Carolyn Keller
@carolynkeller
I manage disability claims, medical authorizations, and pharmacy operations with compassionate precision.
What I'm looking for
At Anthem Inc., I manage long-term disability claims from intake through resolution, reviewing medical records, treatment plans, functional limitations, and occupational information to support accurate eligibility decisions.
I've also processed provider referrals and prior authorizations, applied ICD-10-CM, CPT, and HCPCS Level II coding knowledge, and helped providers resolve documentation, billing, and medical-necessity questions. I train and mentor team members while maintaining productive relationships with members, providers, physicians, employers, and other stakeholders.
My pharmacy background includes oncology infusion authorizations, medication compounding, insurance claims, inventory, prescription processing, and grievance resolution. I bring more than 25 years of customer service and pharmacy experience, with careful attention to compliance, quality, and compassionate service.
Experience
Work history, roles, and key accomplishments
Long Term Disability Case Manager
Anthem Inc.
Apr 2020 - Present (6 years 5 months)
Managed a caseload of long-term disability claims from intake through resolution, ensuring timely and accurate claim administration. Conducted comprehensive reviews of medical records and collaborated with stakeholders to facilitate claim decisions.
Education
Degrees, certifications, and relevant coursework
Colorado Technical University
Associate of Science, Health Administration
Associate of Science in Health Administration Services from Colorado Technical University.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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