George Lombard
Maple Valley,WA
Summary
I have had extensive experience at the Centers for Medicare & Medicaid Services, ensuring regulatory compliance and fostering collaboration. Proven track record as a subject matter expert in policy analysis and effective communication, driving successful outreach initiatives. Skilled in problem-solving and relationship building, adept at managing compliance issues and enhancing stakeholder engagement.
Overview
27
27
years of professional experience
Work History
Health Insurance Specialist
Centers for Medicare & Medicaid Services
10.2004 - 03.2025
Monitored Medicare Advantage Plans and ACA Issuers for compliance with CMS policy and procedures.
When organizations are out of compliance take appropriate action based on CMS policy and procedures.
Liaison for external and internal partners.
Conduct outreach to external and internal partners on a local and national level.
Ensure inquiries are addressed accurately and timely
Social Insurance Representative/Contact Rep
Social Security Adminstration
04.1998 - 10.2004
I was responsible for processing claims for Social Security and SSI benefits following SSA policies and procedures..
Ensured that benefit payments were correct.
When necessary I terminated or suspended benefits.
Interview (in person and over the phone) beneficiaries, representative payees and other designated representatives in order to assist in problem resolution.
Education
Culinary Arts
Los Angeles Trade Technical College
Los Angeles, CAHigh School Diploma -
Oak Harbor High School
Oak Harbor, WASkills
- Regulatory Compliance
- Contract Management
- Policy Analysis
- Team Leadership
- Collaboration
- Problem-Solving
- Effective Communication
- Relationship Building
- Verbal Communications
Timeline
Health Insurance Specialist
Centers for Medicare & Medicaid Services
10.2004 - 03.2025
Social Insurance Representative/Contact Rep
Social Security Adminstration
04.1998 - 10.2004
Culinary Arts
Los Angeles Trade Technical College
High School Diploma -
Oak Harbor High School
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