Shane Grayson

Work History

Sr. Absence Implementation Consultant

SunLife Organics

07.2022 - Current

Ensured compliance with industry standards and regulations throughout the implementation process.
Developed and maintained project documentation, including implementation plans and user guides.
Focused solutions on industry-specific workflow, client base and protocols, tailoring to client needs.
Monitored system performance post-implementation to ensure optimal operation.
Created client rapport to grow profitability.
Managed project timelines to ensure on-time and within-budget delivery of technology solutions.
Enhanced internal and external customer satisfaction ratings by researching, troubleshooting and resolving escalated issues efficiently.
Negotiated with vendors and suppliers to procure necessary technology resources.
Assisted in the development of proposals and presentations for potential implementation projects.
Developed employee training initiatives by leveraging industry trends and partnering with team leaders.
Analyzed data and feedback to recommend software enhancements and upgrades.
Led internal training sessions to update teams on new technologies and implementation strategies.
Coordinated with cross-functional teams to troubleshoot and resolve implementation issues.

DLS Case Manager

Amazon

02.2022 - 06.2022

Initiate and respond to inquiries about leave and disability events, benefits, and options available to employees
Serve as a point of contact for assigned employees (150 – 200 employee cases) to provide holistic case management services, including reviewing medical documentation to adjudicate leaves in compliance with the corresponding leave plans, federal and state laws and benefit plans as defined by Amazon
Leverage duration guidelines, best practice tools and Amazon resources to support oversight of a leave event as appropriate
Critically assess and adjust the case management plan to an employee’s changing needs
Address and respond to sensitive situations
Troubleshoot issues and seek to remove barriers before, during, or after a leave event
Respond to employee impacting issues that may arise during the leave event and ensure the right communication occurs
Identify and solve problems that may arise, sometimes with limited information
Facilitate a smooth return to work and ramp-back plan for employees returning to the workplace
Educate managers and business partners on employee concerns and needs prior to being off or returning back to work
Communicate regular updates to employees and stakeholders both verbally and in writing
Ensure compliance with standard work, federal/state regulations, and company policy
Maintain system records to ensure accurate and timely information/documentation
Consult, coordinate and partner with our third party administrator, HR, Safety, Legal, Payroll, Benefits, team members and other departments/systems as appropriate.

Human Resource Coordinator

US Foods

09.2021 - 05.2022

Recommend, coordinate and implement a full range of HR benefit administration and risk solutions specific to life, disability, PTO and leave programs
Conduct compliance assessments with respect to FMLA, State and Municipal Leaves and ADA/ADAAA issues
Perform financial analysis of cost/insurance solutions related to employer life, disability and leave programs
Evaluate HRIS, Payroll, Timekeeping and leave administration functions enabling clients’ employee absence programs and recommend process improvements
Analyze employer Plan documents, SPDs, policies and procedures for compliance, design, and operational improvement opportunities
Conduct benchmarking of existing Life, Disability and Leave designs against comparator groups for new program introduction
Manage vendor implementation plans with clients to ensure successful transition and communications
Execution of transactional core Human Resource (HR) processes (e.g
Coordinate and conduct new associate orientation, unemployment claims processes, onboarding and exit interviews, transitional return to work, leave administration, OSHA reporting, etc.)
Support hiring managers and Talent Acquisition to support recruitment and staffing plans
Aid Human Resource Business Partner (HRBP) to drive an inclusive and diverse culture
Administer programs to enhance employee engagement and satisfaction levels
Provides technical, customer relations, and general support for major initiatives and projects.

HRIS Specialist (Disability and Leave of Absence)

LockHeed Martin

03.2019 - 04.2020

Complete the Accommodation and Leave Return to Work task not related to extension of leave requests
Review and complete Accommodation and Leave Acknowledgments
Acknowledge accommodation and leave add documents
Prepare weekly internal reports
Perform accurately all data entry functions
Arrange meetings as required
Attend meetings and take minutes
Understand broad knowledge of departmental and company practices to assist leadership team and staff while exercising judgment on critical nature of information and confidentiality
Assist in onboarding process of new hires
Maintain records management, filing, retention, and/or labeling
Type/generate letters and other documents, as necessary
Maintain confidentiality and security of all relevant information
Assist supervisor and leadership team with special projects and tasks on an as-needed basis, including management of inventory and supply orders
Serve as a backup to support reception, as needed
Assist internal and external customers in problem resolution, as needed
Provide excellent customer service
Operate multi-line phone system, answer incoming telephone calls and perform other clerical duties proficiently and professionally
Analyze associate return to work documentation and engage in the interactive process regarding return-to-work restrictions, including analysis of essential job functions as compared to restrictions, developing recommendations for HR and operators regarding return-to-work (RTW) accommodations, and determining the final decision whether to grant or deny accommodation; consult with Risk Management.

Leave of Absence Case Manager

Reed Group

10.2014 - 02.2017

Liaison with employees and HR Business Partners to address all questions related to U.S
Employee benefits, 401k plans, leave and accommodations administration programs
Assist with Workday Benefits & Absence Management test cases, UAT, regression testing, and implementation according to operational and business rules
Serves as a consultant for HR, providing expertise and formal written documents on ADA, disability and FMLA issues for assigned divisions
Analyzes and audits all claims in the RIMs database on a monthly basis for assigned divisions to ensure lost and restricted work days are recorded correctly for OSHA reporting
Oversee the end-to-end administration of leave and accommodations for all U.S
Based employees
Oversight requires ongoing application of state and federal laws (including but not limited to FMLA, ADA, CFRA, PDL, PFL and SDI) in conjunction with company policies to ensure employees understand and receive all potential leave and accommodation rights/benefit communication with employees on leaves and accommodations to facilitate smooth and timely return to work, relays communication between employees and their managers during leave within reason
Advise managers and employees on the interaction of leave and accommodations laws with paid time off, workers compensation, and short-term and long-term disability benefits
Track and maintain complete and accurate records of all leave and accommodation requests (including accounting for intermittent and reduced schedule leave use) in accordance with specified legal requirements and documented best practices.

Claims Analyst

Orlando Health

07.2007 - 10.2014

Submit accurate and timely payments to providers, keeping within contractual service level agreements for each market
Develop and maintain controls over the proprietary processed data and systems set up through developing and implementing auditing procedures, and identifying potential claim audit exposures
Interpret and understand coverage and benefit limitations by having a comprehensive understanding of benefits and state requirements for multiple markets
Assure that claims are paid within the expected time frames by monitoring inventory control and working with team members and appropriate resources in other areas to resolve issues related to claims entry
Identify trends and suggest and develop efficiencies in the review of edit reports and other documentation by reviewing procedures and making appropriate suggestions and adjustments to procedures
Resolve complex claim payment inquiries by analyzing patient activity and related documentation (including enrollment, claims, and authorizations) and determine appropriate action to be taken
Resolve complex client issues that may require research, analysis and working with management
Complete requests for claims review and/or reprocess within internal guideline turnaround times
Develop and maintain client and provider relationships by interacting directly with the client and providing necessary feedback and communications as needed
Provide training and guidance to team members on market-specific issues by providing feedback to management on claims and provider issues, and updating client business rules and check run procedures as needed
Partner with Reimbursements team Assist in completing all other tasks as necessary to ensure accurate and timely check runs and internal turnaround times.

Summary

Overview

Work History

Sr. Absence Implementation Consultant

DLS Case Manager

Human Resource Coordinator

HRIS Specialist (Disability and Leave of Absence)

Leave of Absence Case Manager

Claims Analyst

Education

Bachelor of Arts - Human Service Administration

Skills

Timeline

Similar Profiles

ELLA ROBERTSELLA ROBERTS

Basheer SalihBasheer Salih

ELESE STONEELESE STONE

Hayden ImgrundHayden Imgrund

Mary FrazierMary Frazier