Hawaii Dental Service jobs in Urban Honolulu, HI - 50 jobs

Under the general direction of the Director of Human Resources, assists in the development and maintenance of effective management and utilization of human resources in compliance with federal, state laws and regulations. Serves as the primary resource for the Human Resources function. Administers, develops, implements and coordinates policies and programs encompassing compensation administration, benefits, employment, training, safety and health, employee and management relations, and employee events and services. Manages the administrative function of the payroll process. ESSENTIAL DUTIES AND RESPONSIBILITIES Benefits Administration - Provides control and oversight of the administration of all benefits plans at HDS. Oversees processing of required documents to ensure accurate record keeping and proper deductions. Monitors and coordinates work with other departments such as financial reporting for payroll processing audit and benefits plan audit; as well as with all other departments at HDS as needed. HR Administration - Responsible for all aspects of recruitment and the onboarding process. Prepares and maintains documentation for annual HR reporting (EEO1, VETS 100, AAP, OSHA, etc.). Maintains records, procedures, and systems for control and reporting of human resources transactions and data, and prepares regular status reports. HRIS - Continuous implementation of technology solutions that help to streamline and automate HR processes. Implement process improvements and policy changes designed to improve efficiency and the user experience with software systems. Ensures security, end-user access, and data integrity across all HR platforms. Maintains HR section of the company intranet. HR Administration - Responsible for all aspects of recruitment and the onboarding process. Prepares and maintains documentation for annual HR reporting (EEO1, VETS 100, AAP, OSHA, etc.). Maintains records, procedures, and systems for control and reporting of human resources transactions and data, and prepares regular status reports. Payroll - Responsible for administration of the payroll process. Prepares and oversees all employment information for input to payroll system. Ensures processing of payroll and payroll related benefits programs. Verifies accuracy of payroll. Oversees the maintenance and enhancement of ADP Workforce Now. Training & Development Administration - Assists with maintenance and coordination of all training and development programs/activities. Oversees maintenance and enhancement of the Performance Review Management System and Learning Management System. Recognition & Motivation Administration - Develops, implements and maintains employee activities, including activities that are related to benefits; training and development; etc. Compensation Administration - Conduct company salary reviews; may conduct salary surveys for market information. Assists with administration of the company wide incentive program. Employee Relations - Facilitates and/or provides counseling and problem reconciliation including but not limited to corrective action with managers and employees. Assists with the design, writing, maintenance and production of departmental manuals, including but not limited to standards of operation, flow chart and user processing manuals. Other Duties & Responsibilities Analyze effectiveness of work processes and propose recommendations for enhancements. Develops or recommends new or revised policies, procedures, and forms as necessary. Assists management staff with administrative HR needs in the absence of the Director of HR MINIMUM QUALIFICATIONS AND EXPERIENCE Education Bachelor's degree in business administration or an equivalent combination of education, training or working experience. Experience Three (3) to five (5) years progressively responsible human resources generalist administration experience. Licenses/Certification PHR Certification or SHRM-CP preferred, but not required. Skills and Knowledge Ability to handle confidential and sensitive issues and materials. Ability to organize, analyze and problem-solve somewhat complex problems. Ability to handle multiple tasks, and prioritize with distractions and with attention to details. Ability to communicate both orally and in writing with all levels of staff, customers, consultants/brokers, and vendors on sensitive matters. Technical knowledge to understand computer applications for problem-solving and answering staff questions (prefer Windows, Word, Excel, and PowerPoint). Note : The above information on this description has been designed to indicate the general nature and level of work performed by an employee in this classification. It is not to be interpreted as a comprehensive inventory of all duties, responsibilities, and qualification of employees assigned to this job. Hawaii Dental Service has the right to add to, revise, or delete information in this description. Reasonable accommodations will be made to enable qualified individuals with disabilities to perform the essential functions of this position.

Job Description PRIMARY PURPOSE: The primary purpose of this role is to ensure that client and customer needs are thoroughly understood and met, fostering a positive and productive client-company relationship. Responsibilities include addressing client complaints, resolving service issues, processing service requests, and collaborating with other departments to deliver a seamless customer experience. The Account Manager must be adaptable and capable of managing a variety of tasks related to the Company's House clients and Agent-owned business. This role involves reviewing and gathering necessary information to evaluate and process new business, renewals, and change requests for Specialty and Commercial accounts. Additionally, the Account Manager identifies opportunities to expand coverage through account rounding where applicable, contributing to the overall growth and success of the business. MINIMUM QUALIFICATION REQUIREMENTS High school diploma or equivalent preferred Three years of experience in Property and Casualty insurance. Experience with Commercial and Program business insurance, business line customization, and/or rate negotiation Producers license in Property and Casualty & Life and Health Proficiency in using computer systems and basic software applications, including Microsoft Office Suite (Word, Excel, Outlook, and PowerPoint). Ability to effectively navigate email, manage spreadsheets, and create documents with attention to detail. Excellent problem solving and decision-making skills on business issues Excellent communication, organizational and time management skills Flexible; ability to work independently and under minimal supervision ESSENTIAL FUNCTIONS: Communicates with clients to ensure all their needs are understood and addressed. Builds strong client relationships to maintain old business and acquire new customers. Collaborates with internal departments to ensure customer requests are fulfilled. Resolves complaints and keeps track of all processes that pertain to the client's request. Actis as the client's representative to ensure focus is on improving the customer experience. Makes policy changes, as authorized, and as requested by the client. Obtains necessary information to evaluate and process new and renewal risks. Oversees marketing policy renewals, including requesting to bind and/or decline coverage Offers payment options including premium financing Collects and remits payment to carriers, brokers or Agency to process. Secures coverage requirements through discussions with producers and develops detailed underwriting information for presentation to insurance companies or brokers. Collaborates with producers in reviewing coverage recommendations and in tailoring the needs of the client in relation to market capabilities to ensure that the client obtains the most effective coverage(s). Reviews quotes from companies and prepares insurance proposals for clients/producers. Discusses premium terms, manages documentation to bind coverage with policy issuance instructions. Coordinates and cooperates with other departments to achieve total account, servicing, and objectives. Assigns assistants to prepare binders, certificates, Auto ID cards and invoice. Advises unsuccessful quoting companies to close their files, suspends receipts of new policy. Reviews expiration list with producers. Discusses renewal strategies, completes renewal applications, review quotes received and collaborate with producers. Plans terms payment of premiums manages documentation to bind coverage with policy issuance instructions. Assigns assistants to prepare binders, certificates, Auto ID cards and invoice. Solicits renewal information from the insured. Submits renewal instructions. Suspends receipt of renewal policy. Produces diary quotes, new/renewal policies. Processes requests from clients when agent is unavailable. Participates in seminars and classes for knowledge and skill development. Maintain client files within the agency management system.

If you are a career-minded, service-driven professional looking to join a fast-paced organization then you have come to the right place. With our strong AAA products and legendary service, you'll enjoy the benefits of receiving member and internet sales leads to meet monthly sales goals. Responsibilities include: Qualifying and quoting prospects, selling memberships and personal lines insurance products. Collecting premiums, binding coverage, entering policy data into insurance systems, and responding to all underwriting inquiries. Developing a complete and thorough working knowledge of all insurance policy provisions, rating factors, rules, and insurance systems. Following up with members and insureds and prospecting for new business. Inspecting related documentation and resolving membership and insurance problems using discretion and independent judgment. Multi-tasking and identifying cross-selling opportunities. Working some evenings, weekends and holidays. Qualifications High school diploma/GED required, college degree preferred 1-3 years sales experience preferred Must have moderate proficiency in using Microsoft Office software, such as Outlook, Word, and Excel. Advanced communication skills required, both written and oral. Ability to qualify for a Personal Lines License and a Life Insurance License Possess a competitive sales drive to meet and exceed monthly goals Successful completion of a background, credit check and drug screen Possess a valid driver's license and acceptable driving record Training: We provide comprehensive and employee centric training that will prepare you to obtain an insurance (P&C) and Life license and prepare you for success. Remarkable benefits: • Health coverage for medical, dental, vision • 401(K) saving plans with company match AND Pension • Tuition assistance • Floating holidays and PTO for community volunteer programs • Paid parental leave • Wellness programs • Employee discounts (membership, insurance, travel, entertainment, services and more!) Auto Club Enterprises is the largest federation of AAA clubs in the nation. We have 14,000 employees in 21 states helping 17 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity - we win. All of Us! With our national brand recognition, long-standing reputation since 1902, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. "Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.” AAA is an Equal Opportunity Employer

Responsible for operating and providing support to various applications within HMSA's infrastructure. Responsibilities include, but are not limited to the following: Analyzes production storage usage and recommends modifications as appropriate (storage). Assists with storage requirements definition and acquisition for projects (storage). Coordinates and implements storage requests, backup schedules, and file restoration activities (storage). Plans, schedules and coordinates implementation of storage and backup solutions (storage). Loads, configures and maintains servers, including assistance with server requirements definition and implementation for projects (server). Analyzes and troubleshoots server problems and issues (server). Plans, schedules and coordinates implementation of server upgrades, patches, and tools (server). Configures and installs desktop PCs, peripheral equipment, laptops and other mobile devices. Performs conversions from desktop to laptop. Coordinates port movement and network access issues. Documents procedures for performing configurations and conversions from desktop to laptop. Provides input regarding port availability, equipment locations, device installations and service during project planning and requirements phase for office moves/adds/ changes. Reviews plans for accuracy. Coordinates the deployment of new images, software/hardware upgrades and fixes. Makes suggestions for design of standard set of integrated products (standard image) by recommending hardware and software products to meet user requirements. Sets up accounts under the local domain and assists with Internet access. Assists external users with dial-up access problems. Coordinates and sets up access or service accounts such as Internet and Email. Is aware of service level agreement targets. Explains service procedures to users. Monitors service level agreements regarding desktops to ensure that requirements are met or exceeded. Escalates problems as required based on SLAs. Informs management as appropriate. Troubleshoots problems. Identifies severity of problem and escalates when necessary. Coordinates with users and other IT resources for problem resolution or works with vendor technical support to resolve client problems. Builds checklists and scripts. Determines if loaner PCs are needed. Updates users on trouble ticket status. Ensures follow up on problems with users. Plans, schedules and performs hardware and software repair and installations. Calls in and coordinates all repairs that deal with outside vendors. Documents problem status and resolution in tracking log. Alerts team members about recurring problems. Provides on-the-spot training to users. Evaluates events log and resolves problems as needed. Administers security procedures. Unlocks or sets passwords as needed. Reports security issues when appropriate. Assists users with desktop recovery issues. Participates in integration testing. May design and lead integration testing. Assists in video conferencing activities. Works with vendors with initial setups and learns procedures. Complies with fixed asset and disposal procedures. Performs system administration functions required for daily operations (server). May research and evaluate software/hardware products and industry trends to assist in project development. Participates in Technical Review Committee (TRC) to ensure enterprise-wide standardization. May define staff schedules and prioritizes work. Provides after business hours support, as needed. Mentors less experienced staff. Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid

* General Administrative Support Relieves the CEO/assigned Executive(s) of majority of administrative functions and tasks, ensuring the most effective/efficient use of the Executive's attention and focus. Drafts routine and specialized correspondences on behalf of the CEO/assigned Executive(s). Receives, reviews and determines the appropriate parties to channel/direct sensitive, proprietary, and confidential matters to. Actively follows up on the status of pending issues, conducts independent research on subject matters related to Executive's business areas and corporate position, and when appropriate responds independently on behalf of the executive in a timely manner. Responsible for the inventory of supplies on the Executive floor. * Internal/External Contacts Coordinates and hosts a variety of internal and external visitors. Receives, escorts, and announces internal/external visitors to the Executive offices. Resolves meeting or event conflicts. Exercises independent judgment when prioritizing communications and determining urgency, escalation needs, and appropriate contact with CEO/assigned Executive(s). Assesses situations and interrupts CEO/assigned Executive(s) schedule for issues/situations that the Executive Assistant determines require immediate action. Answers and routes phone calls appropriately. * Meeting/Calendar/Travel Oversees and maintains the calendar for CEO/assigned Executive(s) in highly organized and efficient manner. Evaluates and prioritizes appointments and meetings based on urgency and business impacts, adjusting as needed. Ensures CEO/assigned Executive(s) have an appropriate amount of time to effectively meet various obligations. Books venue(s) for meetings, creates agendas, obtains relevant handouts/brochures, and procures refreshments for the meeting. Maintains a global view of scheduling, efficiently and effectively coordinates with other assistants for meetings that require multiple Executives. Arranges and books complex multi leg itineraries for executive or assigned parties as required. * Corporate Communications Monitors and manages the corporate communications channel for CEO/assigned Executive(s). Ensures the timely and accurate flow of information to and from the executive offices including but not limited to marketing initiatives, policy/procedure updates, corporate communications, and any other item that have companywide impact. Prepares and modifies presentations and responses for both internal and external audiences. Acts as a liaison by planning and scheduling across various communication channels to ensure all internal and external parties are well informed. Responds independently to complex matters of significance impacting business goals and outcomes. * Special Projects Lead/coordinates internal and external special projects and community engagement activities, simple to complex in nature, based on Corporate goals or initiatives. Researches and evaluates vendors, obtains and reviews RFPs, conducts cost-benefit analysis, negotiates and enters into contracts for products or services on behalf of HMSA ensuring selection of the best vendor/contractor to meet project objective. Efficiently guides vendors/contractors through the Contract Vendor Management (CVM) process. Provides direction and guidance to volunteer staff and external vendors. Also responsible for miscellaneous support tasks during projects/events. * Budgeting & Purchasing Reviews and approves purchase orders and invoices within assigned signing powers/levels. Acts as a liaison with various departments to ensure financial, budgeting, and accounting procedures are being followed, and authorizations are obtained. * Performs all other miscellaneous responsibilities and duties as assigned or directed. * Associates degree and three years of related administrative support experience; or an equivalent combination of education and work experience. * Administrative support experience must have been at management or executive level. * Outstanding written and verbal communication skills. * High level of professionalism/professional aptitude in dealing with a variety of situations. * Demonstrated experience facilitating meetings at multiple levels of an organization; understanding of facilitation techniques. * Basic to Intermediate level knowledge of Microsoft Office applications: Outlook, Word, PowerPoint, and Excel.

Lead provider performance management activities. Monitor technical, process, and business outcome metrics across all provider contract requirements and Service Level Agreements (SLAs). Recommend actions for improvement and drive continuous improvement. Oversee and manage staff. Manage the performance governance aspects of provider services contracts. These activities include: Enforce compliance with the contractual SLAs and deliverables. Review and validate performance reporting. Capture potential value leakage and/or service level penalties. Coordinate implementation of SLA reporting automation. Generate dashboards and reports for executive level briefing. Develop and measure provider network performance metrics and objectives, such as: Cost, quality, and accessibility reporting. Network reporting supportive of open enrollment and RFP's. Ensure all regulatory network requirements are measured and reported according to listed requirements, such as: ACA, QUEST, Medicare, HMSA Oversee data analysis functions that support contract negotiations and fee reviews. Oversee out of network provider access strategies including: Single case agreements Network access partner solutions Perform all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid

Directs the legal affairs and risk management areas of the organization. Provides legal counsel and support to all departments of the company to resolve various issues of a legal and compliance nature including, but not limited to regulatory and statutory compliance matters, insurance regulations, other corporate governance, privacy, and related health care laws or government programs - Medicare and Medicaid. Ensures maximum protection of the organization's legal rights, utilizing broad familiarity with most major legal disciplines including: business transactions, corporate governance, employment and labor, health care and insurance, licensing and regulatory compliance, intellectual property and technology, risk management, and litigation management. Directs the defense of the organization against suits or claims and prepares the prosecution of the organization's claims against others. Oversees the legal aspects of organization transactions and the preparation of reports and statements of a legal nature. As a member of the management team, this position is actively involved in company operations, and supports the strategic objectives of HDS. Also functions in similar capacity for Hawaii Client Services (HCS). ESSENTIAL DUTIES AND RESPONSIBILITIES Effectiveness/Efficiencies- Develops, implements, evaluates, and recommends best practices to ensure effective work processes and systems, maximize operating efficiencies and increase the value of services provided in alignment with department and company goals and objectives. Directs and manages outside counsel/litigation resources as necessary. Assists with resolving legal-related disputes. Researches, reviews, analyzes, interprets, drafts, negotiates, approves, and/or directs the processing of various complex legal and compliance documents, including but not limited to legal opinions and associated analyses; existing and proposed legislation; contracts and other agreements; regulatory filings and other regulatory documents; company licensing and registration; certain department or company policies and procedures; materials relating to employer groups, subscribers, providers, and other third parties; court or agency orders; communications; or other documents. Researches and performs detailed analysis of legal and compliance matters, including interpreting and advising regarding current and proposed laws and regulations to determine impacts to organization. Reviews, interprets, drafts, and negotiates contracts, including but not limited to business associate agreements, administrative service agreements, service agreements with vendors, software licensing agreements, and other general commercial business transactions. Researches, provides legal opinions, and drafts documents relative to regulatory filings with respect to policy forms, rates, agent and entity licensing and maintenance, consumer inquiries, and advertising materials and assists with and/or monitors the development and compliance of insurance forms, including but not limited to policies, contracts, summary plan descriptions, certificates of benefits and other product related documents and ensures governmental and regulatory approval in the appropriate jurisdiction. Prepares corporate documents as necessary. Internal Controls/Compliance- Develops, implements, evaluates, and recommends controls to satisfy operational/compliance risk requirements, ensure data integrity, and best practices. Keeps abreast of current regulations and compliance issues that may impact the department and company. Directs the Legislative Agenda and serves as the primary liaison. Monitors legislation; tracks government issues that could affect the company. Proactively researches policies and trends that might impact the company in the future. Maintains a working knowledge of relevant issues, laws, regulations, and requirements related to the compliance program, including but not limited to regulations and guidance under HIPAA, Medicare and Medicaid programs, and other insurance programs. Participates in establishing and providing compliance education, training, and awareness programs for employees, providers, and contractors. Facilitates, coordinates, and cooperates with auditing activities by outside agencies and internal departments that affect the corporate compliance program. Investigates, tracks, and makes recommendations regarding inquiries or complaints received from external regulatory agencies. Prepares responses to subscriber and provider complaints filed with the state insurance departments and other regulatory and administrative agencies, as well as responds to subpoenas and other document requests. Assists with implementing regulatory, legislative, and contractual requirements. This specifically includes developing, initiating, maintaining, and revising policies, procedures, and reporting for the general operation of the legal department and its related activities. Develops, maintains, and updates legal systems and records. Responsible for assisting with HDS Board-related activities, including but not limited to corporate governance, maintaining corporate records, and preparing for, attending, and taking board minutes at meetings as needed. Completes the corporate and regulatory filings, renewals, and reports. Manages and oversees the various programs that fall under the legal affairs and enterprise risk management areas, including but not limited to Audits (SOC 1 and 2, DDPA, Groups, EUTF, etc.), Insurance Renewals, Contract/Vendor Management, and Policies & Procedures Management. Management and Supervision Supervisory Supervises/Manages the following staff: Direct Reports: 1 Paralegal/Risk Management Analyst. Manages, plans, organizes, supervises, trains, motivates, and evaluates staff; including making final hiring & termination decisions, assigning work, developing growth opportunities, conducting performance evaluations, and taking corrective action. Communicates and assures that employees have a clear understanding of performance expectations and responsibilities. Plans, directs, and manages toward effective and appropriate activities and ensures satisfactory performance of those employees. Budget Develops and manages annual budget in alignment with company goals and objectives. Business Plan/Establish Departmental Goals Develops long and short-term strategic plans concerning the successful operation of the Legal department. Develops, implements, evaluates, and effectively communicates goals and responsibilities in alignment with company-wide objectives and goals. Contributes to the Executive's development of company goals and standards, and monitors and reports selected company goals and standards. Policies/Procedures Develops, implements, and enforces departmental policies and procedures. Ensures initial and recurrent training occurs. Manages, implements, and enforces the HDS Records Retention Program. Other Duties and Responsibilities Customer Service (Internal/External) Plans, directs, and manages the activities related to the department. Monitors productivity and performance while ensuring professionalism, quality, timeliness, and accuracy in accordance with overall company-wide objectives to ensure positive working relationships with internal and external customers. Functions as a legal liaison for outside counsel, DDPA, and federal and state law enforcement. Functions as a compliance and internal audit liaison for outside counsel, DDPA, federal and state law enforcement, and external auditors. Performs other related duties as required or assigned by the President & CEO. MINIMUM QUALIFICATIONS AND EXPERIENCE Education Juris Doctorate from an accredited law school. Hawaii State Bar admission required. If relocating, Hawaii State Bar admission is required within two years of employment date. Experience Minimum of ten (10) years of legal experience, including five (5) years of experience as in-house counsel. Minimum of two (2) years of experience managing staff. Experience with Healthcare laws and regulations including, Medicaid, Medicare, and HIPAA, and Hawaii laws and regulations, is preferred. Skills and Knowledge Ability to handle confidential and sensitive issues and materials. Ability to assess, develop, and implement programs, policies, and procedures. Detail-oriented with strong analytical, research, problem-solving and reasoning skills. Excellent organizational skills and ability to handle multiple tasks. Note : The above information in this description has been designed to indicate the general nature and level of work performed by an employee in this classification. It is not to be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications of employees assigned to this job. Hawaii Dental Service has the right to add to, revise, or delete information in this description. Reasonable accommodation will be made to enable qualified individuals with disabilities to perform the essential functions of this position.

Objective: We are seeking a motivated, self-driven Entry-Level Marine Insurance Broker to join our team. This role is ideal for a recent college graduate eager to start a career in marine insurance and sales. As an Insurance Producer, you will focus on building relationships and selling insurance products tailored specifically to marine companies. You will develop a deep understanding of our clients' needs, propose solutions, negotiate with underwriters, and grow a book of business. Responsibilities Include: Engage with and generate a steady flow of qualified prospects from own leads and company supplied referrals Support clients and partner with them when selecting and designing their insurance product needs Call on to educate and suggest additions or enhancements to existing insurance programs Meet with existing clients to perform annual reviews of current insurance offering Answers inquiries and questions from customers related to ongoing use of products, maintenance requirements, operations, and other related information Work closely with Account Management team to offer quality day to day service to client Attend industry networking events, trade shows and conventions Track all sales activity Attend sales meetings, both locally and nationally as necessary Attend ongoing industry continuing education courses to improve technical knowledge Develop long-term relationships with clients, carriers, and HIB Producers Special projects and other duties as assigned. Requirements: Recent college graduate with a strong interest in insurance, sales, or marine industries. High School graduate required. Excellent verbal and written communication skills Excellent interpersonal and customer service skills Strong analytical and problem-solving skills Excellent communication skills, both verbal and written Must be highly organized. Must be a team player and enjoy a team-based work environment. Must be proficient in MS Office, notably Outlook, PowerPoint, Excel Willingness to travel and engage in outdoor sales activities. Must embody the Heffernan Habits as illustrated herein. Compensation: The salary range for this position is $60,000 to $70,000. The offer will depend on the geographic region, job-related knowledge, skills, and experience, among other factors. This role may also be eligible to participate in a discretionary annual incentive program. Heffernan offers a comprehensive benefits package; more details on which can be found at ***************************************** Heffernan Habits (Expectations): These are practices that represent our unique culture. Answer The Phone (And Email): Communication is the foundation of success in life, work, and relationships. It begins with being present and responsive to both clients and colleagues. Listen to what is said and notice what goes unsaid. Have Fun: Fun is something we don't shy away from, and participation brings us together on many different levels. Take the time to know your colleagues and let barriers fall away. If we are happy and enjoy time together, we will do a better job for our clients and for one another! Be Respectful : Lend a hand, be kind, and smooth the path. Respect is the cornerstone of developing and maintaining strong relationships. Lead with humility, take ownership of your actions, and ease the way for others. We are in this together as a team, as a family, and as trusted advisors to many. Do Good : This is our core. We strive to do good for our clients, our community, and our planet. Celebrate & Value Our Differences : “Because You're Different”. It is our differences, when valued and amplified, that allow us to innovate, to learn, to connect, and to stand apart from the rest. Working Conditions: Work environment is indoors, sitting at a desk or standing for extended periods of time. Daily use of computers, keyboard, mouse, headset, printers, and other commonly used office equipment. This position may require flexibility to work hours outside of a regular schedule. Ability to travel as necessary

Under the supervision of Claims Supervisor, performs accurately all functions related to dental claims processing. Follows processing rules, guidelines, and policies. Meets department productivity, quality, and accountability standards. ESSENTIAL DUTIES AND RESPONSIBILITIES Key Responsibilities Electronically images hardcopy claims batch as OCR, Non-OCR, and x-ray attachments. Batch image paper attachments, POAs and adjustments, and back-end imaging of claims documentation. Inputs rejected and RFI claims notices. Performs all aspects of claims data entry, including verification of required documentations. Processes Levels 1, 2 and 3 claims consisting of single, COB-S, Dual, Pre-authorizations and out of state type claims. Reviews all levels of suspended electronic claims including opening and sorting of ECS mails. Processes requests to pay pre-authorizations. Other Duties and Responsibilities Assists the Claims department in adhering to established document policies and procedures. Provides back-up support and assistance in Customer Service and other departments as necessary. Accomplishes special projects as assigned. Determines and follows through with a plan to meet annual goals set up with the supervisor. Takes responsibility for relationships with others in the department and company. Works as a team player and assists wherever there is a need. Maintains a customer advocate attitude, understanding the importance that timely and accurate claims processing has on customer satisfaction. Other miscellaneous duties and responsibilities as assigned. MINIMUM QUALIFICATIONS AND EXPERIENCE Education High School Diploma or its equivalent required. Experience Minimum two years of clerical experience, customer service, sales, or any combination of education and experience which would provide the necessary knowledge, skills, and abilities to meet the minimum qualifications to perform the essential functions of this position. Skills and Knowledge Working knowledge of PC applications (i.e., word processing and spreadsheets) highly desirable. Requires demonstrated customer service skills and sales ability. Ability to maintain focus and attention to detail. Ability to handle multiple tasks with some distractions. Ability to communicate orally and in writing with all levels of staff, customers and vendors. Ability to handle all information in a confidential manner and in compliance with federal and state laws/regulations (i.e., HIPAA, PHI). Note : The above information in this description has been designed to indicate the general nature and level of work performed by an employee in this classification. It is not to be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications of employees assigned to this job. Hawaii Dental Service has the right to add to, revise, or delete information in this description. Reasonable accommodation will be made to enable qualified individuals with disabilities to perform the essential functions of this position.

Under the direction of the Group Service Center Manager, performs duties involving the planning and implementation of electronic transmission and administration of eligibility, internal and external coordination when appropriate as well as training and guidance for clarification and understanding of electronic processes. Builds and maintains customer relationships in a professional manner both internally and externally. Assists the Group Service Center Manager in ensuring the company and departmental objectives and goals are met. ESSENTIAL DUTIES AND RESPONSIBILITIES Under the direction of the Group Service Center Manager, performs duties involving the planning and implementation of electronic transmission and administration of eligibility, internal and external coordination when appropriate, as well as training and guidance for clarification and understanding of electronic processes. Builds and maintains customer relationships in a professional manner both internally and externally. Assists the Group Service Center Manager in ensuring the company and departmental objectives and goals are met. Develops and maintains strong relationships with HDS clients in assisting with enrollment transitions and problem resolution based on the knowledge and understanding of the HDS database system. Determines and recommends the best solutions for electronic enrollment transmission based on the client and HDS's system capabilities. Works to develop high standards for customer relations and service satisfaction of eligibility-related matters, including internal and external training of BESS reports. Monitors and coordinates work with other departments, such as Sales with transitions of new clients, transitions of Third-Party Administrators for existing clients, problem research and resolution; Dental Claims and Customer Service with eligibility research for claims-related inquiries, and ISD with systems and applications enhancements and testing. Manages Daily Task Lists, distribution and assignment of electronic eligibility transaction processing. Monitors workload of transactions of the Group Service Center's daily eligibility activities. Evaluates effectiveness of eligibility processes and procedures and proposes recommendations to the Group Service Center Manager. Assists the Group Service Center team with the design, writing, maintenance and production of departmental manuals, including but not limited to standards of operations, flow chart and user processing manuals. Other Duties and Responsibilities: Assists the Group Service Center Administrator and/or Manager with special projects when necessary. Assists the Group Service Center department in processing daily enrollment activities as necessary once the daily electronic processing is completed and during high volume period or during periods of low staffing. MINIMUM QUALIFICATIONS AND EXPERIENCE Education Bachelor's degree in Business Administration, Information & Computer Sciences, Management Information Systems or an equivalent combination of education, training or working experience. Experience Three (3) years progressively responsible office administration experience, preferably in the areas of servicing groups, group contracts and/or customer service. Work experience to include Microsoft suite of applications, with 1-2 years experience with Excel, preferably with advanced spreadsheet features and functions. Knowledge of programming languages such as SQL or language is desirable. Skills and Knowledge Ability to organize, analyze and problem-solve complex problems. Ability to handle multiple tasks and prioritize with some distractions. Ability to communicate both orally and in writing with all levels of staff, customers, consultants/brokers, and vendors on sensitive matters. Technical knowledge and experience with using computer applications for problem-solving and answering staff questions (prefer Windows, and Word). Ability to focus on detail. Ability to handle all information in a confidential manner and in compliance with federal and state laws/regulations (i.e. HIPAA, PHI). WORK ENVIRONMENT Hybrid, minimum three (3) days in the office. Monday - Friday, weekend and holiday work may be required. Note: The above information on this description has been designed to indicate the general nature and level of work performed by an employee in this classification. It is not to be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications of employees assigned to this job. Hawaii Dental Service has the right to add to, revise, or delete information in this description. Reasonable accommodations will be made to enable qualified individuals with disabilities to perform the essential functions of this position.

Manages community health by establishing and maintaining trusting relationships with individuals, families, and providers to promote health, recovery, resiliency, and wellness. Advocate and support members and their families by prioritizing their needs and preferences, making sure they receive appropriate care and services promptly. Conducts screenings for health risks and access barriers, referring to licensed clinicians as needed. Adjust workflows when necessary to provide optimal care for each situation or individual. Uses effective communication techniques, including motivational interviewing, to encourage members to attend regular provider appointments and utilize medical services that support their health.Engage with members and their families to discuss major health concerns and explore solutions to obstacles impacting service delivery, member satisfaction, cost, and community health. These efforts contribute to better care coordination for members overall. Delivers comprehensive education, resources, referrals, and connections to health-related services within the community. Facilitates the introduction of new or underutilized programs and services to community members. Provides guidance to community members facing complex health cases in navigating healthcare systems. Responsibilities may include, but are not limited to, conducting home visits, accompanying individuals to appointments, and supporting community events as needed. Exercises sound professional judgment and adhere strictly to scope and licensure boundaries to ensure actions are taken in the best interest of the community member(s). Provides culturally appropriate health education and instructions on using existing health and social services, presenting information clearly and effectively. Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid

Manage and lead a claims team by providing training, mentorship, and best practice solutions. Manage daily operations of the claims team, including inventory analysis, tracking and resolution of claims Serve as the escalation point for complex or disputed claims and drive resolution within defined SLA. Monitor and analyze key performance indicators (KPIs) and take corrective actions to improve efficiency, accuracy, and customer satisfaction Collaborate with key stakeholders to include underwriting, LOB, legal, servicing teams to ensure a consistent and integrated approach to accurate and timely claims processing. Maintain documentation, audit trails, and reporting in line with internal controls and external compliance requirements. Contribute to the development and implementation of new policies, procedures, and systems to improve claims operations. #LI-Hybrid

Under the general direction of the VP-Managing Director or VP-Regional Manager, the Area Manager has primary responsibility for increasing market share, expanding product offerings and supporting overall revenue growth to include production and file handling responsibilities in the region as needed. Responsible for the team effectiveness with respect to growth and technical product delivery in assigned markets. This position may also include support of surge events in other regions in the business unit. The role manages a business region under $2.5M.

Responsible for leading the support of HMSA's unified communications infrastructure. Responsibilities include, but are not limited to the following: Ensures the reliability of HMSA's unified communications infrastructure, to include the planning and implementation of enhancements. Implements, maintains and upgrades HMSA's unified communications infrastructure. Updates configuration management tools. Documents procedures and configurations. Administers the unified communications environment, to include the setup, deployment, and maintenance of component systems. Liaises with business units to develop and maintain an understanding of call center operations and requirements. Coordinates with business units to test and implement enhancements to unified communications components such as call center infrastructure. Provides technical expertise across business functions, and understands the relationship between the business and the Information Systems Department. Explains infrastructure capabilities. Consults with other Information Systems Department teams regarding infrastructure requirements and provides recommendations for both the design and implementation of systems integration activities. Reviews and makes recommendations with respect to IT infrastructure that deviates from established architecture standards. Leads project planning and requirements gathering efforts. Recommends and creates action plans for systems development and / or integration. Identifies the need for major support contracts. Reviews vendor proposals. Prioritizes, plans and implements upgrades and ensure that change management procedures are implemented and followed. Prioritizes, plans and implements infrastructure repairs and installations. Coordinates and plans activities with vendors. Ensures that asset and Oversees the conduct of disposal procedures are adhered to. Designs and implements infrastructure replacement plans. Maintains inventories as appropriate. Monitors Key Performance Indicators and maintains service levels to ensure that requirements are met or exceeded. Escalates problems as required. Informs management as appropriate. Troubleshoots and diagnoses complex and escalated problems. Works with multiple vendors to coordinate the resolution of issues. Reviews logs and maintains Information Technology Service Management tools to document changes and identify recurring problems. Identifies the training needs of users. Shares knowledge with users and other Information Systems Department staff. Updates users on the status of incidents and problems. Ensures that follow-up procedures are adhered to. Tracks customer satisfaction. Participates in long-term infrastructure strategy and planning. Participates in rotating on-call support schedules. Provides after-hours support to business operations, as needed. Supports remote locations across the Hawaiian Islands, to include overnight travel, as needed. Mentors and assists in the professional development of less experienced staff. Required to be on-call for critical incidents as they arise. Employee must participate in continuing education and training as needed or assigned. This is to ensure an accurate and updated knowledge base. Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid

Would you like to own a meaningful financial services practice under the Allstate brand? Scale your existing practice with proven support, flexibility and access to new customers. We're looking for professionals with a growing practice who would like to use the Allstate brand and resources to expand, in your community. Your Practice. As an Allstate Financial Specialist, you'll build your own financial services practice with support from Allstate. Your partnership with Allstate Agency owners will drive new business in your community and support your access to new revenue streams Your Support Team. We support our Financial Specialists across the nation with a variety of product offerings and continued education that helps them succeed. Financial specialists can share space with an Allstate agency owner and obtain leads from them. Your Rewards. We believe hard work should be rewarded. At Allstate, we offer unlimited earning potential that's always connected to the growth of your business. Your Work. A typical agency office has one financial specialist who meets with customers face-to-face and a team of licensed professionals who enhances the team's ability to build deep relationships with customers and provide leads. Allstate provides support and expertise to help you build your business. Are You a Fit? We are looking for someone who possesses an unquenched entrepreneurial spirit and a strong track record of success. You'll also need to have: • At least 2 years of life insurance or financial services customer facing sales experience • State Life/Health Insurance Licenses • FINRA Series 6 or 7 and 63 (if applicable) licenses • Blended mix of protection and asset accumulation sales • Prior Experience as a Financial Advisor, Financial Planner, Registered Representative or Investment Representative preferred • Professional designations such as RICP, FSCP, CLU, ChFC, CFP and LUTCF preferred • Bachelor's degree (or higher) with emphasis on business preferred Subject to all terms and conditions outlined in the Allstate Personal Financial Representative (PFR) agreements. If selected to be an Allstate PFR, bring your financial experience and proven track record to Allstate. Allstate PFRs are not franchisees. Except in NY, they are independent contractors and are not employed by Allstate Insurance Company (“Allstate”) or its affiliates. In NY, they are Allstate employees. Securities offered through Allstate Financial Services, LLC (LSA Securities in LA and PA). Registered Broker-Dealer. Member FINRA, SIPC. Main Office: 2920 South 84th Street, Lincoln, NE 68506. **************. Allstate is an Equal Opportunity Company. Note: Life and Health, and FINRA Series 6 & 63 (if applicable) licenses are required. To sell investment advisory services, Series 65 or 7 & 66 licenses would also be required. ©2018 Allstate Insurance Company, Northbrook, IL. Skills At Allstate, we work hard to help people live a good life every day. Allstaters are dedicated to serving clients, customers, and communities, which allows employees to find meaning and value in their work. Allstate offers an environment that fosters innovative thinking where you'll be able to explore your ideas and feel proud of the work you do. Allstate helps protect nearly 16 million households with auto, home, life, and retirement products. We want every professional connected to Allstate to be committed to giving our customers the best and that means finding the best talent. We want you to be our next great addition. It's easy to search and apply for a new opportunity with Allstate. Simply use the links below to identify the openings that interest you. Allstate Careers Learn more about Allstate United States. Learn more about Allstate Northern Ireland. Learn more about Allstate India Private Limited. For more information about Allstate's Website Accessibility Statement, please click here: Allstate Website Accessibility Statement Allstate Personal Financial Representatives are independent contractors and are not employed by Allstate Insurance Company (“Allstate”) or its affiliates. In NY, they are Allstate employees. Allstate is an Equal Opportunity Company. © 2019 Allstate Insurance Co.

* a. Resolve enrollment, eligibility and billing issues and inquiries timely and accurately from members, employer groups and third party administrators by phone, email and written correspondence by: * Researching and collaborating with other units or departments to find a solution * Accurately updating member records * Contacting external partners who provide services for/to HMSA's members * Providing member or group education on enrollment, billing (bill resentment) and bill payment * b. Support unit in performing enrollment and billing reconciliations activities for purpose of identifying discrepancies and initiating accurate and timely correction/resolution of internal as well as external processing systems. Support unit in daily enrollment functions to include processing of enrollments, disenrollment's and maintenance for members. Perform quality assurance audits of customer inquiries and member updates within constrained timeframes. Based on patterns or risk assessment, recommend improvement opportunities to provide processing efficiency and increase customer satisfaction. These can include but are not limited to identifying processing or servicing issues that can be addressed by a system or a workflow solution * Training and Development * Performs all other miscellaneous responsibilities and duties as assigned or directed. * Associate's degree and one year of related work experience or equivalent combination of education and experience. * Effective verbal and written communication skills. * Requires attention to detail and the ability to work on multiple projects simultaneously. * Working knowledge of general office practices and procedures. * Basic knowledge of Microsoft Office applications. Including but not limited to Word, Excel, and Outlook.

**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. **Job Category** Product **Compensation Overview** The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. **Salary Range** $101,300.00 - $167,000.00 **Target Openings** 1 **What Is the Opportunity?** Within the Product team at Travelers, you will have the opportunity to regularly engage in unique and intellectually stimulating business problems. As a Manager, Product Management, you will manage the growth and profitability for a state(s), product, or line of business. You will analyze complex business problems and propose fact-based solutions with consideration of internal and external trends to achieve business objectives. By collaborating and influencing key stakeholders across the organization you will also ensure strategic direction and alignment for successful execution. You will coach and lead cross functional team(s) on growth strategies, products, and objectives. **What Will You Do?** + Lead and guide the data analysis of business results including product refreshes, performance expectations and identifying root cause. + Develop and influence recommendations to drive desired growth & profitability impacts that demonstrate a holistic view of short- and long-term strategy with consideration for local regulatory nuances and broader marketplace dynamics. + Present, inform and influence recommendations to key leadership stakeholders including proposed product/pricing changes or new product builds. + Act as a senior resource in key strategic initiatives to support the goals and objectives of the broader organization. + Manage, coach, and/or guide analysts. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Bachelor's degree in Business Management/Administration, Mathematics, Finance, Actuarial Science, Economics, or other analytics related field. + Five years' experience working in a mathematical, analytical, or data related role preferably in the financial services industry. + Experience developing techniques and procedures used to forecast insurance financials. + Has deep understanding of Travelers' business strategy and plan objectives to align with enterprise goals. + Excellent communication skills with the ability to interact and influence management. + Excellent analytical skills with the ability to evaluate and understand current data and systems, find deficiencies/opportunities, recommend changes, and translate into business impacts. + Demonstrated knowledge of pricing and actuarial techniques and understanding of actuarial concepts such as loss development and trending. + Understand the workflow and terminology of insurance products and processes and their impact on profit and loss. **What is a Must Have?** + Bachelor's Degree or equivalent combination of education and experience. + Three years of experience in data analytics or similar work experience. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit ******************************************************** .

Monitor the performance and address issues with any business partners or vendors that supports the Members Servicing Department. Build relationships with both internal and external customers to include members and employer groups to address issues and concerns and improve the customer experience. Recruit and retain effective teams through selection, development, compensation and motivation of personnel; develop talents necessary to achieve short- and long-term objectives through effective training, mentoring and coaching. Provides feedback and guidance, including timely completion of interim and annual performance reviews. Monitors overall workflow and prioritizes staff's work. Review financial information and adjust operational budgets to promote and demonstrate desired corporate financial stewardship and outcomes. Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid

Design Solutions: Serve as a technical leader on our most demanding, cross-functional projects. Balance technical leadership with strong business judgment to make the right decisions about technology choices. Decompose complex problems into simple, straight-forward solutions, while fully understanding system inter-dependencies and limitations. Evaluate system options, risk, cost versus benefits, and impacts on business processes and goals. Make buy vs. build recommendations within enterprise architecture standards and guidance. Identify best sources of data and data integration solutions, working with data architects to ensure optimal software design and architecture. Lead or participate in the technical evaluation of vendor services and platforms, and ongoing management of implemented vendor solutions. Deliver Solutions: Lead application technical component design and development. Develop technical specifications, reusable components and/or frameworks for application teams utilizing common and domain specific design patterns where appropriate. Serve as technical subject matter expert for development of new code or education on reusable components and services. Participate in hands-on development and help resolve complex issues and incidents. Drive Solution Quality: Define solution quality standards and procedures. Lead software inspections and quality reviews. Define development guidelines and standards to be utilized in software development and integration. Contribute to enterprise application architecture processes, principles, policies, and standards definition. Team Development: Assist in the career development of others, actively mentoring individuals and the community on advanced technical issues and helping managers guide the career growth of their team members. Provides technical team leadership, coaching, and mentoring to senior and junior team members to increase core systems knowledge, coding standards and development best practices. Requirements and Planning. Reviews and provides input to the requirements for the implementation of business solutions. Participates in the planning process for near-term project/agile delivery and the future roadmap/direction of business and technology product domains. Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid