Canvas Process Intelligence™ — Sample Library
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Canvas Process Intelligence™
What happens when the only
person who knows this
walks out the door?
Every organization has processes that live in one person's head — until that person is out sick, retires, or takes the next job. Canvas Process Intelligence™ turns that institutional knowledge into a documented, executable system before it becomes a crisis: full swimlane visualization of every role and handoff, atomic step-by-step procedures, a Standard Operating Procedure, and a gap analysis with a specific recommendation for every risk found. This library shows five examples of that same methodology in action.
🗺
Swimlane Maps
Every role, system, and decision point in the workflow, visualized end to end.
📋
Atomic Step-by-Step
Numbered, executable instructions — no generalizations, no assumed knowledge.
📜
SOPs & Gap Analysis
Decision guides, key definitions, and a documented gap analysis with recommendations for each process.
✉
Templates, POCs & Calendars
Where relevant: standardized email templates, vendor contacts, and critical-date calendars.
What this looked like on a real engagement
70+
Atomic steps mapped in the flagship process alone
15
Process gaps identified, each with a specific recommendation
6
Weeks from kickoff to delivered library
5
Processes shown in this sample alone
Processes in this library
1
New Employee Onboarding
Signed offer through 30/60/90 check-ins, with IT provisioning and manager introduction built in.
+ Comms & Relationship Map
2
Player Injury Intake
Sideline report through return-to-play clearance and front-office notification.
Map · Steps · SOP · Gaps
3
Workers' Compensation Claim Intake
From injury notification through state filing and employee communication.
Map · Steps · SOP · Gaps
4
Specialist Referral & Vendor Coordination
Referral routing with standardized email templates and points of contact.
+ Templates & POCs
5
Benefits Open Enrollment
The full annual cycle, with a critical-dates calendar and reminder cadence.
+ Calendar
A note on this sample
The Workers' Compensation Claim Intake process is drawn from a real Canvas Firm engagement, with the organization name and all identifying details replaced. The other four processes are illustrative, built to demonstrate the same methodology applied to different operating environments. Every delivered engagement is built from live process-mapping sessions with your team — this library shows the format, not a finished product for any specific client.
🧭
How to Use This Library
Each process is navigated, not read top to bottom. Choose the view that fits what you need — the overview at a glance, the working procedure, the reference document, the identified risks, or the supporting templates and dates.
🗺
Swimlane Map
Who does what, in what order, and where it touches other roles. Hover any step for full detail.
📋
Step by Step
The working procedure — numbered, atomic instructions grouped by phase.
📜
SOP
Decision guides and key definitions — the reference document for training and validation.
⚠
Gaps Found
Every undocumented risk found during mapping, ranked by severity, with a specific recommendation for resolution.
Where templates, contacts, and calendars appear
Two processes in this library carry a fifth tab: Specialist Referral & Vendor Coordination includes standardized email templates and vendor points of contact, and Benefits Open Enrollment includes a critical-dates calendar with a reminder cadence. Every engagement includes whichever of these a given process actually calls for.
Process
New Employee Onboarding & Systems Provisioning
Organization
Northbridge Analytics (illustrative)
Systems
PeopleHub HRIS · ServiceDesk · Equipment Logistics
Roles Mapped
HR Coordinator · IT Support · Hiring Manager
Offer & HRIS setup
IT provisioning
Manager & team intro
30/60/90 check-ins
External / IT system
Hover any step for detail
Phase 1 — Offer & HRIS
Phase 2 — IT Provisioning
Phase 3 — Manager Intro
Phase 4 — Check-Ins
Role
Offer Accepted
HRIS Profile Created
IT Ticket Submitted
Accounts Provisioned
Equipment Staged
Manager Intro Scheduled
First-Week Check-In
30/60/90 Scheduled
HR Coordinator
Primary process owner
Confirms signed offer
Offer confirmed
Trigger event for the entire onboarding process.
Creates PeopleHub profile
HRIS profile created
Legal name, department, manager, and start date entered from the offer letter.
Submits IT provisioning ticket
IT ticket submitted
Submitted the moment the offer is confirmed, not the week of start.
Schedules manager welcome meeting
Manager intro scheduled
The new hire's first real impression of the team — scheduled, not left to chance.
Runs first-week HR check-in
First-week check-in
Catches onboarding issues in week one instead of at 90 days.
Schedules 30/60/90 check-ins
Check-ins scheduled
All three check-ins scheduled up front, not booked one at a time.
IT Support
Provisioning owner
Provisions core accounts
Accounts provisioned
Access follows the standard role template.
Stages equipment for day one
Equipment staged
Laptop and role-specific equipment arrive before the start date.
Hiring Manager
Receiving manager
Hosts welcome meeting
Welcome meeting
First introduction to the team on day one.
Assigns onboarding buddy
Buddy assigned
A peer contact who isn't the manager for day-to-day questions.
Illustrative example built to show the same methodology applied to a people-operations process — from signed offer through 30/60/90 check-ins.
    Phase 1 — Offer Acceptance & HRIS Setup
  • 1
    Confirm signed offer letter and start date
    Nothing downstream starts until the signed offer is on file — this is the trigger event for the entire process.
    HRIS intake
  • 2
    Create the employee profile in PeopleHub
    Legal name, department, manager of record, and start date are entered exactly as they appear on the offer letter.
    PeopleHub
  • 3
    Assign the employee to the correct role template
    The role template determines every downstream system-access and equipment decision — get it wrong here and every later step inherits the error.
    PeopleHub
  • 4
    Route the new-hire packet for required signatures
    Tax forms, direct deposit, and policy acknowledgments are sent as one packet, not five separate emails.
    PeopleHub — Packet
  • 5
    Confirm packet completion before submitting the IT ticket
    IT provisioning should never start against an incomplete HR record.
    PeopleHub — Packet
  • Phase 2 — IT Provisioning
  • 6
    Submit the IT provisioning ticket
    Ticket includes role, department, and required system access — submitted the moment the offer is confirmed, not the week the person starts.
    ServiceDesk
  • 7
    Provision core accounts (email, SSO, core systems)
    Access follows the standard role template unless the hiring manager has specifically requested an exception.
    ServiceDesk — Provisioning
  • 8
    Request any role-specific system access outside the template
    Exceptions are logged individually so the template itself doesn't quietly drift over time.
    ServiceDesk — Exception request
  • 9
    Ship or stage equipment for day one
    Laptop and any role-specific equipment are staged to arrive before the start date, not ordered on it.
    Equipment logistics
  • 10
    Confirm all access is verified before day one
    A checklist confirms every system on the role template is actually accessible — not just requested.
    ServiceDesk — Verification
  • Phase 3 — Manager & Team Introduction
  • 11
    Schedule the manager's day-one welcome meeting
    This is the new hire's first real impression of the team — it's scheduled, not left to chance.
    Calendar invite
  • 12
    Assign an onboarding buddy from the team
    A peer contact who isn't the manager gives the new hire someone low-stakes to ask questions.
    Buddy assignment
  • 13
    Share the first-week schedule with the new hire in advance
    A visible plan for the first week reduces first-day anxiety and signals the team is prepared.
    First-week schedule
  • 14
    Schedule first-week check-in with HR
    A short, standing check-in catches onboarding issues in week one instead of at the 90-day mark.
    HR check-in
  • Phase 4 — 30/60/90 Check-Ins
  • 15
    Schedule the 30-day check-in
    Focused on early friction points: system access, team integration, and role clarity.
    30-day check-in
  • 16
    Schedule the 60-day check-in
    Focused on performance trajectory and whether initial goals are still the right ones.
    60-day check-in
  • 17
    Schedule the 90-day check-in and close the onboarding record
    Formal close of the onboarding process — outstanding items are handed off to the manager for ongoing ownership.
    90-day check-in

Standard Operating Procedure — New Employee Onboarding

Role owner: HR Coordinator · Illustrative sample

Systems
PeopleHub HRIS · ServiceDesk
Trigger
Signed offer letter
Time
Day 1 through Day 90
Status
Sample · illustrative
1. Onboarding Track Decision Guide ▾
STANDARD TRACK
Individual-contributor hires. Standard role-based provisioning template applies.
4-week structured path
ACCELERATED TRACK
Leadership or time-sensitive hires. Provisioning and intro meetings compressed to week one.
1-week structured path
2. Day-One Readiness Checklist ▾
1
Confirm HRIS profile is complete
Legal name, department, manager, and start date match the signed offer exactly.
2
Confirm every system on the role template is verified accessible
Not just requested — tested and confirmed working before the start date.
3
Confirm equipment has arrived or is staged for delivery
If equipment is delayed, the loaner protocol is triggered before day one, not on it.
4
Confirm the manager's welcome meeting is on the calendar
A visible, scheduled first meeting — not left to the manager's memory on a busy morning.
3. Key Definitions ▾
Role Template
The standard set of system access assigned automatically based on job role.
Onboarding Buddy
A peer contact, not the manager, assigned to answer day-to-day questions.
30/60/90
The standard cadence of structured check-ins during a new hire's first 90 days.
2
Critical gaps
2
High gaps
4
Total gaps identified
Critical
ONB-GAP-01
No verification gate before day one
IT provisioning confirms access was requested, not that it works. A new hire's first day can be lost to login failures that were never caught.
→ Add a mandatory verification checklist the day before start — access is tested, not assumed.
ONB-GAP-02
No exception path when equipment doesn't arrive on time
There is no documented fallback when shipping is delayed — the new hire simply doesn't have a working laptop on day one.
→ Build a loaner-equipment protocol IT can trigger automatically when tracking shows a delay.
High
ONB-GAP-03
Role template drift is not tracked
One-off access exceptions are granted but not logged against the template, so the template quietly becomes inaccurate over time.
→ Log every exception against the role template and review the template quarterly.
ONB-GAP-04
No standard measure of onboarding success
30/60/90 check-ins happen, but there's no consistent set of questions or a way to compare outcomes across new hires.
→ Standardize a short check-in questionnaire used at all three milestones.

Standardized communications used at each stage of onboarding. Fill in bracketed fields with the specifics for each new hire.

Template 1 — Welcome & Next Steps (sent the day the offer is signed)
TO: [New Hire Email] FROM: [HR Coordinator] SUBJECT: Welcome to [Organization] — Here's What Happens Next Hi [New Hire First Name], Welcome to the team! We're excited to have you starting on [Start Date]. Over the next few days you'll receive: 1. A new-hire packet to complete (tax forms, direct deposit, policy acknowledgments) 2. A note from your manager, [Manager Name], with your first-week schedule 3. Login details for your accounts, active before your first day If anything comes up before then, reply to this email — I'm your point of contact through your first 90 days. Looking forward to having you on the team, [Your Full Name] HR Coordinator [Phone] · [Email]
Template 2 — IT Provisioning Request (sent the moment the offer is confirmed)
TO: ServiceDesk SUBJECT: New Hire Provisioning — [New Hire Full Name], Start Date [Start Date] Please provision the following ahead of the employee's start date: Role: [Job Title] Department: [Department] Manager: [Manager Name] Role template: [Standard / Accelerated] Equipment: [Laptop + any role-specific equipment] Access exceptions beyond the standard template: [List, or “None”] Please confirm all access is verified working no later than end of day before the start date. Thank you, [Your Full Name] HR Coordinator
Template 3 — Manager Introduction & Day-One Agenda (sent the week before start)
TO: [New Hire Email] FROM: [Hiring Manager] SUBJECT: Looking Forward to [Start Date] — Your First-Week Schedule Hi [New Hire First Name], I'm looking forward to having you join the team on [Start Date]. Here's what your first week looks like: Day 1: Welcome meeting with me at [Time], team introductions, workstation setup Day 2–3: 1:1s with key team members, systems walkthrough Day 4–5: First project introduction with [Onboarding Buddy Name] as your go-to for questions You'll also hear from HR about your 30/60/90 check-in schedule. Let me know if you have any questions before your start date. See you soon, [Manager Full Name]
Template 4 — 30/60/90 Check-In Scheduling
TO: [New Hire Email]; [Manager Email] SUBJECT: Your 30/60/90 Check-In Schedule Hi [New Hire First Name] and [Manager Name], To support a strong first 90 days, three short check-ins are scheduled: 30-day check-in: [Date] — early friction points, system access, team integration 60-day check-in: [Date] — performance trajectory, goal clarity 90-day check-in: [Date] — formal close of onboarding, ongoing goals handed to manager Calendar invites to follow. Reach out anytime before then with questions. Best, [Your Full Name] HR Coordinator

Every new hire sits at the center of five working relationships from day one. This map shows who they are, what each relationship provides, and how it's initiated — a companion to the swimlane map's process view.

NEW HIRE
👤
Reports to
Hiring Manager
Sets goals, hosts the day-one welcome meeting, owns ongoing performance direction.
🤝
Paired with
Onboarding Buddy
A peer contact, not the manager — the low-stakes person to ask day-to-day questions.
📋
Coordinated by
HR Coordinator
Owns the onboarding record end to end and runs the 30/60/90 check-in cadence.
💻
Provisioned by
IT Support
Sets up accounts, equipment, and system access — verified working before day one.
🏢
Introduced to
Team Members
Broader team integration through 1:1 introductions across the first week.
When each relationship is initiated
IT Support — before the offer is confirmed, provisioning ticket submitted immediately
Hiring Manager — the week before start, first-week schedule shared in advance
Team Members — day one, introductions built into the first-week schedule
Onboarding Buddy — day one, assigned before the new hire arrives
HR Coordinator — continuous from offer signature through the 90-day check-in
Process
Player Injury Intake & Care Coordination
Organization
Vanguard Athletic Group (illustrative)
Systems
AthleteTrack · Imaging Partner Network · Team EMR
Roles Mapped
Athletic Trainer · Team Physician · Front Office / Coaching Staff
Injury report & assessment
Medical referral
Return-to-play tracking
Staff communication
External / physician
Hover any step for detail
Phase 1 — Injury Report
Phase 2 — Medical Referral
Phase 3 — Return-to-Play
Phase 4 — Communication
Role
Injury Reported
Trainer Assessment
Physician Referral
Imaging / Diagnosis
Treatment Logged
RTP Criteria Set
Clearance Review
Staff Notified
Athletic Trainer
Primary process owner
Logs injury report
Injury reported
Reported immediately from the field, court, or training room.
Performs initial assessment
Trainer assessment
Mechanism of injury and affected body part documented before diagnosis is assumed.
Refers to team physician if needed
Referral decision
Anything beyond basic first aid moves to the physician the same day.
Logs treatment plan
Treatment logged
Diagnosis and recovery timeline recorded the same day they're determined.
Sets RTP criteria with physician
RTP criteria
Specific, observable benchmarks — not a subjective feel-based call.
Notifies coaching staff
Staff notified
Same-day update any time participation status changes.
Team Physician
External medical provider
Evaluates referred injury
Physician evaluation
Confirms diagnosis and orders imaging if needed.
Orders & reviews imaging
Imaging review
Results routed back into the athlete's AthleteTrack record.
Signs final RTP clearance
Clearance sign-off
No athlete returns to full participation without this signature on file.
Front Office / Coaching Staff
Notified party
Receives status update
Front office notified
Multi-week or season-ending injuries get visibility above the training room.
Illustrative example built to show how the same methodology applies to an operational, safety-critical environment — from sideline injury report through return-to-play clearance.
    Phase 1 — Injury Report & Trainer Assessment
  • 1
    Receive the injury report from practice or game-day staff
    Injuries are reported the moment they happen — from the field, the court, or the training room — never held until end of day.
    Sideline report
  • 2
    Perform the initial athletic trainer assessment
    Document the mechanism of injury, the body part affected, and the athlete's own description of what happened, before any diagnosis is assumed.
    AthleteTrack
  • 3
    Classify severity and determine if same-day return is possible
    Minor / Day-to-Day / Multi-Week / Season — this classification drives who gets notified next and how urgently.
    Decision guide
  • 4
    Log the initial assessment in AthleteTrack before leaving the field or court
    Documentation happens in real time, not reconstructed later from memory once the trainer is back in the office.
    AthleteTrack
  • Phase 2 — Medical Referral & Documentation
  • 5
    Refer to the team physician if the injury exceeds trainer scope
    Any injury beyond basic first aid or a day-to-day soft tissue issue goes to the team physician the same day.
    AthleteTrack — Referral
  • 6
    Schedule imaging if the physician orders it
    Requests are sent directly to the imaging partner network with the athlete's demographics and the exact study ordered.
    Imaging Partner Network
  • 7
    Log the diagnosis and treatment plan in AthleteTrack
    Diagnosis, expected recovery timeline, and treatment plan are recorded the same day they're determined — not reconstructed later from memory.
    AthleteTrack
  • 8
    Attach all imaging results and physician notes to the athlete's record
    Every document lives in one record, so any trainer or physician covering the team has the full picture.
    AthleteTrack — Documents
  • Phase 3 — Return-to-Play Tracking
  • 9
    Set the return-to-play criteria with the physician
    Criteria are specific and observable — not “when he feels ready,” but defined benchmarks the athlete must clear.
    AthleteTrack — RTP criteria
  • 10
    Track progress against criteria at each check-in
    Every check-in is logged against the criteria set, so progress — or a lack of it — is visible over time, not just at the final clearance.
    AthleteTrack — RTP tracking
  • 11
    Flag any check-in where progress has stalled
    A stalled case gets escalated back to the physician rather than continuing on the standard check-in cadence.
    AthleteTrack — RTP tracking
  • 12
    Obtain final clearance sign-off from the team physician
    No athlete returns to full participation without a documented, signed clearance on file.
    Physician sign-off
  • Phase 4 — Staff Communication
  • 13
    Notify coaching staff of participation status
    Coaching staff gets a same-day update any time an athlete's participation status changes — not just at the start of the week.
    Status update
  • 14
    Notify front office / risk management for any multi-week or season-ending injury
    Anything beyond day-to-day status gets visibility above the training room — this is where risk exposure and roster planning intersect.
    Front office notification

Standard Operating Procedure — Player Injury Intake & Care Coordination

Role owner: Athletic Trainer · Illustrative sample

Systems
AthleteTrack · Imaging Partner Network
Reporting
Same-day, all injuries
Time
Varies by severity
Status
Sample · illustrative
1. Severity Classification Guide ▾
DAY-TO-DAY
Minor injury. Trainer manages directly. Physician referral not required.
Same-day return possible
MULTI-WEEK
Physician referral required. Structured RTP criteria and tracking apply.
Weekly progress check-ins
SEASON-ENDING
Surgical or long-term recovery. Front office notified immediately.
Full clearance protocol
2. Return-to-Play Escalation Rule ▾
1
Track every check-in against the criteria set at referral
Progress is measured against defined benchmarks, not a subjective impression.
2
Flag any case with no progress across two consecutive check-ins
A stalled case is escalated back to the physician rather than continuing on the standard cadence.
3
Require signed physician clearance before any return to full participation
No verbal clearance is treated as sufficient, regardless of how minor the injury seemed.
3. Key Definitions ▾
RTP
Return to Play — the criteria and process an athlete must clear before resuming full participation.
Day-to-Day
Injury status category indicating uncertain but likely short-term availability.
Clearance
Formal, signed confirmation from the team physician that an athlete may resume full participation.
AthleteTrack
The illustrative injury management system referenced in this sample.
1
Critical gaps
2
High gaps
3
Total gaps identified
Critical
INJ-GAP-01
Return-to-play criteria aren't standardized across cases
Criteria are set verbally between trainer and physician each time, with no consistent template — two athletes with similar injuries can be held to different standards.
→ Build a standard RTP criteria template by injury type, used as the starting point for every case.
High
INJ-GAP-02
No defined notification SLA for season-ending injuries
Front office notification currently happens at the trainer's discretion rather than on a fixed timeline.
→ Set a same-day notification requirement for any injury classified multi-week or season-ending.
INJ-GAP-03
Stalled recovery cases have no escalation trigger
A case that stops progressing continues on the standard check-in cadence with no formal signal to escalate back to the physician.
→ Add an automatic flag when a check-in shows no progress against criteria for two consecutive check-ins.
Process
Workers' Compensation Claim Intake
Organization
Meridian County Public Schools (illustrative)
Systems
ClaimTrack · District HR System · State Workers' Compensation Board Portal
Roles Mapped
Workers' Compensation & Risk Specialist · Occupational Health Partner · State Workers' Compensation Board
Intake & triage
Claim creation
State filing
Close-out & comms
External / system
Hover any step for detail
Phase 1 — Intake & Triage
Phase 2 — Claim Creation
Phase 3 — State Filing
Phase 4 — Close-Out
Role
Injury Report
Intake Review
Create Claim
Reserves
Documentation
State Filing
Claim # Recorded
Employee Notice
Workers' Compensation & Risk Specialist
Primary process owner
Reviews injury notification
Intake
Every notification is logged and reviewed the same day it arrives, regardless of severity.
Verifies signatures & claim type
Triage decision
Uses the claim type decision guide to classify before any system entry begins.
Creates claim in ClaimTrack
Claim creation
Date of occurrence, jurisdiction, and incident description entered from the injury report.
Sets initial reserve
Reserves
Reserve amount and type follow the claim classification set in triage.
Logs documents & correspondence
Documentation
Every document and email tied to this claim lives in one place.
Files with the State Workers' Compensation Board
State filing
Duplicate check runs first, then the First Report of Injury is submitted.
Records state claim number
Claim # recorded
The state-issued number becomes the reference point for the life of the claim.
Sends employee & supervisor updates
Close-out
A plain-language summary and a return-to-work check-in close the loop.
Occupational Health Partner
External clinic
Sends injury notification
External notification
The clinic notifies the district the same day an employee is seen for a work injury.
State Workers' Compensation Board
External — state system
Receives filing
State intake
Runs its own duplicate check before accepting the filing.
Issues claim number
Claim number issued
Number is returned to the district once the filing is accepted.
This is the same process family Canvas Firm mapped in full for a real client engagement — shown here with the organization and identifying details replaced. The actual engagement reached 70+ atomic steps across four processes; this sample shows a representative slice of the same rigor.
    Phase 1 — Intake & Triage
  • 1
    Receive injury notification
    Notification arrives from the district's occupational health partner or directly from a supervisor. Every notification is treated as a potential claim until ruled out.
    Email intake
  • 2
    Verify the injury report is signed by employee and supervisor
    Confirm both signatures are present. If the report is incomplete, proceed with available data and flag it for follow-up rather than waiting.
    Injury report form
  • 3
    Determine claim type using the decision guide
    Report Only (notification only, no treatment), Medical Only (treated, no lost time), or Indemnity (lost time) — each has different reserve and filing requirements.
    Decision guide
  • 4
    Look up the employee's role and supervisor in the HR system
    Confirm job title, work location, and supervisor of record before creating the claim.
    HR system
  • 5
    Request any missing information from the employee and supervisor
    A single, clear request covering everything still needed is sent immediately — not one follow-up email per missing item.
    Email — information request
  • Phase 2 — Claim Creation
  • 6
    Create the new claim in ClaimTrack
    Enter date of occurrence, jurisdiction, and a detailed description of the incident copied directly from the injury report.
    ClaimTrack
  • 7
    Select injury type and body part(s)
    Where more than one injury type or body part applies, use the multiple-selection option rather than picking only the first one listed.
    ClaimTrack
  • 8
    Set the initial reserve by claim type
    Medical Only claims open at a standard starting reserve; Indemnity claims open with both a medical and an indemnity reserve, with the disability type recorded.
    ClaimTrack — Reserve
  • 9
    Log all correspondence in the claim notes
    Every email or call related to the claim gets copied into the claim's notes — this is what protects the district if the claim is ever escalated or disputed.
    ClaimTrack — Notes
  • 10
    Upload supporting documents
    Injury report, medical records, and any incident photos or witness statements are attached directly to the claim record.
    ClaimTrack — Documents
  • Phase 3 — State Filing
  • 11
    Search for a duplicate claim before filing with the state
    The state system will reject or queue a filing that matches an existing claim — always check first.
    State Workers' Compensation Board Portal
  • 12
    File the First Report of Injury with the state
    Complete every required field exactly as documented in the claim record. Mismatches between the internal claim and the state filing create delays later.
    State Workers' Compensation Board Portal
  • 13
    Record the state-issued claim number on the internal claim
    This number is the reference point for every future call, payment, or audit tied to the claim.
    ClaimTrack
  • 14
    Set a follow-up reminder if the filing is placed in review
    A filing that's queued for state review doesn't resolve itself — set an explicit date to check back rather than waiting on notification.
    Follow-up tracking
  • Phase 4 — Close-Out & Communication
  • 15
    Send the employee a plain-language claim summary
    Most confusion in workers' compensation comes from employees not understanding what was filed on their behalf. A short summary prevents most follow-up calls.
    Email template
  • 16
    Confirm return-to-work status with the supervisor
    If the employee has restrictions, the supervisor needs to know before the employee's next scheduled shift — not after.
    Supervisor communication
  • 17
    Set a follow-up reminder if any information is still outstanding
    Missing information doesn't resolve itself — a claim with an open item needs an owner and a date to check back.
    Follow-up tracking

Standard Operating Procedure — Workers' Compensation Claim Intake

Role owner: Workers' Compensation & Risk Specialist · Illustrative sample

Systems
ClaimTrack · HR System · State Workers' Compensation Board
Report window
30 days verbal · 1 year written
Time
15–20 min complete case
Status
Sample · illustrative
1. Claim Type Decision Guide ▾
REPORT ONLY
Employee reported the injury but did not seek treatment. No clinic visit on record.
Reserve: $0
MEDICAL ONLY
Employee was treated and released. No lost work time.
Standard medical reserve
INDEMNITY
Employee missed work. Ongoing treatment likely. Weekly compensation required.
Medical + indemnity reserve
2. Missing-Information Variation ▾
1
No injury report form on file
Proceed with claim creation using the occupational health partner's data alone — do not wait for the form.
2
Cause of injury unclear
Select the closest available cause category and follow up with the employee directly.
3
Address unconfirmed
Use the address on file from the HR system; update in both systems if the employee's paperwork shows otherwise.
3. Key Definitions ▾
AWW
Average Weekly Wage — the 13-week wage average used to calculate weekly compensation.
TTD
Temporary Total Disability — employee cannot work at all during recovery.
Reserve
Funds set aside in the claim to cover anticipated medical and indemnity costs.
First Report of Injury
The state filing that formally opens a workers' compensation claim.
2
Critical gaps
2
High gaps
4
Total gaps identified
Critical
CLAIM-GAP-01
No documented criteria for claim type classification
Report Only vs. Medical Only vs. Indemnity is the single most consequential decision in the process, and it currently relies on institutional knowledge rather than a written standard.
→ Formalize the decision guide already used informally, and validate it with department leadership.
CLAIM-GAP-02
Injury notifications arrive to one inbox with no shared visibility
If the specialist is out, notifications are missed and no claims are created for that period.
→ Establish a shared intake mailbox with a documented backup-coverage assignment.
High
CLAIM-GAP-03
No standardized employee communication template
The claim summary sent to employees is drafted differently each time, leading to inconsistent clarity and an uneven employee experience.
→ Adopt a standardized plain-language template for every claim summary sent.
CLAIM-GAP-04
Filings placed in state review have no follow-up protocol
A queued filing doesn't resolve itself, and there's no consistent practice for tracking it until release.
→ Require a follow-up reminder on every queued filing rather than waiting on state notification.
Process
Specialist Referral & Vendor Coordination
Organization
Meridian County Public Schools (illustrative)
Systems
Case Record System · Partner Email
Roles Mapped
Case Coordinator · Imaging, Specialist & Therapy Partners
Intake & routing
Imaging / specialist
Therapy decline & reroute
External partner
Hover any step for detail
Phase 1 — Intake & Routing
Phase 2 — Imaging
Phase 3 — Specialist
Phase 4 — Therapy
Role
Referral Received
Type Identified
Imaging Routed
Appointment Logged
Proximity Checked
Specialist Routed
Telemed Declined
In-Person Rerouted
Case Coordinator
Primary process owner
Reads & logs referral
Intake
Every referral read in full before any routing decision is made.
Identifies referral type
Type identified
Imaging, specialist, or therapy — each follows its own path.
Routes imaging request
Imaging routed
Standard or open-unit path selected based on the referral.
Logs confirmed appointment
Appointment logged
Date and location recorded so the employee can be notified.
Checks specialist proximity
Proximity checked
Confirms a nearby location before approving directly.
Routes specialist referral
Specialist routed
Approved directly or sent to the broader partner network.
Declines telemedicine referral
Telemed declined
Sent back to the Occupational Health Partner explicitly.
Reroutes to in-person partner
In-person rerouted
New referral sent to the in-person Therapy Partner.
Occupational Health Partner
External — referral source
Sends initial referral
Referral source
Imaging, specialist, or therapy referral originates here.
Receives decline
Decline received
Notified that telemedicine therapy is not accepted.
Specialist / Imaging Network
External partner
Schedules imaging
Imaging scheduled
Confirms date, time, and location for the study.
Confirms location availability
Location check
Confirms whether a nearby location exists.
Accepts routed referral
Referral accepted
Schedules the specialist consult.
Therapy Partner
External — in-person provider
Schedules in-person therapy
Therapy scheduled
Confirms the in-person treatment plan and schedule.
Illustrative example built to show how referral routing, vendor coordination, and standardized email templates work inside the Process Intelligence™ format.
    Phase 1 — Read & Route the Referral
  • 1
    Read the referral in full before responding to anyone
    Confirm exactly what is being requested — the study or service, the body part(s), and any special accommodation needed — before choosing a path.
    Referral intake
  • 2
    If the referral is unclear, contact the referring provider before proceeding
    Call or email the referring partner for clarification rather than guessing or forwarding an incomplete request.
    Phone / email
  • 3
    Identify the referral type to determine routing
    Every referral is one of three types: imaging, specialist consult, or therapy — each has its own routing rule.
    Routing guide
  • 4
    Confirm the employee's claim is active before proceeding
    A referral tied to a closed or inactive claim gets escalated back to the case coordinator rather than processed as normal.
    Case record
  • Phase 2 — Imaging Referrals
  • 5
    Route standard imaging requests to the Imaging Partner Network
    Email the request with the exact study ordered and the employee's demographics.
    Imaging Partner Network
  • 6
    Route open-unit or accommodation imaging requests separately
    When a standard unit isn't appropriate — claustrophobia, size accommodation — use the Open Unit request path.
    Imaging Partner Network — Open Unit
  • 7
    Confirm the appointment and log it on the case record
    Once scheduled, the appointment date and location are logged so the employee can be notified.
    Case record
  • 8
    Follow up if no confirmation is received within two business days
    Imaging requests don't always get acknowledged automatically — a two-day rule prevents a request from silently stalling.
    Follow-up tracking
  • Phase 3 — Specialist Referrals
  • 9
    Check whether the specialist network has a location near the employee
    Call the number on the referral or email the specialist network partner before approving.
    Specialist Network Partner
  • 10
    Approve directly by replying if a nearby location exists
    A short reply confirming approval is sufficient — no separate form required.
    Reply to referral
  • 11
    Route to the broader specialist network if no nearby location exists
    When the original specialist has no convenient location, the case routes to the broader partner network instead.
    Specialist Network Partner
  • 12
    Log the approval or routing decision on the case record
    Every referral decision — approved directly or routed elsewhere — is recorded so the reasoning is visible later.
    Case record
  • Phase 4 — Therapy Referrals (Decline & Reroute)
  • 13
    Know the standing rule: the district requires in-person therapy
    The Occupational Health Partner offers telemedicine-only therapy; district policy requires in-person care.
    Standing policy
  • 14
    Reply to the Occupational Health Partner declining the telemedicine referral
    The decline is sent back explicitly — it is not simply ignored or silently rerouted.
    Reply — decline
  • 15
    Send a new referral to the in-person Therapy Partner
    A new email, with the original referral attached, requests in-person scheduling.
    Therapy Partner
  • 16
    Confirm the in-person appointment was scheduled
    The loop isn't closed until confirmation comes back from the Therapy Partner — a sent referral is not the same as a scheduled visit.
    Therapy Partner — confirmation

Standard Operating Procedure — Specialist Referral & Vendor Coordination

Role owner: Case Coordinator · Illustrative sample

Systems
Case Record System · Partner Email
Golden rule
Read every referral fully before responding
Time
Same-day routing
Status
Sample · illustrative
1. Referral Routing Decision Guide ▾
IMAGING
Standard or open-unit imaging request from the Occupational Health Partner.
Routes to Imaging Partner Network
SPECIALIST
Consult referral — check proximity before approving or rerouting.
Approve directly or route to network
THERAPY
Telemedicine referral from Occupational Health — always declined and rerouted.
Requires in-person Therapy Partner
2. Follow-Up Requirements ▾
1
Imaging requests
Follow up if no confirmation is received within two business days.
2
Specialist referrals
Log the approval or routing decision on the case record the same day it's made.
3
Therapy reroutes
Confirm the in-person appointment was actually scheduled before closing the case — a sent referral is not a scheduled visit.
3. Key Contacts & Reference ▾
Imaging Partner Network
Primary imaging vendor for standard and open-unit studies. intake@imagingpartner-example.com
Specialist Network Partner
Multi-specialty referral network used when the original specialist has no nearby location. referrals@specialistnetwork-example.com
Therapy Partner
In-person physical therapy provider used for all therapy referrals. scheduling@therapypartner-example.com
Occupational Health Partner
External clinic and primary referral source for imaging, specialist, and therapy needs. referrals@occhealthpartner-example.com
1
Critical gaps
2
High gaps
3
Total gaps identified
Critical
REF-GAP-01
No standing record of specialist proximity by region
Proximity is checked by phone call on every single referral, with no record kept of the answer — the same question gets asked repeatedly for the same partners.
→ Build a standing directory of partner locations by region, refreshed quarterly, so most checks don't require a call at all.
High
REF-GAP-02
No confirmation loop on therapy reroutes
A referral sent to the in-person Therapy Partner is treated as resolved once it's sent — there's no check that it was actually received and scheduled.
→ Add a confirmation-required step with a follow-up deadline before the case is considered closed.
REF-GAP-03
Imaging follow-up relies on memory, not a system prompt
The two-day follow-up rule for unconfirmed imaging requests depends on the coordinator remembering to check — there's no automatic prompt.
→ Add a system-generated reminder at the two-day mark for any imaging request without a logged confirmation.

Illustrative templates — fill in bracketed fields with the specifics from the referral. Fictional partner contacts shown for format only.

Template 1 — Imaging Request
TO: intake@imagingpartner-example.com SUBJECT: Imaging Request — [Employee Full Name] Good [morning/afternoon], Please schedule for a[n] [imaging study] of the [body part], as ordered by [Ordering Provider Name]. Demographics: DOI: [Date of Injury] Address: [Address] DOB: [Date of Birth] Thank you, [Your Full Name] Case Coordinator [Phone] · [Email]
Template 2 — Specialist Direct Approval (Reply)
TO: [Reply directly to the specialist's referral email] [Employee Full Name] is approved for the requested consult. Thank you, [Your Full Name] Case Coordinator [Phone] · [Email]
Template 3 — Therapy Decline & In-Person Reroute
STEP A — Reply to Occupational Health Partner (decline): This request is not approved as submitted. District policy requires in-person physical therapy. STEP B — New email: TO: scheduling@therapypartner-example.com SUBJECT: PT Referral — [Employee Full Name] Good [morning/afternoon], please schedule for in-person PT of the [body part], [frequency]. Attached is the original referral. Thank you, [Your Full Name] Case Coordinator [Phone] · [Email]
Process
Benefits Open Enrollment Administration
Organization
Northbridge Analytics (illustrative)
Systems
Enrollment Platform · Payroll · Carrier Partner
Roles Mapped
Benefits Administrator · Payroll · Carrier Partner
Pre-enrollment setup
Enrollment window
Processing & payroll
Qualifying life events
External / carrier
Hover any step for detail
Phase 1 — Setup
Phase 2 — Enrollment Window
Phase 3 — Processing
Phase 4 — QLEs
Role
Plans Loaded
Comms Published
Enrollment Monitored
Errors Resolved
Window Closed
Payroll File Sent
Effective Date Confirmed
QLE Processed
Benefits Administrator
Primary process owner
Loads plans & rates
Plans loaded
Every plan and rate verified before the window opens.
Publishes enrollment comms
Comms published
Window dates and what's changing communicated to all employees.
Monitors daily completion
Enrollment monitored
Tracks who hasn't started, not just who hit errors.
Resolves flagged errors
Errors resolved
Same-week resolution, not a backlog at close.
Closes & locks window
Window closed
Changes now require a qualifying life event.
Submits payroll file
Payroll file sent
Submitted ahead of the payroll lock date.
Confirms effective date
Effective date confirmed
Closing communication sent to every employee.
Processes QLE changes
QLE processed
Verified, documented, and entered within the 30-day window.
Employee
Enrollee
Completes enrollment
Employee action
Selects plans and dependents within the window.
Submits QLE request
QLE request
Reports a qualifying event within 30 days of occurrence.
Carrier Partner
External vendor
Finalizes plan rates
Rate confirmation
Rates and plan documents locked before setup begins.
Reconciles elections
Reconciliation
Confirms what will actually be loaded on the carrier side.
Payroll
Internal partner
Loads deduction file
Deductions loaded
New plan year deductions take effect on schedule.
Illustrative example built to show how critical dates, cutoffs, and a full annual cycle are documented inside the Process Intelligence™ format — not just individual transactions.
    Phase 1 — Pre-Enrollment Setup
  • 1
    Confirm plan rates and carrier files are finalized
    Nothing opens to employees until carrier rate confirmations and plan documents are locked for the new plan year.
    Carrier Partner
  • 2
    Load plan options into the enrollment platform
    Every plan, tier, and rate is verified in the system before the window opens — not corrected after employees start enrolling.
    Enrollment platform
  • 3
    Test the enrollment flow end to end before publishing
    A test enrollment catches configuration errors before an employee does.
    Enrollment platform — test
  • 4
    Publish enrollment communications to all employees
    Announcement includes the window dates, what's changing this year, and where to get help.
    Employee communication
  • Phase 2 — Enrollment Window Management
  • 5
    Monitor enrollment completion daily
    Daily tracking identifies employees who haven't started, not just those who hit errors.
    Enrollment platform
  • 6
    Send reminder communications at the midpoint and one week before close
    Two reminders, not one — the midpoint reminder catches procrastinators early enough to still get help.
    Employee communication
  • 7
    Resolve enrollment errors as they're flagged
    An error flagged mid-window gets same-week resolution, not a backlog at close.
    Enrollment platform
  • 8
    Escalate any employee who hasn't started by the one-week mark
    A direct outreach — not just a broadcast reminder — for anyone still not started a week before close.
    Employee outreach
  • Phase 3 — Processing & Payroll Handoff
  • 9
    Close the enrollment window and lock elections
    Once closed, changes require a qualifying life event — this is communicated clearly before the window closes.
    Enrollment platform
  • 10
    Run a first-pass reconciliation against carrier files mid-window
    Checking elections against carrier files before close, not just after, catches discrepancies while there's still time to fix them.
    Carrier Partner
  • 11
    Run the final reconciliation after close
    Every election is checked against what the carrier will actually load — discrepancies are resolved before the effective date, not after.
    Carrier Partner
  • 12
    Submit the payroll deduction file
    Deduction file must be submitted ahead of the payroll lock date to take effect for the new plan year.
    Payroll
  • 13
    Confirm the effective date with all employees
    A confirmation communication closes the loop — every employee should know their new coverage is active before their first paycheck reflects it.
    Employee communication
  • Phase 4 — Qualifying Life Events (Year-Round)
  • 14
    Verify the event qualifies and falls within the 30-day window
    Marriage, birth, loss of other coverage, and similar events qualify — verify the event type and the date against the window before processing.
    QLE intake
  • 15
    Collect the required documentation for the specific event type
    Documentation requirements differ by event type — a checklist per type keeps processing consistent.
    QLE documentation
  • 16
    Process the mid-year election change and notify payroll
    Once documentation is confirmed, the change is entered and payroll is notified in the same cycle.
    Enrollment platform · Payroll

Standard Operating Procedure — Benefits Open Enrollment Administration

Role owner: Benefits Administrator · Illustrative sample

Systems
Enrollment Platform · Payroll · Carrier Partner
Window
Annual, plus year-round QLEs
QLE window
30 days from qualifying event
Status
Sample · illustrative
1. Enrollment Type Decision Guide ▾
STANDARD ENROLLMENT
Annual window. All benefits-eligible employees may change elections freely.
Once per plan year
QUALIFYING LIFE EVENT
Marriage, birth, loss of coverage, and similar events. Requires documentation and falls within 30 days.
Year-round, event-triggered
2. Reconciliation Checkpoints ▾
1
Mid-window reconciliation
Run a first-pass check against carrier files before the window closes, while there's still time to fix discrepancies.
2
Final reconciliation
Run again after close — every election is checked against what the carrier will actually load.
3
Payroll file submission
Submitted only after final reconciliation is complete, ahead of the payroll lock date.
3. Key Definitions ▾
QLE
Qualifying Life Event — a change in circumstance (marriage, birth, loss of other coverage) that opens a special enrollment window.
EOI
Evidence of Insurability — documentation sometimes required for certain elections outside standard enrollment.
Effective Date
The date new elections actually take effect for coverage and payroll deduction purposes.
Payroll Lock Date
The last date a deduction file can be submitted for it to apply to the upcoming plan year.
2
Critical gaps
2
High gaps
4
Total gaps identified
Critical
ENR-GAP-01
Reconciliation happens too close to the payroll lock date
The only full reconciliation against carrier files runs after the window closes, leaving little buffer if discrepancies are found before the payroll file must be submitted.
→ Add a mid-window reconciliation checkpoint so discrepancies surface with time to resolve them.
ENR-GAP-02
QLE documentation requirements aren't standardized by event type
Different event types require different documentation, but there's no written checklist — processing time and consistency vary by who handles the request.
→ Build a documentation checklist per qualifying event type.
High
ENR-GAP-03
No escalation path for employees who haven't started by the one-week mark
A broadcast reminder goes out, but there's no individual outreach for employees who still haven't engaged.
→ Add a direct-contact escalation step for anyone not started one week before close.
ENR-GAP-04
Enrollment platform isn't tested end to end before launch
Plan and rate loading is verified, but the employee-facing enrollment flow itself isn't tested before the window opens.
→ Run a full test enrollment before every plan year's window opens.
Annual Enrollment Cycle — Critical Dates
OCT 1
Window Opens
OCT 1–31
Election Period
NOV 1–15
Processing & Reconciliation
NOV 20
Payroll File Lock
JAN 1
Coverage Effective
YEAR-ROUND
QLE Window (30 days)
Cutoff rule: elections not submitted by October 31 roll over automatically to current coverage — there is no grace period without a qualifying life event. The November 20 payroll file lock is the hard deadline for any correction to reach the January 1 effective date.
Reminder Cadence
Oct 1 — Window opens, announcement sent to all employees
Oct 15 — Midpoint reminder to employees who haven't started
Oct 24 — One-week-left reminder, district-wide
Oct 31 — Window closes at end of day
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