Life And Health Insurance Market Conduct Examiner (Insurance Market Conduct Examiner 1 )

State Of Pennsylvania Harrisburg , PA 17101

Posted 2 months ago

Are you looking for an opportunity to gain broad and valuable knowledge in an exciting industry, while traveling to different work locations and interacting with insurance professionals? The Insurance Department is seeking a talented, organized individual with insurance industry experience or comparable education, to apply for an exceptional opportunity to become a Market Conduct Examiner.

Put your experience, knowledge and skills to use. Join the Insurance Department and experience the satisfaction of public service, while enjoying the professional career growth, healthy work/life balance, and numerous promotional opportunities that state government provides!

As a Market Conduct Examiner, you will learn to conduct audits of health insurance companies to determine compliance with federal and state laws and regulations. Your work will involve collecting and analyzing records, files and data from insurance companies to detect unlawful practices and trends relating to underwriting and claims practices, advertising, form filings, and the handling of consumer complaints. You will assist in determining compliance with applicable statutes and regulations, record your findings using various project management tools, prepare summaries of findings, and evaluate company responses to initial findings.

Our ideal candidate will have professional experience in health insurance, be highly organized, self-motivated, and have a strong work ethic. In addition, the candidate must exhibit strong attention to detail, excellent verbal and written communication skills, be comfortable using technology, and be able to understand and apply laws, rules, and regulations. We appreciate a good balance of independence and teamwork, as both are required to successfully complete each examination efficiently.

The position will require you to travel to insurance company sites both within the Commonwealth as well as out-of-state for examinations.

  • Full-time employment.

  • Work hours Monday through Friday 8:00 a.m. to 4:30 p.m. with one hour lunch period.

  • You will have the opportunity to work from home (telework) full-time. In order to telework, you must have a securely configured high-speed internet connection. If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg.

Qualifications:

  • Minimum Experience and Training Requirements:
    Successful completion of the Insurance Market Conduct Examiner Trainee training program; OR One year of professional experience in insurance market conduct examinations, insurance company financial examinations, insurance investigations, insurance financial analysis, insurance underwriting, insurance policy review and analysis, insurance claims administration, or insurance sales, and a bachelor's degree; OR An equivalent combination of experience and training.
  • Must meet PA residency requirement - For more information on ways to meet PA residency requirements, follow the link and click on Residency.

  • Do not submit resumes, cover letters, and similar documents. These documents will not be reviewed and the information contained therein will not be considered for the purposes of determining your eligibility for the position or to determine your score. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).

  • If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.

  • Must be able to perform essential job functions.

Veterans: Pennsylvania law (51 Pa. C.S. 7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans,go towww.employment.pa.gov/Additional%20Info/Pages/default.aspx and click the Veterans' Preference tabor contact us atra-cs-vetpreference@pa.gov.

Telecommunications Relay Service (TRS): 711 (hearing and speech disabilities or other individuals)

The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.

  • Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).

  • Your score is based on the detailed information you provide on your application and in response to the supplemental questions.

  • Your score is valid for this specific posting only.

  • You must provide complete and accurate information or:

  • your score may be lower than deserved.

  • you may be disqualified.

  • You may only apply/test once for this posting.

  • Your results will be provided via email.

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Life And Health Insurance Market Conduct Examiner (Insurance Market Conduct Examiner 1 )

State Of Pennsylvania