Rebecca Lanz
Sherburn,MN
Summary
Experienced Auditor focused on improving business compliance, workflow and processes through detailed audits and optimization recommendations. Successful track record of fully evaluating information, structures and procedures and initiating corrective actions.
Overview
33
33
years of professional experience
Work History
Audited 100+ Claims
Cotiviti
01.2021 - Current
- Provided detailed documentation on audit findings, facilitating swift corrective action when necessary.
- Maintained confidentiality, handling sensitive information discreetly throughout all stages of the audit process.
- Ensured compliance with regulatory requirements by performing regular audits and staying up-to-date on industry standards.
- Streamlined audit processes, improving efficiency and reducing time spent on each audit engagement.
Validation
Accent
11.2004 - 01.2021
- Improved data accuracy by conducting thorough analysis and validation of large datasets.
- Ensured compliance with regulatory requirements through diligent validation and verification of software functionality.
- Optimized data validation processes, resulting in improved data accuracy and integrity.
Claims Examiner
Trustmark Insurance
02.1992 - 11.2004
- Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
- Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
- Participated in cross-functional team meetings to address organizational challenges related to claims management and develop solutions collaboratively.
- Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
- Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information on claim status.
- Maintained detailed records of all claims activities, ensuring compliance with regulatory requirements and company policies.
- Interpreted policy provisions, endorsements, and exclusions to accurately determine coverage for claims.
- Researched claims and incident information to deliver solutions and resolve problems.
Education
Accounting - Accounting
Jackson Votechnical School
Jackson, MN05.1987
Skills
- While with Trustmark Insurance Company, work focus was with group health insurance, processing both medical and hospital claims
- Then trained on individual claims processing of medical and hospital claims
- Then acquired team lead position
- Training new employees
- Working with medical director
- Team Collaboration
- Claims Auditing
- Claims Processing
- Compliance and regulations
Timeline
Audited 100+ Claims
Cotiviti
01.2021 - Current
Validation
Accent
11.2004 - 01.2021
Claims Examiner
Trustmark Insurance
02.1992 - 11.2004
Accounting - Accounting
Jackson Votechnical School
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