Summary
Overview
Work History
Education
Skills
Accomplishments
Interests
Timeline
Generic

George Schroeder`

Wichita,KS

Summary

Health insurance professional with strong background in policy analysis, customer relationship management, and claims processing. Known for effective team collaboration and adaptability to changing needs. Skilled in navigating complex regulations, delivering clear client communication, and driving results. Reliable and focused on achieving outcomes that benefit both members and the health plans.

Overview

6
6
years of professional experience

Work History

Customer Service Representative/Supervisor

ContinuumGlobal/ LA Care
08.2023 - Current
  • Resolved escalated member service inquiries and complaints to maintain satisfaction.
  • Managed high call volume while maintaining exceptional quality standards, addressing and resolving concerns related to health care needs..
  • Submission and review of service authorization request for medicare members.
  • Understanding of deductibles, max out of pocket, coinsurance, copays, prior authorization, and all benefits with the ability to explain them to members.
  • Maintained compliance with all HIPPA, Marketplace, Medicare industry regulations while completing documentation accurately and efficiently.

Customer Service Representative/ Trainer

Faneuil/ Humana Inc
09.2019 - 08.2023
  • Maintained compliance with HIPPA, Medicare guidelines and all other industry standards/regulations while completing documentation accurately and efficiently.
  • Educated members on the intricacies of their health insurance policies, empowering them to make informed decisions.
  • Assisted members with medication overrides for coordination of benefits and vacation related issues using the RXnova Argus system.
  • Efficiently managed high-pressure situations such as claim denials or unexpected policy cancellations.

Education

No Degree - Information Technology

Wichita Area Tech
Wichita, KS
09-2009

High School Diploma -

Campus High Schrool
Haysville, KS
05-2004

Skills

  • Customer service expertise
  • Health insurance expertise
  • Collaborative teamwork
  • Proficient time management
  • Analytical problem-solving
  • Skilled at prioritizing tasks simultaneously
  • CRM software proficiency
  • Self motivated

Accomplishments

  • Collaborated with the IT department in transitioning 213 customer service agents to a new phone system from 03/10/22025 to 03/15/2025.

Interests

  • Hiking
  • Coaching youth soccer
  • Camping
  • Volunteering
  • Assisting Family and Friends with health plans

Timeline

Customer Service Representative/Supervisor

ContinuumGlobal/ LA Care
08.2023 - Current

Customer Service Representative/ Trainer

Faneuil/ Humana Inc
09.2019 - 08.2023

No Degree - Information Technology

Wichita Area Tech

High School Diploma -

Campus High Schrool

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