Jon Paolo Remingtunda

JON PAOLO REMINGTUNDA Team Leader ABOUT ME 7 years as a seasoned operational team leader in the biggest US healthcare company. --Quezon City, Philippines INDUSTRIES Healthcare Insurance Brokerage Medical Billing/Claims Telehealth/Telemedicine Health Information Management Employee Benefits Medical Devices EXPERTISE Management Skills Financial Management Regulatory Compliance Crisis Management Negotiation Skills Employee Development Quality Assurance Performance Metrics EXPERIENCE United Healthcare Group - Optum Global Solutions OPERATIONAL TEAM LEADER- Proven success in surpassing KPIs for claims processing and member services, optimizing team performance. Expert in navigating and implementing complex healthcare regulations for seamless state and federal compliance. Pioneer of innovative cost-efficiency strategies, reducing claims processing times and boosting operational productivity. Empowering team members with skills to improve their confidence, product knowledge, and communication skills. Managing the day-to-day activities of the team. $463K hard savings delivered due to AHT efficiencies ($330K M&R, $40K C&S, 94K IFP). 70% of total AHT savings delivered by OGA Provider is from M&R, C&S, and IFP. $2Mil hard savings delivered as a result of FTE to TBB billing transition for C&S, IFP, ISG, and Training waiver for C&S, and M&R. United Healthcare Group - Optum Global Solutions CLAIMS SPECIALIST 2015 - 2017 Resolved complex member inquiries and complaints with a 95% satisfaction rate Achieved a 20% reduction in claims processing time by implementing a streamlined system Mastered Process in E&I, PPSI, and TTUP accounts. Received multiple OPAL and Emerald awards