Raquel Ramirez