Employment Application Employment Application Step 1 of 3 33% Your Personal InformationYour Name(Required) First Last Your Email Address(Required) Enter Email Confirm Email Address(Required) Street Address Address Line 2 City State ZIP / Postal Code Phone(Required)Best Time To Call You(Required)When is the best time for us to reach you via telephone?MorningsEarly AfternoonLate AfternoonEarly Evening Position You're Applying ForPosition You're Applying For(Required) Claims - General Claims Specialist Case Analyst 2 Nurse Case Manager / Patient Advocate Risk Management Consultant (Long Island Territory) Previous EmploymentYour Previous Employers(Required)Please list your previous 3 employers, the dates you worked and the position you heldPositionEmployerDatesPhone Add RemoveWere you referred by a PERMA employee?(Required) Yes No Who referred you to the open position?Please include first and last of current PERMA employee. More About YouUpload Your Cover Letter(Required)Upload your cover letter in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, Max. file size: 25 MB. Upload Your Resume(Required)Upload your resume in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, Max. file size: 25 MB.