Yolanda Raichert
Savage,MN
Summary
Seasoned insurance professional specializing in home, auto, and health policies with expertise in claims management and subrogation. Proven track record in streamlining processes and delivering tailored insurance solutions. Committed to improving client satisfaction and retention through effective communication and problem resolution. Proficient in educating clients on insurance products.
Overview
1
1
Certification
26
26
years of professional experience
Work History
Account Excutive
Gallagher
Chaska, Minnesota
09.2024 - Current
- Cultivated client relationships, enhancing satisfaction and retention.
- Identified customer needs through targeted questioning, recommending tailored solutions.
- Tailored insurance solutions to align with client requirements and goals.
- Advised customers on best practices for product usage and maintenance.
- Provided technical support for accounts post-sale, improving user experience.
- Maintained current knowledge of industry trends and developments to inform client strategies.
Claims Supervisor
Zenith American Solutions
01.2023 - 01.2024
- Led team of 9 claim examiners to ensure accurate, timely processing of insurance claims through regular performance discussions.
- Revised reports for upper management, summarizing claims metrics and key performance indicators to inform strategic decision-making.
- Held title of Office Compliance Officer and ensured compliance with state and federal regulations and company policies.
- Collaborated with cross-functional teams to improve communication and efficiency in claims resolution.
- Participated in continuous improvement initiatives to enhance overall claim handling processes.
Quality Assurance Analyst
Blue Cross Blue Shield of MN
04.2021 - 07.2022
- Monitored and analyzed performance metrics through quality monitoring systems to ensure compliance with standards.
- Conducted internal audits to evaluate compliance with established standards.
- Formulated and executed strategies for process improvements, resulting in enhanced service delivery.
- Created and maintained project manuals and technical documentation to support subrogation and workers' compensation analysts.
- Trained team members on company systems to enhance operational efficiency.
Subrogation Analyst - Subrogation Associate - Third Party Liability
Blue Cross Blue Shield of MN
09.2006 - 04.2021
- Deepened understanding of subrogation and workers compensation laws through ongoing education.
- Evaluated policy reports and medical records to identify and recommend effective liability strategies.
- Negotiated settlements for subrogation and workers compensation claims.
- Applied medical terminology expertise to accurately interpret and communicate procedural details.
- Trained staff on injury claim evaluation techniques.
- Analyzed data for verifying claims, ensuring alignment with company practices.
Customer Service - Large Groups and Government Groups
Blue Cross Blue Shield of MN
11.2000 - 09.2006
- Investigated and resolved customer inquiries and complaints, enhancing overall service quality.
- Liaised effectively between customers and internal departments to ensure alignment.
- Answered customer telephone calls promptly, reducing hold times for improved customer satisfaction.
- Trained in multiple roles to increase team flexibility and enable timely support for customer service needs.
Education
Business Administration -
University of Southern Colorado
Pueblo, COSkills
- Insurance compliance
- Claims processing
- Insurance customization
- Microsoft Office
- Productivity enhancement
- Analytical thinking
- Problem solving
- Employee training
- Team collaboration
- Effective communication
- Customer service excellence
- Negotiation skills
- Time management
Personal Information
Title: Account Executive
SEMINARS
- ARTHUR CHAPMAN WORKERS' COMPENSATION SEMINAR 2018/2019/2020
- BUSINESS WRITING PRINCIPLES
- WRITING WITH IMPACT
- Kaplan Property & Casualty
Certification
- Resident Insurance Producer 40949763
Timeline
Account Excutive
Gallagher
09.2024 - Current
Claims Supervisor
Zenith American Solutions
01.2023 - 01.2024
Quality Assurance Analyst
Blue Cross Blue Shield of MN
04.2021 - 07.2022
Subrogation Analyst - Subrogation Associate - Third Party Liability
Blue Cross Blue Shield of MN
09.2006 - 04.2021
Customer Service - Large Groups and Government Groups
Blue Cross Blue Shield of MN
11.2000 - 09.2006
Business Administration -
University of Southern Colorado