Insurance Regulatory Analyst II

Salary Recruitment Range: $62,739 - $66,558

Salary Grade: NC19

Mission of the Department of Insurance:

To promote a stable insurance market through unbiased regulation and to protect the lives and property of every citizen in all 100 counties while fostering superior, user-friendly service, courtesy, and respect.

Primary Purpose of the Position:

The primary purpose of the position is to regulate Managed Care (HMO/PPO) and L&H insurers that offer health coverage and accident and health coverage, etc. through the review of Policyholder Treatment, Marketing, Underwriting and Rating and Claims records.

The Senior Examiner will clearly and concisely summarize/communicate findings and prepare/maintain work papers according to Divisional guidelines.

The Senior Examiner will assist the Examiner-In-Charge in coordinating examination efforts with company officials. This position will assist Examiner-In-Charge with the pre-examination conference, and examination wrap-up conference. This position will also assist with the training of Examiner I personnel.

The way we accomplish this is by conducting examinations in a more effective and efficient manner either on-site at the Company's location or in our offices. With both methods, it ensures effective communication with company representatives, reasonable access to company records, and collaboration with those involved in the day-to-day processes within the company.

Incentives of NC State Employment:

We value our employees and offer a wide variety of competitive and family-friendly benefits. Benefits to include:

• 12 Annual paid Holidays

• North Carolina State Health Plan administered by Blue Cross Blue Shield of NC

• Supplemental Benefits including: Flexible Spending Accounts, Accident Insurance, Cancer & Specified Disease, Critical Illness, Dental and Vision

• NC State Retirement (TSERS)

• We Save Employee Discounts

Learn more about new hire resources, safety, health, and wellness information, leave options, employee discounts and more by selecting the link below:

https://oshr.nc.gov/state-employee-resources/benefits.

• Demonstrated working knowledge of insurance company and concepts

• Demonstrated working knowledge of statutes and regulations applicable to insurance companies or prior experience working with other legal and regulatory issues.

• Demonstrated working experience interrupting and applying laws and regulations, analyzing information, and evaluating the impact of company policies/procedures and practices.

• Demonstrated experience working effectively with company management and professional staff.  

Bachelor's degree in business or economics or a related program from an appropriately accredited institution and four years of experience in policy and rate examinations, underwriting, claims adjusting work, or financial/marketing analysis; or an equivalent combination of training and experience.

Graduate from a four year college or university, preferably with a degree in business administration or economics or related program including at least a course in statistics or college level mathematics and three years of experience in L&H/Managed Care (HMO/PPO) policy rating and/or underwriting, claims adjusting, and/or financial/marketing analysis, and/or equivalent combination of training and experience.

General knowledge of overall company operations is highly desirable.

Experience working with regulatory/compliance issues is desirable.

Knowledge of the concepts related to Managed Care (HMO/PPO)/L&H operations are necessary.For consideration for this vacancy, all applicants must complete an on-line application using the "APPLY" button above. If multiple applications are submitted to an individual posting, only the most recent application received prior to the posting close date will be evaluated for the consideration. Applications for positions requiring specific coursework must be accompanied by a copy of the applicant's transcript.

Academic Degrees must be from appropriately accredited institutions and will be verified. If you are selected for a position at DOI/IC, your academic credentials will be verified.

To receive credit for your work history and credentials, you must list the information on the State Application. Any information omitted from your application cannot be considered for qualifying credit.

The Department of Insurance/Industrial Commission may conduct criminal history checks of all job applicants recommended for employment. Failure to accurately acknowledge information on criminal convictions on the state application form will be grounds for non-consideration of applications, disciplinary action, and possible criminal prosecution.

The Department of Insurance/Industrial Commission is an Equal Employment Opportunity employer and uses the merit-based recruitment and selection plan to fill positions subject to the State Personnel Act with the most qualified individuals.

INCLUDE ALL RELEVANT EDUCATION, WORK EXPERIENCE IN THE DESIGNATED EDUCATION AND WORK HISTORY SECTION ON THE FORMAL APPLICATION

Applications with "see attached" or resumes in lieu of completed education and work experience on the formal application will be deemed incomplete and will not be eligible for consideration for the vacancy

Applicants requesting and receiving an accommodation under the Americans with Disabilities Act (ADA) are eligible to submit paper applications via mail or by fax.

Applicants seeking Veteran's Preference under N.C.G.S .126 must submit a DD Form 214, Certificate of Release or Discharge from Active Duty. This information may be attached to the online application or be faxed on or before the closing date.

Applicants may check the status of their application for a vacancy at any time by logging in to the government jobs system using the above link.  Once the applicant has logged in, the status of each submitted application is documented next to each vacancy for which they have applied.