Ramsfjell played lead for the Norwegian team skipped by Pål Trulsen. With the team, Ramsfjell has won an Olympic gold medal (2002), a European Curling Championships gold medal (2005), a World Championships silver medal (2002), two World Championships bronze medals (2001 and 2003) and a European Championships bronze medal (2004).
At the 1997 World Championships, Ramsfjell played second for Trulsen, and it was Ramsfjell's first worlds. In 1992, Ramsfjell was the lead for his brother Eigil Ramsfjell at the European championships, and was his alternate at the 1989 European championships. Bent played second for Thomas Ulsrud at the 1989 World Junior Curling Championships. His son Bendik Ramsfjell is also a curler.