Carol Mayne Email & Phone Number

Grand Rapids, Michigan

Manage various size employer groups for full service benefit administration, utilizing the PlanSource Eligibility Management System. Create web-based customized employer benefit portal providing a single point of entry to manage all benefit plans. Implement and provide support for new groups, manage open enrollments and renewals.

Troy, Michigan

•Accurately process and submit detailed agent and client insurance and annuity applications to carriers.•Calculate insured amounts and order medical exams/labs with third party provider and follow up on all activity. •Enter application data in shared data base and work as liaison between agents and carriers to resolve issues with underwriting.

Southfield, Mi

•Investigate and analyze complex inquiries and employee benefit appeals relating to eligibility, discrepancies in premium calculations and plan provisions for health care, life insurance and disability within Department of Labor deadlines. •Compose, prepare and proofread letters, forms, benefit summaries and correspondence to varied audiences for annual open enrollment, customer service complaints, health care claim appeals and general benefit questions, in accordance with ERISA, COBRA and HIPAA rules.•Selected to support the MetLife Proposal Team in Aurora, Illinois during their peak season, completing requests for proposals, allowing the Proposal team to meet all tight timeframes.•Effectively managed escalated situations, making sound determinations concerning customer service in a professional, prompt and confidential manner.

Southfield, Mi

•Responded to high volume of telephone calls, written correspondence and emails to provide thorough and accurate benefit information to over 1,000,000 Delphi and General Motors employees, retirees and surviving spouses as well as carriers, providers and representatives of the UAW and IUE concerning General Motors and Delphi Healthcare, Dental, Life Insurance, Pension and Savings programs, including COBRA, Life Claims, Medicare, Flexible Spending and Eligibility.•Calculated life insurance amounts, premiums owed and refunds due.