Anita Freeman

Columbus, Ohio *****

ad0gph@r.postjobfree.com

614-***-****

SUMMARY OF QUALIFICATIONS

* Customer Service (20+yrs)

* Medical/Pharmacy Terminology (18+yrs)

* Healthcare Information (18+yrs)

* Managing and Supervising (15+yrs)

* Claims (10+yrs)

TOOLS & TECHNOLOGY

* I currently type at a speed of 60-65 wpm and currently use on a daily basis Windows Operating Systems and all Microsoft Office Programs. Also reporting and tracking/adjusting call queue’s using Crystal Reporting Systems. I have extensive experience with Beeline, Kronos, Tempworks, Peoplesoft, Sterling, E-Verify, general clerical duties such as filing, faxing, copying and e-mailing documents, communications and information.

PROFESSIONAL EXPERIENCE

Compass Experience Labs

Customer Support

January 2023-Current

*Remote customer service for Netflix online merchandise and apparel.

Cambrium Assessment

Tier 1 Customer Support

December 2022-March 2023

*Remote assignment assisting teachers with account set up and system navigation.

Diversified Systems

Adjudicator

March 2021-March 2022

*Remote Processing Claims for JFS State of Ohio Project.

Lawson Surge Electric Columbus, Ohio

Operations Manager

November 2016-July 2021

*All Human Resources, Payroll, Scheduling, Customer Relations and On Jobsite Presence and Support

Tailored Management

Onsite Manager

November 2014-November 2016

*Managed all Tailored Management associates on site at JC Penny warehouse and call center. Handled all HR related issues, payroll, coaching and attendance.

Sedgwick CMS

Hilliard Ohio

Tier 1 Service Center Representative

February 2012 - May 2014

* First point of contact for the employees of our clients when requesting a leave of absence. We report and certify the requests for fmla, personal leaves, short term disability and workers compensation.

Corvel Corporation Dublin Ohio

Pharmacy Relations Prior Authorization Representative

February 2010 - February 2012

* Answer phone inquiries from pharmacies and claimants regarding workers compensation prescription claims. Communicate information needed from the pharmacies to the adjustor for medications that may need prior authorization. Entering approvals, denials and overrides into the Caremark system. As well as troubleshooting any issues with pharmacy claims in the Caremark system.

Bioscrip Pharmacy Columbus Ohio

Customer Service Supervisor

July 2003 - February 2012

* Training, coaching and developing CSR’s for the Traditional Customer Service Department. Troubleshooting and resolving escalated calls. Generate and prepare department daily statistics reports to distribute to our company executives for review via e-mail. Monitors and assigns work to customer service representatives while performing all of the tasks of a customer service representative.

Columbia Gas of Ohio Columbus Ohio

Customer Service Specialist

January 2003 - July 2003

* Answered customer inquiries, disputes regarding their billing and processing payments. Set customers on a payment plan or program if necessary.

Merck Medco Rx Columbus Ohio

Customer Service Specialist

August 1996 - February 2002

* Provide quality customer service in a high volume inbound call center environment for prescription benefit members, doctors’ offices and retail pharmacist. Answer customer inquiries regarding their prescription benefits and ordering their mail order prescriptions. Assist retail pharmacy pharmacist with troubleshooting and successfully processing rejecting claims.

EDUCATION & TRAINING

* High School Diploma-Beechcroft H.S. June 1991

*Bachelor’s Degree-Ohio State University May 1995

* Certificate - Pharmacy Technician, Columbus State College, September 2011

SELECTED AWARDS & ACCOMPLISHMENTS

* During my time with Sedgwick, I received special recognition 18 times in 2013 for displaying Sedgwick core values in the areas of delivering excellence, operating openly and with integrity, embracing change, growing as individuals and operating as one company, one team from upper management, leadership and co-workers.

Contact this candidate