Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kathleen Beukema

Edwardsville,IL

Summary

Results-driven Senior Medical Claims Specialist with extensive experience at UniCare Technologies, adept in claims processing and issue resolution. Proven track record of 95% accuracy in analyzing medical claims and a strong grasp of HIPAA compliance. Skilled in data analysis and committed to delivering exceptional customer service while training new hires.

Overview

25
25
years of professional experience

Work History

Senior Medical Customer Service/Casualty Claims Specialist

Group Administrators
Schaumburg, IL
04.2023 - 04.2025
  • Analyzed and processed medical insurance claims, with a 95% accuracy. Assisted customer service when needed. Responsible for over 20 different accounts. Assisted with the training of new hires. Assisted members with all claim questions, and resolving all issues in a timely manner.

Senior Medical Claims Examiner/Auditor

UniCare Technologies
Schaumburg, IL
01.2000 - 02.2025
  • Verified patient eligibility for medical claims and determined benefit coverage.
  • Resolved issues related to denied or underpaid claims in a timely manner.
  • Provided feedback on coding errors and discrepancies found in submitted claims.
  • Processed claims for payment or forwarded to appropriate personnel for further investigation
  • Collaborated with fellow team members to manage large volume of claims.
  • Stayed current on HIPAA regulations, benefits claim processing, medical terminology and other procedures.
  • Sent clinical request and missing information letters to obtain incomplete information.

Customer Service Representative

Jewel Food Stores
Carol Stream, IL
03.2020 - 04.2023
  • Checked and recorded refrigerator and freezer temperatures to maintain food quality and freshness. Removed all expired products from shelves, and coolers.
  • Assisted customers with orders. Prepared deli platters and salads. Completed and resolved all customer service complaints and questions.

Education

High School Diploma -

Glenbard North High School
Carol Stream, IL
06-1982

Skills

  • Claims processing
  • Medical terminology
  • HIPAA compliance
  • Issue resolution
  • Data analysis
  • Customer service

Timeline

Senior Medical Customer Service/Casualty Claims Specialist

Group Administrators
04.2023 - 04.2025

Customer Service Representative

Jewel Food Stores
03.2020 - 04.2023

Senior Medical Claims Examiner/Auditor

UniCare Technologies
01.2000 - 02.2025

High School Diploma -

Glenbard North High School

Similar Profiles

  • MORGAN STONE

    MORGAN STONEMORGAN STONE

    Customer Service and Claims Representative at Group AdministratorsCustomer Service and Claims Representative at Group Administrators

  • ANA ROJAS

    ANA ROJASANA ROJAS

    Contributions at Group Administrators Ltd.Contributions at Group Administrators Ltd.

  • Maria Wimberly

    Maria WimberlyMaria Wimberly

    Sr. Implementation & System Configuration Specialist at International Benefit AdministratorsSr. Implementation & System Configuration Specialist at International Benefit Administrators

  • Andrew Smith

    Andrew SmithAndrew Smith

    Systems Engineer (Gov) at World Wide TechnologySystems Engineer (Gov) at World Wide Technology

  • Mary R. Miller

    Mary R. MillerMary R. Miller

    Assistant Principal at Edwardsville High School, Edwardsville District 7Assistant Principal at Edwardsville High School, Edwardsville District 7

CREATE PROFILE