Jimmy Remy
Orlando,FL
Summary
Driven Health Insurance specialist with in-depth knowledge of claims processing, database management and correspondence. Outstanding analytical, interpersonal and organizational skills. Dedicated to expediently resolving insurance issues and exceeding member expectations.
Overview
10
10
years of professional experience
Work History
Nutritional Services
AdventHealth
Orlando, FL
06.2025 - Current
- Accurately take patient meal orders for breakfast, lunch, and dinner according to dietary restrictions and preferences
- Prepared and assembled meal trays ensuring proper presentation
- Delivered meals to patients promptly while maintaining excellent customer service
- Retrieved trays after mealtime and ensured patient areas remained clean.
- Maintained efficiency and productivity in time-sensitive environments.
Health Insurance Specialist
Medicare For UnitedHealthcare
Orlando, FL
08.2016 - 06.2025
- Efficiently assist members with Claims, Authorization, Overrides, process payments, and scheduling provider appointments.
- Consistently deliver quality service to members about their Prescription Drug Plan and Medicare Advantage plans.
- Responsible for case development and resolution of non-clinical cases, such as certain types of claim denials, member complaints, and member and provider appeals.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Team lead answering internal and external questions and inquiries and training on company software.
Customer Service
H&M
Sacramento, CA
11.2015 - 08.2016
- Ensured customers were satisfied with every part of clothing experience, from initial greeting through transaction.
- Excel within a service-oriented company, demonstrating a talent for communicating effectively with customers from diverse backgrounds.
- Communicated with vendors regarding back order availability, future inventory and special orders.
- Collected customer feedback and made process changes to exceed customer satisfaction goals 86%.
- Being attentive to customer special needs or wants by engaging in conversing.
Education
High School Diploma -
Continental Academy
Orlando, FLSkills
- Expert in Microsoft Office
- Excellent Communication
- Detail Oriented
- Time Management
- Accountable
- Technical Support
- Critical Thinking
- HIPAA Compliance
- Health Insurance Knowledge
- Process Improvement
- Problem Resolution
- Training and Mentoring
- Type 54 WPM
- Claims Reporting Systems
Accomplishments
- Team Lead trainer Technical Support
Timeline
Nutritional Services
AdventHealth
06.2025 - Current
Health Insurance Specialist
Medicare For UnitedHealthcare
08.2016 - 06.2025
Customer Service
H&M
11.2015 - 08.2016
High School Diploma -
Continental Academy