Quadriyyah Musawwir
Las Vegas,NV
Summary
Dedicated Claims Representative with expertise in problem-solving and goal orientation. Known for strong communication and negotiation skills, consistently delivering quality service and maintaining high standards in claims management.
Overview
19
19
years of professional experience
Work History
Liability Claims Adjuster
Kemper Insurance
Henderson, Nevada
01.2025 - 11.2025
- Evaluated liability claims to determine coverage and validity.
- Reviewed policy documents to ensure accurate and compliant claim processing.
- Communicated with clients to gather necessary claim information.
- Documented and organized claims files to support efficient claims resolution.
- Collaborated with legal teams on complex claims issues.
- Assisted in negotiating settlements, aligning outcomes with company guidelines.
- Researched case law to support claims decisions.
Claims Representative
UnitedHealthcare
Remote, NV
02.2020 - 11.2024
- Communicated with providers to gather necessary documentation and information.
- Resolved discrepancies through investigation and collaboration with team members.
- Educated members on claims status and benefits coverage options.
- Assisted in training new representatives on claims processing workflows.
- Processed a high volume of claims efficiently while maintaining quality standards.
- Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
- Handled customer inquiries regarding insurance policy coverage details and payment status updates.
Substitute Teacher
Kansas City Public Schools
Manhattan, Kansas
03.2007 - 01.2018
- Managed classroom behavior, ensuring a safe and positive learning environment.
- Collaborated with school staff to support student learning and engagement initiatives.
- Adapted instructional methods to meet individual student learning styles and abilities.
- Implemented educational technology tools to enhance student engagement and understanding.
- Supervised students during lunch, recess, and other non-classroom activities for safety.
- Provided classroom instruction outlined in teacher's lesson plans.
Education
Bachelor of Arts - Human Development
Kansas State University
Manhattan, KS12-2006
Skills
- Evaluation techniques
- Policy analysis
- Claims processing
- Legal research
- Negotiation strategies
- Customer relationship management
- Problem solving
- Goal orientation
- Property adjusting
Timeline
Liability Claims Adjuster
Kemper Insurance
01.2025 - 11.2025
Claims Representative
UnitedHealthcare
02.2020 - 11.2024
Substitute Teacher
Kansas City Public Schools
03.2007 - 01.2018
Bachelor of Arts - Human Development
Kansas State University