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Rod Virtudez

@rodvirtudez

Claims specialist connecting insurers and claimants with compliant documentation review and dispute support.

Zimbabwe
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What I'm looking for

I’m looking for a claims or client-support role where I can manage case documentation, coordinate stakeholders, de-escalate disputes, and ensure HIPAA/compliance-driven outcomes in a regulated environment.

I’m a claims and client support professional focused on insurance claims coordination, documentation review, and dispute resolution support. I facilitate communication between claimants, insurers, and internal teams while maintaining compliance and confidentiality across regulated environments, including insurance and banking.

In my recent role as a Claims Specialist / Claims Support, I coordinated personal and commercial insurance claims documentation, handled case follow-ups, and acted as a primary point of contact between insured parties and internal teams. I also supported coverage reviews and administrative workflows to help ensure timely, compliant outcomes.

Earlier, I managed client disputes and account-related investigations at JP Morgan Chase Bank, coordinating with back-office teams using Salesforce and Jira to support accurate case handling. I also served as a Disability Claims Specialist, managing LTD and STD claims documentation and verification while coordinating with claimants, employers, and internal reviewers to clarify requirements and maintain HIPAA and confidentiality standards; I’m HIPAA Certified (2025) and use tools like EzLynx, Zendesk, EMR/EHR, and Google Workspace.

Experience

Work history, roles, and key accomplishments

SL

Claims Specialist / Claims Support

Stockton-Hill Insurance Agency LLC

May 2025 - May 2026 (1 year)

Coordinated personal and commercial insurance claims documentation and managed case follow-ups. Served as a primary point of contact between insured parties and internal teams to support compliant, timely outcomes.

JP

Account Specialist II

JP Morgan Chase Bank N.A. PGSC

Jul 2022 - Jun 2024 (1 year 11 months)

Managed client disputes and account-related investigations via calls, chats, and emails. Reviewed transaction records and coordinated with back-office teams to ensure accurate case handling using Salesforce and Jira.

UI

Disability Claims Specialist

US Prudential Insurance

Mar 2021 - Apr 2022 (1 year 1 month)

Managed LTD and STD claims documentation and verification processes. Coordinated with claimants, employers, and internal reviewers to clarify requirements while ensuring confidentiality and compliance in claims processing.

Education

Degrees, certifications, and relevant coursework

HC

HIPAA Certification

HIPAA Certification, Health Compliance

2025 - 2025

Completed HIPAA certification in 2025, focused on health information privacy and compliance.

MT

Medical VA Training

Medical VA 101–102, Medical Administration

Completed Medical VA 101–102 coursework covering medical VA and administrative training topics.

MT

Medical Administrative Training

Medical Administrative 101, Medical Administration

Completed Medical Administrative 101 coursework focused on medical administrative processes and responsibilities.

MT

Medical Billing Training

Medical Billing 102, Medical Billing

Completed Medical Billing 102 coursework covering medical billing concepts and documentation requirements.

Tech stack

Software and tools used professionally

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