Claims Auditor

About Lantern

Lantern is the specialty care platform connecting people with the best care when they need it most. By curating a Network of Excellence comprised of the nation's top specialists for surgery, cancer care, infusions and more, Lantern delivers excellent care with significant cost savings to employers and their workforces. Lantern also pairs members with a dedicated care team, including Care Advocates and nurses, for the entirety of their care journey, helping them get back to good health, back to their families and back to work. With convenient access to specialists nationwide, Lantern means quality care is within driving distance for most. Lantern is trusted by the nation's largest employers to deliver care to more than 6 million members across the country. Learn more about us at lanterncare.com. 

About You:

• You use LOGIC in your decision making and understand that progress is critical to making change. You focus on the execution of your content while balancing a fast-paced environment and you take the time to celebrate both the small & big wins. 
• INCLUSION is a core tenant of your personal beliefs. A diverse and inclusive environment is incredibly important to you. You understand and desire to be a part of a diverse team with different experiences and perspectives & you cherish the differences in each individual that you interact with.
• You have the GRIT, drive and ambition to tackle big problems. Big problems require big ideas and a team that supports new ideas. 
• You care deeply for your customers are driven to keep HUMANITY in all decisions. Your customers aren’t just the individuals using your product. They are the driving factor in your motivation to make a change.
• Integrity guides you in life. Focusing on the TRUTH vs. giving people the answers they want to hear. 
• You thrive in a Team Environment. Collaboration is key in innovation and creating change.

These pillars of LIGHT are a reminder to our team that we are making a difference by providing guidance and support in navigating the often complex and confusing landscape of healthcare. We hope that through this LIGHT, individuals can find their way to the best care, resources, and support they need to get back to life. 

If this sounds like you, we would love to connect to speak further about career opportunities at Lantern.

Please apply to our role & someone from our Talent Acquisition Team will reach out to help you navigate our interview process.

Job Overview

The Claims Department Auditor at Lantern is responsible for conducting comprehensive audits and reviews of operations within the claims department. This role focuses on evaluating the completeness and proper maintenance of departmental records and operations, ensuring compliance with established rules, policies, and procedures. The Claims Department Auditor plays a vital role in ensuring the integrity and efficiency of departmental operations.

Location: Dallas, Texas – onsite full time

Responsibilities:

• Plan and execute audits to assess the efficiency and effectiveness of departmental operations in achieving objectives.
• Conduct thorough examinations, inquiries, and observations to ascertain the completeness of records and compliance with regulations.
• Develop and generate detailed audit reports, identifying areas for improvement and ensuring transparency in operations.
• Provide recommendations based on audit findings to enhance departmental processes and compliance.
• Utilize advanced Excel skills, including VBA, XLOOKUP, and Pivot Tables, to analyze data and support audit activities.
• Track and report trends in departmental performance metrics to assist in decision-making.
• Ensure that departmental operations adhere to established policies, procedures, and regulatory requirements.
• Stay informed about changes in regulations that may impact auditing practices.
• Work closely with departmental staff to facilitate audits and provide guidance on best practices for record-keeping and compliance.
• Engage with management to discuss audit findings and action plans for improvements.
• Engage with team to discuss trends and training on common trends found during audits.
• Perform other tasks and duties as assigned to support the overall goals of the claims department.
• Excellent communication skills, both verbal and written.
• Ability to work independently and collaboratively in a fast-paced environment.
• Proven experience in auditing, preferably within a healthcare or insurance setting.
• Strong analytical skills and attention to detail.
• Proficiency in Microsoft Excel, including advanced functions (VBA, XLOOKUP, Pivot Tables).
• Excellent communication skills, both verbal and written.
• Ability to work independently and collaboratively in a fast-paced environment.

 Benefits

Lantern does not discriminate on the basis of race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity or any other reason prohibited by law in provision of employment opportunities and benefits.