Amanda Morrow
Murfreesboro,TN
Summary
Detail-oriented Claims Processor with specialized experience in life claims and a strong foundation in medical and pharmacy benefits. Proven ability to review documentation, determine claim eligibility, resolve discrepancies, and ensure policy compliance in high-volume production environments. Experienced with Medicare, Medicaid, and commercial plans. Promotion-ready for a remote Claims Adjuster or Claims Examiner role focused on investigative review and payment accuracy.
Overview
12
12
years of professional experience
Work History
Claims Processor (Life Claims)
Aetna
11.2024 - Current
- Review and adjudicate life insurance claims in accordance with policy provisions
- Analyze beneficiary, coverage, and eligibility information to determine claim outcomes
- Research discrepancies and obtain required documentation for claim approval
- Maintain high production and quality metrics in a deadline-driven environment
- Navigate multiple systems to validate claim accuracy and payment details
Leasing Associate
RPM Living
11.2023 - Current
- Manage resident files, applications, and lease compliance documentation
- Maintain accurate records using Yardi and RentCafe systems
Real Estate Agent
Vylla
08.2021 - 01.2023
- Coordinated transactions and reviewed contracts for accuracy and deadlines
Eligibility Representative
Accredo
06.2014 - 02.2021
- Verified insurance coverage, authorizations, and pharmacy benefits
- Resolved rejected claims through payer research and policy interpretation
- Applied CPT, ICD-10, and HCPCS codes to support billing and claim resolution
- Worked with Medicare, Medicaid, and commercial health plans
- Ensured audit compliance through detailed documentation and account review
Education
Medical Billing & Coding Diploma -
Anthem Career College
Real Estate License Coursework - undefined
The CE Shop
Skills
- Life Claims Processing
- Policy & Beneficiary Review
- Claims Eligibility Determination
- Medicare & Medicaid
- Commercial Insurance
- Benefits Verification
- CPT / ICD-10 / HCPCS (Accredo)
- Claims Research & Resolution
- Payment Accuracy
- Audit & Quality Compliance
- High-Volume Production
- Facets / Claims Platforms
- Claims review
- Microsoft Office
- Remote Workflow
Timeline
Claims Processor (Life Claims)
Aetna
11.2024 - Current
Leasing Associate
RPM Living
11.2023 - Current
Real Estate Agent
Vylla
08.2021 - 01.2023
Eligibility Representative
Accredo
06.2014 - 02.2021
Real Estate License Coursework - undefined
The CE Shop
Medical Billing & Coding Diploma -
Anthem Career College