Martha's Vineyard Insurance jobs

Under minimal to no supervision, reviews, investigates, evaluates, negotiates and resolves a variety of multi-line casualty claims including but not limited to disputed liability, personal injury, coverage disputes, and contract based losses, and specialty claims of a complex nature. Independently handles all aspects of assigned claim inventory in line with department standards, procedures, and appropriate claims practices. Duties: * Claim Intake and Initial Processing * Receives claim loss information from agencies, insured, and claimants or other involved parties via telephone, facsimile, mail, or computer; and establish a claim on the appropriate computer claim handling system. * Reviews limited assignments, as well as assigned claims for applicable coverage, liability, and exposures. * Posesses working knowledge of all lines of business written by the company, including, but not limited to auto, homeowners, dwelling fire, commercial general liability, and umbrella. * Makes initial contact with insured and any other involved parties within the specified time frame, as outlined within department procedure. * Determines/confirms facts of loss, cause of loss, the identification of parties involved, and the existence of/extent of injuries and/or damages involved. * Reviews applicable policy forms/coverage documents, determine and explain available coverage and benefits, and address/resolve conflicts. * Establishes appropriate initial reserves on the computer claims-handling system within the specified time frame outlined within department procedures. * Investigates and handles losses in an appropriate, adequate, and thorough manner. * Obtains written or recorded statements as needed. * Investigation and Documentation * Ensures that damages, scenes, etc. are inspected, photographed, diagramed, and properly documented. Secures and protects evidence, as required. * Obtains other documents and records, such as police and fire reports, contracts and legal agreements, medical bills and reports, etc. * Prepares and submits any required data and reports (such as injury index, Medicare), per department procedure * Determines liability based upon the facts and a working knowledge of the applicable Hawaii Revised Statutes and any other applicable laws. * Stays abreast of statute changes, case law decisions, as well as policy and coverage changes. * Evaluates damages and/or injuries considering applicable coverage, liability determination, and any other pertinent information developed within the investigation. * Negotiates settlements within the authority granted. * Recognizes subrogation opportunity and complete the appropriate investigation in support of the pursuit of financial recovery on the claim. Assist the Subrogation unit, or complete arbitration filings as required. * Recognizes third party liability and contribution, and the handling and resolve of loss accordingly. * Initiates deductible recoveries with an insured per policy/coverage. * Communication and Reporting * Reviews questionable claims and all coverage issues with department management. * Communicates loss status to insured, claimant, or an attorney, as required by law or by department procedure. * Accurately processes financial transactions upon the applicable computer claims handling system, to include establishing or adjusting reserves and making payments within granted authority. * Prepares and submits requests and required reports, for increased financial authority, as required by department procedure. * Maintains a diary on all active claims with diary date established and addressed in line with department procedure. * Enters timely, clear, concise notes within the applicable computer claims handling system(s) related to investigation, handling, assessments, evaluations, and negotiations and settlements on all assigned claims. * Manages and directs any/all outside vendors (such as independent adjusters, contractors, repair shops, experts, or attorneys). * Litigation and Legal Compliance * Handles claims and/or litigation cases, as assigned. * Follows prescribed litigation guidelines and procedures, including reporting requirements and legal fee review program. * Attends and participates in mediations, arbitrations, settlement conferences as directed. * Travels to the neighbor islands as required for inspections and client visits. * Informs Claim Supervisor of any/all oral or written complaints, and any coverage dispute. * Prepares and timely submits required reports as may be required by procedure, department management, the company, or a vendor of the company. Education/Experience: * High school diploma or general education degree (GED); and 3 to 5 years multi-line claims and litigation management experience as a Claim Service Representative required. * College degree with credits in insurance related subjects preferred. * Equivalent combination of education and job-related experience will be considered. * Continuing education in insurance and job-related issues and subjects required Certificates, Licenses, Registrations: * Valid Hawaii Driver license and use of own vehicle required. * State of Hawaii general adjusting license preferred. An Equal Opportunity Employer Committed to an Inclusive Workplace.

Customer Service Associate Representative Our Customer Service Associate Representatives are dedicated team members who excel at customer service, helping us elevate our patient care to new heights. In this crucial role, you are on the front lines with patients, responding to phone inquiries and addressing each with care, detail, and most importantly, empathy. Performs Customer Service duties under direct instruction and close supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Main job functions include: helping patients understand their pharmacy benefits better by using knowledge gained from training, problem-solving skills and added support from your team to answer patient calls effectively. While on calls, you will use expert listening skills to address patient questions and concerns empathetically and document all interactions. Job functions also include assisting patients with prescription refills, scheduling shipments and addressing billing questions. What You Should Have: High School Diploma / GED required 1 year of relevant call center experience preferred 1 year Previous medical insurance or pharmacy experience preferred General PC knowledge including Microsoft Office and outlook Excellent communication skills (verbal and written) Empathetic and genuine customer service skills Candidates must live on the island of Oahu This is a hybrid role and requires the ability to work in person. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an hourly rate of 17.75 - 19 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Organization Description No Cold Calling Unique Sales Opportunity Are you someone who has the ambition and drive to earn 100000year but lacks the right opportunity Are you accountable coachable and possess a positive mental attitude If you are that person then we are looking for you OurAgency specializes in selling mortgage protection life insurance to homeowners final expense and retirement planning Job DetailsFull Time or Part Time Commission Only We are actively hiring LICENSED and NON LICENSED AGENTS who have strong SALES andor TEAM BUILDING backgrounds to join our team We will train you from beginning to end on how to be successful in our industry using our simple step by step selling system Many of our top agents are currently on track to make over 200000as a licensed agent If you are not licensed yet we can help point you in the right direction to become a licensed agent before you can be officially hired You must be a US citizen in order to apply Responsibilities We provide The ability to build your own business and earn a PASSIVE INCOME Ability to transfer ownership of your business & passive income to loved ones in the event of death An Equity Bonus in which you receive a percentage of our total monthly net sales The Best Compensation in the Industry with Performance Based Increases MARKETOur niche marketing company is a national agency that specializes in the sale of needed life insurance products designed to protect mortgages for families with average incomes and health We serve middle class Hawaii and mainland families who would like us to show them options for mortgage protection life insurance that will pay off their mortgage in the event of a death disability or illness Our firm specializes in producing the highest quality real time direct mail exclusive leads These homeowners provide us with some personal information such as height weight home number cell number who to call and when to call in order for us to better assist them As a matter of fact on average our agents currently close 50 of the leads they purchase These respondents are the gold mine of insurance sales Imagine having a steady stream of clients to contact who are expecting your call and know why you are calling At our Agency we generate our own high quality direct mail leads coupled with high compensation But we are not just about leads We have a myriad of lead systems training platforms and advanced training for our valued Agents We work with over 40 TOP rated insurance companies that have a variety of high quality products that will position you for a GREAT long termcareer with us Your success is as good as our leads and system We provide the best REAL time leads and customized mailings for ALL agents Leads are exclusively provided to oursales force Our leads average a 50 conversion ratio Superior training utilizing a selling system that has been validated over and over Daily and weekly support that consist of conference calls webinars conferences and local training RequirementsRequiredLicense we will help you get your license You must have your own life insurance license and E&O coverage or be able to pass a state exam to obtain one If you are confident passionate personable and coachable then this is an opportunity that will exceed all expectations Sales experience is always welcomed; however its not a must as our free training and coaches are all part of the system This is a commission based job If you are interested you will be expected to schedule a phone interview as soon as you apply and be on time for that appointment Once you apply you will receive an email and a text with instructions as to what we want you to do before you click on the link to schedule your phone interview We normally fill our positions within 48 hours of posting so if you feel this is for you please apply now by using this link httpscalendlycomnicholaskeahiho15min I look forward to our call Nicholas Keahi Ho Agency Owner & Recruiter No agents success earnings or production results should be viewed as typical average or expected Not all agents achieve the same or similar results and no particular results are guaranteed Your level of success will be determined by several factors including the amount of work you put in your ability to successfully follow and implement our training and sales system and engage with our lead system and the insurance needs of the customers in the geographic areas in which you choose to work

* Leads team to execute on key corporate/enterprise-wide initiatives. * Support Program Managers to lead the planning, execution, and delivery of high-impact programs, ensuring alignment with organizational objectives and stakeholder expectations. * Ensure team works collaboratively with program leads to assure program results are achieved, is delivered timely, within budget, and in alignment with enterprise goals. * Select, develop, manage and mentor a team of program managers, coordinators, and consultants, fostering a collaborative and high-performance work environment. * Establish and maintain best practices for program management and execution across the enterprise. * Drive continuous improvement by analyzing program performance and implementing lessons learned. * Coordinate resource allocation and manage budgets, schedules, and deliverables across multiple projects and initiatives. * Ensure effective execution. * Prepare and present program updates, reports, and metrics to executive leadership and other key stakeholders. * Manage committees, and subgroups to fulfill program requirements. * Monitor program progress, manage risks, and resolve issues to ensure timely and successful completion. * Identify and actively resolve issues that hinder program efficiencies. * Facilitate prioritization and planning with senior level executives and other key leaders (in collaboration with Corporate Development team) * Applies project management principles to ensure the successful delivery of program objectives. * Oversees scope management for requirements baseline, changes, and conflicts. * Identifies issues, risks, and support change management for successful execution. * Oversees scheduling, including delivery and maintenance of project plans. * Oversees costs/budget management. * Creates and fosters working relationships with internal and external parties that facilitate strategic success. * Effectively conduct meetings and discussions to achieve consensus and to identify actionable tasks. * Achieve service commitments from core and support functional areas. * Prioritize, track and manage program deliverables. * Ensure program documentation and reporting are complete and meets compliance requirements. * Performs all other miscellaneous responsibilities and duties as assigned or directed to include. * Bachelor's degree and six years of relevant work experience; or equivalent combination of education and experience. * Three years of supervisory/management experience. * Experience in successful program delivery. * Ability to communicate (oral and written) with management, providers, vendors, and other employees. * Intermediate knowledge of Microsoft Office applications including but not limited to Outlook, Word, and PowerPoint * Basic working knowledge of Microsoft Excel.

Full time Office Coordinator position. Practice specialty: 1) Pediatrics/Autism 2) Women's Health 3) Weight loss/autoimmue conditions (3 doctors). 40 hours per week with office hours of Mon, Tue, Thu, and some Saturdays, 8:15 - 5:30, including some remote work. "Our cutting edge naturopathic medical practice is an opportunity to enjoy meaningful work that makes a difference in patients' lives. We are focused on healing the causes of illness by working with patients in what we term a “Partnership For Health.” We want our patients to understand what is going on in their body and how to develop a daily practice that promotes continual improvement in their well being. While treating patients of all ages with a wide variety of medical conditions, Dr. Taketa-Wong & Associates features several specialties, including autism, ADHD, women's health, weight loss, and autoimmune disease. You will work with doctors and staff who are passionate about empowering their patients - a dynamic team that is always open to new ideas. The office environment is upbeat, pleasant, and supportive. Compensation: $20 per hour starting pay with opportunities for wage increases based on continued performance and longevity in the position 40 hours per week with office hours of Mon, Tue, Thu, and some Saturdays, 8:15 - 5:30, including some remote work. 1 hour lunch break Free naturopathic care and acupuncture (value of $400 a month) Free employee parking Wholesale discount on supplements, vitamins, herbs, and homeopathics Free birthday lunch with gourmet birthday cake/dessert of your choice for the entire office on your birthday Medical, Dental, and Vision Insurance, Worker's Compensation, Temporary Disability Insurance, Unemployment Insurance are provided To be considered please submit the following: 1. Attach your resume with your application 2. Include a brief cover letter answering the questions below: A. What appeals to you to about this opportunity? B. How have your past job, educational or other experiences prepared you for this opportunity? Job Description • Schedule and register patients with electronic medical records software • Answer phones and manage office correspondence • Light bookkeeping with QuickBooks Software • Run and record credit card payments • Miscellaneous office tasks" Requirements Desired Qualities: Detail-oriented (Extremely important!) Self-motivated, able to prioritize tasks Self-reliant and accountable Strong communication and interpersonal skills Ability to multi-task and work well in a busy office environment Good time management skills No covid vaccine is necessary.

DigiStream Investigations, a fast-growing national private investigations firm, seeks a talented addition to our investigative team in the Maui, HI region. We are looking for an independent, motivated individual who wants to get started in the world of Private Investigations! We are looking for a talented and trustworthy individual to work these cases independently, and to continue the fast growth of DigiStream's innovative investigative services on the Hawaiian Islands. Must be available to travel to other Hawaiian Islands. *Part time* *25 hours a week* *All travel expenses will be paid!* Job Summary : Under general supervision, the Surveillance Investigator investigates suspicious workers' compensation claims from various corporate and public-sector clients. The job duties include monitoring and videotaping various individuals as they conduct their normal day-to-day activities as well as completing detailed reports. The position is both journalistic and investigative and centers around obtaining quality video footage and detailed report rendering on the activities captured by the investigator. This job requires knowledge of privacy guidelines and government rules and regulations while operating a motor vehicle. Compensation/benefits: Starting pay: $24 per hour Part time: 25 hours a week (On call) - Very Flexible, no set days Employee Benefits: Health, dental, vision, life insurance, and 401(k) with up to 4% company match Performance incentives Paid travel to and from local and remote assignments Cellphone reimbursement Equipment provided including video camera, laptop, tripod What you'll get: A foot in the door to the investigations/security/law enforcement fields Experience conducting covert investigations A job you'll love going to - no one day is the same Opportunities for growth within the company via our Surveillance Investigator Promotion Track Unlike most PI companies, DigiStream provides full benefits, paid travel Professional, hands-on training program developed over the course of 20 years Team-building events and comradery with fellow team members The skills you learn here can lead to jobs in FBI / law enforcement, ATF / US border patrol / state crime lab, law / paralegal / legal assistant, security / corporate investigations, investigative journalism What a day in the life of an investigator looks like: Monitoring, following, and videotaping subjects as they conduct their day-to-day activities Vehicle and foot pursuit of subjects while maintaining cover Activity varies from filming someone at a grocery store or restaurant, to filming them at a sporting event or casino Crafting pre-surveillance strategies based on the setup location and case details Detailed report writing on the activities observed/captured and submission of video evidence Regular communication with team leader on setup positions, activity and tactics View our Recruitment Trailer: **************************** What you'll need to apply: High school diploma or GED Must be 21 years or older 25+ hours per week on average Willingness to travel and stay overnight on remote assignments Availability to work any day of the week, including weekends and holidays Ability to start work as early as 5:00 am daily with occasional work into the evenings Must currently live on the Maui Island. Ability to pass DMV check & background check Confident driving skills **Only apply if you have availability to work any of the 7 days of the week, and only if you can work a 5 day per week schedule with an average of 10-12 hours per day, including weekends and holidays**

**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** Sales **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** $41,200.00 - $67,900.00 **Target Openings** 25 **What Is the Opportunity?** As an Insurance Advisor Trainee, you will learn to serve as a personal insurance advisor, helping customers across the country select their ideal insurance carrier and coverages. You will learn to make recommendations on additional products that best suit the customer's needs, when appropriate. We value a consultative, relationship-focused approach and seek sales professionals who can foster long-term customer relationships in a digital insurance agency. In this role, you'll learn to manage inbound business opportunities and maintain client communication via outbound calls and emails until the sale is finalized. You will gain an understanding of our carriers and products through our comprehensive training program, making you an expert in Personal Insurance in all 50 states + Washington DC. With competitive compensation, great benefits starting day one and our driven sales teams, we know that InsuraMatch can help you accomplish your quest for a fulfilling career. As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration. Incumbents must obtain a Property and Casualty or Personal Lines Insurance producer license within first 4 weeks of employment date. (Incumbents will receive fully paid training and license sponsorship). This job works under direct supervision and does not manage others. Candidates located within a commutable distance to: Knoxville, TN; Richardson, TX or Spokane, WA will work a hybrid work schedule. The Schedule: -Start Date: January 12th, 2026 -Hybrid Work Arrangement: three days in office and two days remote -Training: 9:00am-5:30pm local time - Monday- Friday for the first 4-6 weeks -Post Training: 9:30am-6:00pm local time Monday-Friday plus 1 Saturday shift per month from 9:00am-5:30pm local time Work Arrangement (Remote Schedule) - Start Date: January 12th, 2026 - Remote Work Arrangement - Training: 9:00am - 5:30pm local time - Monday - Friday for the first 4 - 6 weeks - Post Training: 12:30pm - 9:00pm local time - Monday - Friday plus 1 Saturday shift per month from 9:00am - 5:30pm local time. **What Will You Do?** + Successfully complete a comprehensive 4 month paid training program in a classroom setting with ongoing support and resources, gaining knowledge of multiple personal lines insurance products across a diverse range of carriers. + Provide one-on-one insurance coverage guidance, connect current customers to additional products and services, and handle inbound and outbound calls in a call center environment. + Positively represent InsuraMatch, establish customer rapport, and ensure exceptional customer experiences, while efficiently multitasking across multiple systems to gather all necessary information for quoting, underwriting, and closing sales. + Communicate effectively & professionally with customers verbally and via email + Acquire comprehensive product, underwriting, and sales expertise to counsel and sell available insurance products, while consistently meeting quality, efficiency, underwriting and sales metrics. + Receive and implement constructive feedback in the form of professional coaching. + Handles objections professionally while clearly articulating relevant product features, benefits, and value to the consumer. + This role is not responsible for cold calls or lead generation. + Successfully obtain and maintain Property & Casualty or Personal Lines license in resident state as well as all required non-resident licenses in each state that business is conducted within six months of date of hire. + Maintain continuing education requirements for the Property and Casualty or Personal Lines license obtained. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + A Bachelor's degree from an accredited four-year college or university is a plus. + Prior call center and sales experience + Personal Insurance product knowledge + Strong verbal and written communication skills + Able to multi-task within a high volume sales center environment and make appropriate business decisions quickly. + Able to demonstrate a positive and professional demeanor. + Adaptable to change. **What is a Must Have?** + High school diploma or GED. + Licensing Requirements: + InsuraMatch is committed to a positive customer experience that exceeds expectations and to meeting all compliance requirements. As a result, InsuraMatch requires that all InsuraMatch Insurance Advisor Trainees obtain and maintain an insurance license (either Property and Casualty or Personal Lines) in your resident state. + Each state will evaluate any/all criminal and financial background incidents to determine license eligibility. + Applicants with a felony conviction or pending/unresolved court cases may not qualify for licenses in all required states. It is incumbents' responsibility to provide any/all required court documents needed to obtain your license(s). Travelers does not pay for and/or reimburse the cost or time needed to obtain any documents necessary to complete licensing applications. + Failure to pass the licensing exam within two attempts as well as the inability to obtain any required licenses within six (6) months from date of hire may result in termination of employment. **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 ******************************************************** .

* Provide strategic management and direction for the configuration of health plan products, provider networks, and reimbursement methodologies to ensure alignment with business requirements, state and federal regulations, and accreditation standards. * Develop and implement policies, standards, and governance frameworks for configuration accuracy, quality control, and compliance. * Collaborate with external partners, IT, Claims Operations, Provider Services, Compliance, and Product teams to ensure system configurations support new products, regulatory changes, and organizational initiatives. * Lead testing, validation, and sign-off processes for new configurations, system upgrades, and change requests * Drive process improvements and automation opportunities to enhance configuration efficiency and reduce errors. * Serve as a subject matter expert (SME) for configuration management, providing training, guidance, and mentorship to internal and external team members and business stakeholders. * Performs all other miscellaneous responsibilities and duties as assigned or directed. * Bachelor's degree and five years of related work experience; or equivalent combination of education and related work experience. * Five years of management/supervisory experience. * In-depth knowledge of managed care, PPO, HMO, Medicaid, Medicare Advantage, and commercial group health plans * Strong working knowledge of claims adjudication systems (e.g., Facets, QNXT, Epic Tapestry, HealthEdge) * Effective written and verbal communication skills * Intermediate knowledge of Microsoft Office applications including, but not limited to Word, Powerpoint, Outlook and Excel.

* Data Governance Expertise and Processes * The Data Governance Analyst will coordinate and contribute to the management of governance processes, including reviewing existing processes and assisting in the implementation of new ones aligned with corporate priorities and initiatives. This includes: * Utilizing and supporting data governance and analytical tools to evaluate data quality, applications, and workflow functions. * Informing workflows for data governance, data quality, data catalog, master data, reference data, and data lifecycle management. * Identifying and proposing efficiencies to streamline and transform data governance processes. * Collaborating with Information Services to help establish standards and capture appropriate metadata in informatics for all data assets on an ongoing basis. * Reviewing new data assets and applying governance principles to determine optimal integration into the governance environment. * Stakeholders, Project, and Service Requests * Provide support and coordinate stakeholder interactions, projects, and service requests across the enterprise. * Develop relationships with business and technical stakeholders, identifying opportunities to apply governance principles and enhance collaboration. * Collaborate with business and technical teams during project delivery. * Manage incoming data governance requests by triaging, assigning, and monitoring their execution and delivery. * Analyze and resolve data governance--related issues with moderate oversight. * Perform ad-hoc data and process analysis as needed. * Data Governance Office Support * Learn current data governance trends and best practice. * Actively support the team as a knowledgeable resource in data governance and data management. * Performs all other miscellaneous responsibilities and duties as assigned or directed. * Collaborates with colleagues across departments to accomplish both individual and team responsibilities. #LI-Hybrid * Bachelor's degree and three years of experience in the healthcare industry or data management/data governance roles; or equivalent combination of education and experience. * Strong customer service and planning skills, with proven ability to work independently on routine tasks. * Demonstrated intermediate problem-solving and analytical skills in data governance contexts. * Working knowledge of master data, data quality, and data catalog functions, with an understanding of data architectures. * Ability to communicate clearly with both technical and non-technical stakeholders, tailoring messages appropriately. * Intermediate experience in data analysis, SQL query construction, and familiarity with data governance, ETL processes, and database principles. * Practical, hands-on experience with Informatica Cloud Data Governance & Catalog (CDGC) and Informatica MDM SaaS or similar tools (e.g., Collibra, Alation, Talend) in a governance context. * Intermediate working knowledge in Microsoft Office applications, including but not limited to Word, Excel, Outlook, and PowerPoint.

To learn more about this role, watch our field merchandisers in action. As a Field Merchandiser, you'll have the opportunity to work independently to showcase your organization and time management skills, your ability to establish retailer relationships, while being the face of Hallmark. You will collaborate with local store teams to optimize product placement and maintain inventory levels as well as support fellow team members with seasonal resets and installations, when needed. On occasion you may have the opportunity to work with other products from other companies in the stores that you service. SALARY AND SCHEDULE DETAILS * Your starting pay will be $16.90 to $18.00 depending on your skills and experience. * This is a Part-Time position with a variable schedule during the work week. * Average weekly hours for this position are between 3 - 5 hours per week. * Availability the week before and after major holidays, which may include weekends is required. YOUR ROLE AND RESPONSIBILITIES WILL INCLUDE You'll perform service work in the Hallmark department of various retail stores such as grocery stores, drug stores, department stores, and mass retailers. The retail merchandiser position consists of three major components: * Day-to-day engagement: Utilizing a mobile device provided by Hallmark, you'll restock, organize, and monitor the inventory of Hallmark products within and outside the Hallmark department. The use of technology is critical in this role, for the day-to-day work as well as communication with your supervisor, reporting time, providing feedback, and answering surveys for required merchandising activities. Professional and courteous interaction with store employees, management, and customers is also vital for success in this role. You are responsible for the entire Hallmark product display at your assigned stores. * Holiday support: Hallmark's operations revolve around seasonal demand. Leading up to and following holidays such as Valentine's Day, Easter, Mother's Day, Father's Day, Halloween, Thanksgiving, and Christmas, you can expect additional days and extended hours during the work week. On occasions like Valentine's Day, Mother's Day, and Father's Day, you may be required to work on the actual holiday itself, which may include the weekend. * Department Resets: At times, you may be part of a team responsible for installations and various tasks like building and installing Hallmark fixtures, relocating card departments and products, as well as resetting card sections. Typically, you will be notified two weeks in advance for remodel assignments. This could include evenings or weekend. * One Team Vision: As part of Hallmark's field organization, you are part of a network of merchandisers professionals that often times will support other team members as needed in their territories. PHYSICAL REQUIREMENTS This is a physically demanding job that requires a high level of energy and a sense of urgency. You will be working on the selling floor as well as in back stockrooms. You must be able to consistently push, pull, lift, and carry cartons, merchandise, and display fixtures up to 30 pounds throughout the workday and up to 50 pounds on occasion. You will also be required to kneel, squat, walk, and stand throughout your workday, and you may be required to climb stairs and step ladders. BASIC QUALIFICATIONS * You're at least 18 years of age. * You're able to read, write and understand English. * You have the ability to grasp, pull, lift, and carry products up to 30 pounds frequently and 50 pounds occasionally. * Able to operate a digital hand-held device to open and read documents and interpret information. * You have access to a Wi-Fi network and the internet. * You have access to consistent transportation to travel to and between assigned stores as scheduled. Part-time employees with a work schedule less than 30 hours have access to a variety of voluntary benefits through Voluntary Benefits including dental, vision, critical illness, accident insurance, hospital indemnity and minimum essential coverage (preventive care). Prior to applying, watch our field merchandisers in action. Now's your chance to Make Your Mark-just follow the instructions below to apply. You must show how you meet the basic qualifications in a resume or document you upload, or by completing the work experience and education application fields. Accepted file types are DOCX and PDF. Part-time employees with a work schedule less than 30 hours have access to a variety of voluntary benefits through Voluntary Benefits including dental, vision, critical illness, accident insurance, hospital indemnity and minimum essential coverage (preventive care). In compliance with the Immigration Reform and Control Act of 1986, Hallmark Cards, Inc. and its subsidiary companies will hire only individuals lawfully authorized to work in the United States. Hallmark does not generally provide sponsorship for employment. Employment by Hallmark is contingent upon the signing of the Employment Agreement, signing of an agreement to arbitrate in connection with the Hallmark Dispute Resolution Program, completing Form I-9 Employment Eligibility Verification, and successfully pass pre-employment (post offer) background check. Hallmark is an equal opportunity employer. All qualified applicants will be considered for employment without regard to race, color, religion, sex, age, pregnancy, national origin, physical or mental disability, genetics, sexual orientation, gender identity, veteran status, or any other legally-protected status. Principals only please. HALLMARK - Because Connecting With Each Other Has Never Been More Important For over 100 years, Hallmark has helped people connect and strengthen the relationships that matter most. Today, we're building the next century of connection- blending the warmth of in-store experiences with the ease of digital innovation. We're looking for empathetic learners, strategic thinkers, and enthusiastic visionaries from all backgrounds to help shape what's next. If you're ready to bring fresh ideas and energy, we'd love to have you on the team! At Hallmark, you'll feel welcomed from day one- whether you're remote, hybrid, or in-office. We'll tap into your strengths, offer leadership opportunities, and support your growth every step of the way. Our culture is rooted in care and inclusion. We celebrate diverse perspectives and actively seek out new voices- like yours- to help us grow and evolve. Let's imagine the future of Hallmark together!

Recommends competitive and sustainable pricing for products based on actuarial models and market trends Leads product updates, maintains competitiveness and addresses customer needs throughout the product lifecycle Develops and implements data quality control procedures for actuarial performance data Collaborates with stakeholders to define the product vision and roadmap for future development Manages relationships with third-party vendors for product development Champions new methods for data visualization to effectively display actuarial product advantages and benefits #LI-Hybrid

Job Description State Farm Agency, located in Makawao, HI has an immediate opening for a full-time Sales Representative. Insurance experience is not required as we will train the right person. If you are a motivated self-starter who thrives in a fast-paced environment, then this is your opportunity for a rewarding career with excellent income and growth potential! Please submit your resume and we will follow up with the next steps. Responsibilities include, but not limited to: Develop insurance quotes, makes sales presentations, and close sales. Establish client relationships and follow up with clients, as needed. Develop ongoing networking relationships. Provide prompt, accurate, and friendly client support. Maintain a strong work ethic with a total commitment to success each and every day. Develop new service opportunities with both existing and new clients. Benefits: Base pay plus a very competitive commission program. Great bonus potential if you are a top performer Outstanding preparation if you aspire to be a State Farm agent in the future. Requirements: Property & Casualty license (must be able to obtain). Life & Health license (must be able to obtain). 1-2 Years of Sales Experience (preferred) Demonstrated successful track record of meeting sales goals and quotas required. Enthusiasm and belief about the role insurance and financial products play in peoples lives. Proven track record of trustworthiness, dependability and ethical behavior. Excellent communication skills: written, verbal and listening. Must be awesome at opening doors and getting appointments from a cold start.

Responsible for analysis, design, development, integration, maintenance and support of applications. Responsibilities include, but may not be limited to, the following: Participates in the project planning and analysis process with clients, business analysts and team members. Assist in sizing and the development of timelines. Identifies and refines system requirements. Complies with architecture processes, principles, policies and standards. Assists in buy vs. build recommendations. May provide input into evaluation of system options, risk, cost versus benefits, and impacts on business processes and goals. May evaluate and provide recommendations for application packages. Designs moderately complex solutions. Develops technical specifications for applications. Makes recommendations for the development of new code or reuse of existing code. May identify best sources of data and works with data architects to ensure feasibility with corporate data sources, when needed. Able to extract data from multiple sources. Able to design and implement complex data transformations. Able to load transformed data into information management system. May adjust processes to maximize efficiency of business user queries. Utilizes development platforms, middleware tools and software frameworks for designing and developing solutions when required. Develops or modifies application components using disciplined software development processes. Complies with quality standards and procedures. Participates in software inspections and quality reviews. Uses modern testing practices, builds unit tests and conducts testing to ensure application meets specifications. Implements and executes integration test plans with team. Documents new or modified components, testing activities/results and other areas such as application-wide error handling and backup/recovery procedures. Provides ongoing maintenance of applications. Analyzes existing applications to identify and document opportunities for improvements. Prepares releases for test and production. Validates deployment once released and communicates the change to stakeholders. Provides Tier II (application) support. May provide Tier III level support. Troubleshoots existing systems to identify errors or deficiencies and develops solutions. Delivers solutions as part of a team utilizing agile or waterfall methodology as applicable. Provides feedback for team to improve in feedback sessions and/or retrospectives. Provides technical coaching and mentoring to less experienced team members. Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid

Join Our Team as a Investment Protection Specialist - Champion the Voice of the Client! Are you passionate about creating exceptional client experiences and ensuring their needs are heard, supported, and prioritized? We're looking for a compassionate, solution-oriented Investment Protection Specialist to join our growing insurance and financial services team. In this role, you'll serve as the client's trusted ally-advocating on their behalf, resolving concerns, and driving continuous improvements in service delivery. Why You'll Love This Role: 💼 Comprehensive Training & Support - Whether you're experienced or just starting out, we provide full onboarding and continuous mentorship to help you thrive. ⏰ Flexible Work Options - Enjoy work-life balance with full-time or part-time opportunities and remote flexibility. 📈 Career Growth Pathways - Advance into client success, operations, or leadership roles. 💰 Competitive Compensation - Base income plus performance incentives and recognition programs. What You'll Do: Act as the primary advocate for clients-ensuring their concerns, feedback, and goals are clearly communicated and addressed. Build strong, trust-based relationships with clients and deliver exceptional service support. Collaborate with internal teams to resolve issues efficiently and elevate the client experience. Monitor and analyze client feedback to identify trends and recommend improvements. Provide proactive communication and education to help clients get the most value from their services. Assist in retention initiatives by ensuring client satisfaction and loyalty. Ideal Candidate Profile: ✔ Empathetic communicator with strong interpersonal skills ✔ Problem-solver with a client-first mindset ✔ Organized and detail-oriented, able to juggle multiple priorities ✔ Self-starter who thrives in a collaborative environment ✔ Experience in client services, customer advocacy, support, or account management is a plus (but not required) Perks & Benefits: ✅ Paid training and professional development ✅ Health insurance and retirement options ✅ Performance bonuses and appreciation incentives ✅ Opportunities for advancement into strategy, leadership, or client success roles 🚀 Ready to Be the Voice That Makes a Difference? If you're driven by empathy, advocacy, and delivering meaningful client outcomes, we'd love to have you on our team. 👉 Apply now to become a Investment Protection Specialist-where every client voice matters, and your impact drives lasting relationships.

Revise and/or develop medical policies adopted from the BCBSA in conjunction with assigned medical director and in accordance with Development and Approval of Medical Policy administrative policy; process includes appropriate and timely implementation and publication. Assist with activities related to the revision and/or development of medical policies, code reviews, and TEC topic research, which include Service Now ticket submissions and Workfront ticket requests (tickets include data requests and medical policy page updates). Assist with the revision and update of MM C&S Unit assigned PRC pages. Collaborate with HMSA Communications Department with the accuracy of PRC page content and in the submission Workfront requests. Support MM sponsored meetings by preparing and distributing an agenda, minutes, and documents to be discussed, and taking minutes (meetings to include UMC, OMD, TEC, Policy Workgroup). Research and respond to requests from internal departments/units requesting information on new technology (including research supporting TEC activities) and medical policies. Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid

* Manage staff, ensuring provider inquiries are responded to timely, accurately, and professionally. Resolve complex provider inquiries. * Respond to and oversee staff responding to CMS demand letters. * Participate in ad hoc projects to help enhance the provider experience with HMSA. These may include but are not limited to enhancements of provider online resources and development of content for the HealthPro news and Provider Resource Center. * Analyze relevant data sources to proactively help identify and resolve issues affecting providers. * Oversee training activities and the creation of training materials, workflows, and desktop procedures. Prepare and conduct presentations for staff and management. * Develop staff in a manner that ensures continual growth and opportunities while maximizing efficiency for providers and the department. * Integrate Claims Adjustment Specialists into the Research and Correspondence unit by implementing a plan for the pend resolutions to be worked and ensuring audit compliance. * Lead the Research and Correspondence team in technological initiatives including existing application upgrades, adopting new applications, and ongoing refinement of the team's use of the SalesForce application. * Coordinate reporting requirements for the unit including but not limited to inventory management reports and ad hoc claim queries. * Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid * Bachelor's degree and five years of related work experience; or an equivalent combination of education and related work experience. * One year of experience in a management/supervisory/leadership role. * Excellent verbal and written communication skills * Excellent customer service skills * Basic knowledge of Microsoft Office applications. Including but not limited to Word, Excel, and Outlook.

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

Monitor and analyze regulatory/accreditation/business requirements to invoke recommendations for program and/or policy changes as appropriate for various lines of business. Lead/coordinate activities, which include internal audits, quality assurance control, quality improvement, provider satisfaction and department policies and procedures, to meet and/or maintain regulatory/accreditation/line of business requirements. Serve as a resource to internal and external staff regarding issues relating to administrative policies and procedures, medical policies, and researching and resolving problems. Edit all documentation generated by unit e.g., QIAs, reports, executive summaries, presentation materials, workplans, evaluations, annual plans, policies and procedures, minutes, agendas, provide feedback, and develop/generate monitoring reports/tools. Coordinate/schedule training opportunities and develop/present related reports and various documentation. Coordinate, support and document various department activities to ensure deliverables are completed by due date. Perform other duties (e.g., attend meetings) as assigned. #LI-Hybrid

Under the direct supervision of the Billing Manager, performs duties related to the billing, collection, and reconciliation of group and individual premiums and the administration of COBRA services in adherence to current law and regulations. Analyzes, researches, and resolves customer issues. Assists Billing Manager in ensuring company and departmental goals and objectives are met and work processes are in compliance with current departmental practices and policies. ESSENTIAL DUTIES AND RESPONSIBILITIES Interprets and applies complex COBRA regulations to administer COBRA services for groups. Provides support and guidance on COBRA compliance to group administrators. Responsible for the timely and accurate processing of the following primary functions: 1) enrollments and eligibility updates 2) cash receipts posting and reconciliation, and 3) notifications and refunds. Ensures the synchronization of the Travis COBRA and LED eligibility. Collects delinquent premiums from employer groups with professionalism and sensitivity. Determines the appropriate approach, monitors payments and documents collection efforts and discussions regarding payment status. Prepares collection letters. Uses judgment to advise groups of potential consequences of further non-payment and notifies management of accounts at risk. Provides internal and external customer service assistance utilizing a comprehensive understanding of HDS policies and practices related to billing, COBRA, Individual Dental Plans, eligibility, and contracts. Actively listens to customers, interprets needs, and determines the course of action. Conducts research to resolve customer issues quickly and effectively. Processes IDP credit card transactions by phone. Reconciles and monitors group payments by using records gathered from multiple sources to ensure appropriate payments are received in relation to billing and eligibility. Uses a comprehensive understanding of diverse billing formats, complex funding arrangements, and the interrelationship of eligibility, contract, and billing/accounting systems. Conducts research and works with groups or other internal departments to determine appropriate actions needed to resolve payment, billing, or eligibility issues. Processes the incoming mail, as well as the mailing of COBRA & IDP notifications and group invoices using controls to reduce the potential for breaches. Other Duties & Responsibilities Promotes and assists group administrators with HDS Online services for Employer Groups. Educates on system advantages and supports users on system capabilities. Provides feedback to management on online system issues and the need for enhancements. Provides administrative support, such as filing and scanning of Billing, COBRA & IDP documents for electronic filing and records retention. Identifies opportunities to increase operational effectiveness and efficiency of the department and increase the value of HDS products. Other miscellaneous duties and responsibilities as assigned. MINIMUM QUALIFICATIONS AND EXPERIENCE Education Certificate in Accounting from a business school/college or an equivalent combination of education, training, and work experience which would provide the necessary knowledge, skills, and abilities to meet the minimum qualifications to perform the essential functions of this position. Experience Minimum of 2 years of work experience in Account Receivable or Accounting, with customer service experience. Skills and Knowledge : Analytical skills, including the ability to define problems, collect and organize data, analyze, and understand various sources of information and problem-solve complex problems. Ability to learn, thoroughly comprehend, and communicate COBRA regulations and related HDS policies. Requires continuously finding new and better ways of performing the job, seeking solutions, and exercising good judgment. Requires organization and ability to manage multiple tasks and maintain focus with attention to detail. Ability to handle all information in a confidential manner and in compliance with federal and state laws/regulations (i.e., HIPAA, PHI). Working knowledge of PC applications (Windows, Word and Excel) is highly desirable. 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 accommodations will be made to enable qualified individuals with disabilities to perform the essential functions of this position.