AMBER JARRETT
Murfreesboro
Summary
Detail-oriented Insurance Professional with 7+ years in bodily injury, recovery, and Medicare/Medicaid claims management. Expertise in analyzing medical documentation and claims trends to enhance process efficiency and reduce loss costs. Proficient in Excel, Power BI, and various claims platforms, facilitating data-driven decisions and stakeholder reporting. Pursuing an MBA in Data Analytics, concentrating on risk management and business strategy.
Overview
9
9
years of professional experience
Work History
Bodily Injury Claims Specialist
State Farm Insurance Company
Murfreesboro
02.2020 - Current
- Managed caseload of 100 bodily injury claims, achieving quality and timeliness metrics (≥95% documentation accuracy, ≥90% on timeliness).
- Reviewed and interpreted complex policy language for 80 to 100 bodily injury claims, ensuring accurate coverage determinations and reducing disputes by 15%.
- Utilized negotiation techniques and analyzed data trends to resolve complex claims, minimizing litigation exposure and securing fair settlements.
- Evaluated liability and injury scenarios through data-driven risk assessment, contributing to a 30% reduction in litigated claim frequency across Colorado, South Dakota, and Arkansas.
- Communicated complex claim decisions to claimants, attorneys, and stakeholders, enhancing resolution rates and reducing escalations.
- Tracked claim severity and settlement patterns using Excel and internal tools, producing weekly reports that guided strategies for high-exposure files.
Senior Recovery and Resolutions analyst
Optum
Brentwood
10.2018 - 02.2020
- Resolved $560k in provider overpayments annually, enhancing data accuracy and compliance with Medicare/Medicaid standards.
- Mentored 12 team members in complex claims analysis, leading to reduced error rates on escalated cases.
- Managed 60+ inbound and outbound interactions daily, documenting outcomes and updating claims systems to sustain ≥98% QA scores.
Claims Processor
United Health Care
Brentwood
03.2017 - 10.2018
- Adjudicated 110 Medicare/Medicaid claims daily, maintaining 98% processing accuracy.
- Recommended process improvements that management implemented, which reduced rework volume significantly.
- Identified claim processing bottlenecks and policy gaps using Excel and internal dashboards to enhance workflow efficiency.
Education
MBA - Data Analytics
Trevecca University
Nashville05-2026
B.B.A - Economics
Middle Tennessee State University
Murfreesboro, TN12-2016
Skills
- Claims and loss cost analysis
- Trend identification and risk assessment
- Negotiation techniques
- Compliance and critical thinking
- Excel and Power BI
- Tableau and claims platforms
- Stakeholder communication and time management
- Strategic decision-making and collaboration
Timeline
Bodily Injury Claims Specialist
State Farm Insurance Company
02.2020 - Current
Senior Recovery and Resolutions analyst
Optum
10.2018 - 02.2020
Claims Processor
United Health Care
03.2017 - 10.2018
MBA - Data Analytics
Trevecca University
B.B.A - Economics
Middle Tennessee State University