Insurance Analyst (Rate/Financial Analyst II): DORA/Division of Insurance - Hybrid.
State of Colorado
Hybrid Workplace Arrangement Although this position will be designated under the department’s hybrid workplace program, it will still be required to report to the department office on a scheduled basis and at the discretion of the supervisor, based on business need. Department Information This announcement may be used to fill multiple vacancies. The Department of Regulatory Agencies (DORA) is dedicated to preserving the integrity of the marketplace and is committed to promoting a fair and competitive business environment in Colorado. Consumer protection is our mission. DORA values and promotes diversity, supporting a workplace that is inclusive of people from different backgrounds and experiences; creating an environment that is reflective of our communities; promoting positive relationships; and putting forth unique perspectives to fulfill our mission. Employer-sponsored RTD EcoPass, with offices located at Civic Center Plaza, above the RTD Civic Center station and just a few blocks from RTD light rail. Extensive work-life programs such as flexible schedules, training and professional development opportunities on a wide variety of subjects, and more! Employee wellness programs, including the Colorado State Employee Assistance Program (CSEAP), which provides free, confidential counseling services. Bike-to-work programs, including access to storage lockers and bike racks. Flexible retirement benefits, including a choice of the PERA Defined Benefit Plan or the PERA Defined Contribution Plan, plus optional 401K and 457 plans. Medical and Dental Health Insurance for employees and optional coverage for their dependents. Life Insurance for employees, and optional coverage for their dependents. Paid Time Off, including 11 paid holidays. Short- and long-term disability coverage. Tuition assistance program. Description of Job The Colorado Division of Insurance (DOI) regulates the insurance industry in Colorado. DOI helps consumers by answering their questions, investigating their complaints, and helping them to understand their insurance. The division regulates and monitors insurance companies in Colorado, as well as insurance agents, ensuring all are following the law. The Consumer Services – Life and Health work unit exists to regulate the insurance industry trade practices and address consumer inquiries and complaints. In this context, “consumer” includes attorneys, health care providers, legislators, service providers, special interest and civic groups, company employees, and the general public. Position: SFA 4125 Duties Include, But Are Not Limited To Reviewing policy contracts, insurer communication, and Colorado insurance law, regulations, and bulletins; Educating consumers, producers, providers, and others through telephone conversations, face-to-face discussions, and community meetings; Investigating written complaints filed by Colorado consumers involving all types of life and health insurance including, but not limited to life insurance, annuities, preneed funeral contracts and all types of health insurance product complaints; Assisting in the development of consumer education materials, including identification of common issues and preparation of general and specific targeted information; Directing, counseling, and/or providing guidance to insurance companies and consumers by determining, if any, the applicable Colorado statutes, Division regulations and/or bulletins for specific questions presented; Using applicable Colorado statutes, Division regulations and/or bulletins to determine what steps need to be taken to assist the consumer or to get the covered expenses or benefits paid promptly. MINIMUM QUALIFICATIONS (MQs) Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights There are two ways to qualify for this position: 1) Experience or 2) A Combination of Education and Experience Option 1: Experience Six (6) years of full-time professional experience working in the insurance industry set in a government environment, public sector, or private sector, which must include at least one (1) of the following: Reviewing rates, policy forms, and/or filings to ensure compliance with laws and regulations; Educating consumers, producers, providers, and others through email, telephone, and face-to-face discussions about insurance product lines, rates, and/or claims; Reviewing, researching, and/or resolving complaints pertaining to the commercial (private) health and life insurance industry; Handling claims, policy services, compliance, and/or member services. Certification, registration, or licensure as a Certified Insurance Examiner (CIE), Accredited Insurance Examiner (AIE), Certified Insurance Consumer Service Representative (CICSR), and/or another designation related to the work assigned will count for one (1) year of the requirement. Option 2: A Combination of Education AND Experience Associate’s Degree and Experience: Graduation from an accredited college or university with an associate’s degree in accounting, business administration, economics, English, insurance and risk management, one of the healthcare disciplines (i.e., public health, healthcare administration, etc.), public administration, or a field of study related to the work assignment; AND Four (4) years of full-time professional experience working in the insurance industry set in a government environment, public sector, or private sector, which must include at least one (1) of the following: Reviewing rates, policy forms, and/or filings to ensure compliance with laws and regulations; Educating consumers, producers, providers, and others through email, telephone, and face-to-face discussions about insurance product lines, rates, and/or claims; Reviewing, researching, and/or resolving complaints #J-18808-Ljbffr State of Colorado
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