Marilyn Grayson Email & Phone Number

Plano, Tx, Us

Plano, Texas, United States

Provided swift, thorough, and effective customer service to all internal and external customers and remained focused on creating great customer experience and loyalty. Understood individual redemption travel loyalty program requirements and used in-depth knowledge and training to delight customers with customized travel experiences and help them make the most of their rewards. Maintained comprehensive working knowledge of all programs, tools and systems. Engaged in cross-training to prepare to deliver personalized travel arrangements and support for customers with multiple types of reward accounts. Met and maintained individual monthly metrics. Participated fully as a team to assist as needed in completing all functions related to servicing the client, including offering additional products that meet their needs. Worked a flexible schedule, when needed, to attend staff meetings and ongoing provided training designed to assist in staying informed of all airline rules and regulations, other travel industry requirements, program guidelines, as well as any office procedures that resulted in successfully assisting our customers. Resolved product or service issues by clarifying the customer's concern: determining the cause of the problem, selecting and explaining the best solution to solve the problem, and expediting correction or adjustment. Reported to team lead to make sure they were fully informed of any issues or unusual matters that may arise as it relates to or impacts delivering exceptional service to our customers.

Plano, Texas, United States

Evaluated process claims payments in alignment with established provisions. Analyzed claims, identified required policies, and applied protocols during processing. Directed claims while considering implications of insurance contracts, provider agreements, and covered benefits. Ascertained diversion and recovery affairs, as well as plan liability. Offered solutions to issues and discrepancies in partnership with colleagues. Cooperated with auditors and team leads to resolve audit errors. Managed client relationships in line with service standards to ensure optimal client satisfaction. ● Achieved 95% accuracy within all processed claims.● Obtained 100% Quality, Recognition, and Dedication Award in 2019.

Plano, Texas, United States

Liaised with internal stakeholders, including business partners and customer service representatives, to assure efficient operations aligned with regulatory standards. Investigated and resolved intricate client requests related to options service, equity, and mutual funds. Oversaw processing of shareholder transfer requests and levies utilizing investments to cover debts. Assessed and prioritized client issues according to market sensitivity and prospective loss in profitability. Partnered with colleagues on special projects, testing sessions, brainstorming meetings, and team initiatives. Reviewed mail, scanned documents, provided investors with alerts, and entered data into system. ● Delivered 50-100 daily screenshots of client data for verification and to enable provision of stock information to shareholders’ designated broker. ● Assure on-time entry of data into software applications with 0% error.

Plano, Texas, United States

Oversaw claims processing, audit corrections, and reprocessing of claims in case of absent information. Collaborated with colleagues and supervisor to determine status of pay claims based on school policy. Determined necessity of interest for overdue claims by making use of interest sheets. Employed adjudication to assess applicability of policies benefits. Explicated claim action process to clients and supervisor while utilizing correct medical claim documents. Supervised processing of regular prescriptions and transactions to students or medical providers. Provided assistance to examiners, leads, and colleagues on more technical claims. ● Managed processing of between 100-150 claims daily. ● Attained 95% accuracy for all claims processed.

Plano, Texas, United States

Temporary Position:•Placed outbound calls; faxed and mailed medical documents to doctor offices and hospitals; conducted and researched missing medical records documents.•Reviewed and updated patient and doctor information into database system.•Sorted and filed medical documents; signed for incoming mail for claim managers; updated new medical status information into their tasks box.•Processed and managed long-term disability claims for patients and doctors; ensured claims were thoroughly reviewed to make sure there is no missing or incomplete information.•Processed initial letters and follow up letters; attached correct medical forms for each individual patients file; and close claims files that has been completed. Received authority from case manager to expedite the cases.

Irving, Texas, United States

Temporary Position:Gathered policyholder data to ascertain accuracy of information on company records, applications, and claims forms. Implemented changes recommended by insurance company representatives and policyholders to company records. Oversaw processing of claims forms, new insurance protocols, and adjustments to existing policies. Supervised disaster claims by confirming insurance information and interrogating clients. Liaised with claim adjusters to schedule property inspections and determine severity of damages. ● Managed 50-75 new insurance policies and record claims to identify property damage. ● Achieved 95% accuracy on all claims processed.

Irving, Texas, United States

Temporary Position: •Receive calls from members on Medicaid and Medicare to enroll in prescription mail order program, verified HIPPA and review all medications being sent to the member. •Explain to the member medications will be send out and allowed seven to ten business day before receiving. •Process prescription refills and setup new enrollments for new members. •Input information in Share point for transferring medicines from one pharmacy to another are refilling medicines through doctor’s office. •Releasing credit holds and over the limit information in share point to release medicines.

Katy, Texas, United States

Conferred with students to deliberate income bracket, financial requirements, and opportunities for additional support. Identified appropriate financial aid programs (corporate, federal, private, or state) following investigation of available resources and assessment of student needs. Offered assistance to students with correct completion of aid applications. Evaluated Student Aid Reports received from Department of Education and made necessary modifications before due date. Promoted acceleration of appeals process to ensure no delay in student education in case of application denial. ● Accommodated 25-50 students monthly by offering assistance with application process.● Attained 95% success rate of obtaining financial aid for students.

Alameda, California, United States

Temporary Position:•Prepared, verified, and processed Accounts Receivable invoices to citizens for fire inspection services of commercial and residential properties in a major suburb of San Francisco. •Received and posted checks to citizens’ accounts to ensure accuracy. •Updated and adjusted customers’ accounts to ensure accuracy. •Tabulated, compiled, and delivered checks received daily to the City Finance Department at City Hall for bank deposit.•Consulted with citizens regarding potential fire hazards, requests and applications for fire inspections, and complaints about removal of debris and cutting of overgrown grass/weeds.

Oakland, California, United States

•Recruited by management to plan startup operations and manage daily operations for the business office of a major insurance company. •Prepared and forwarded daily sales and revenue reports to corporate office in Cincinnati, Ohio. •Secured I-9 and W-4 forms from new employees. •Received, verified, audited, tabulated, and compiled daily receipts and premium payments from customers and Sales Representatives. •Posted payments to accounts in a timely and accurate manner. •Investigated, resolved discrepancies, and adjusted accounts.•Reviewed, verified, processed, and secured approval for payment of insurance claims. •Designed and conducted group and individual sales and technical training sessions to new-hire and current sales agents. •Hired and Trained staff in changes in policies and procedures, systems training following the purchase of new computers, and customer service.•Purchased and controlled inventory of office supplies, laptop computers, and general supplies to comply with budget guidelines. •Secured approval from home office for special purchases.•Backup assistance to Payroll Clerk, processing billing statements for policy holder.

Associate Of Arts And Sciences (Aas), Human Resources Management/Personnel Administration, General, 3.0

Certificate in Human Resource Management

Certification, Human Resources Management/Personnel Administration, General