Division of Insurance - Hybrid

State of Colorado•Denver, CO

1d•Hybrid

About The Position

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. The Insurance Analyst position exists to provide support to the Life and Health Consumer Services section, which enforces Colorado insurance statutes and regulations by acting as an ombudsman for Colorado consumers who have experienced problems with specific insurers where alleged law violations have occurred.

Requirements

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.
Associate’s Degree 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 pertaining to the commercial (private) health and life insurance industry; Handling claims, policy services, compliance, and/or member services.
Bachelor’s Degree and Two (2) 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.
Demonstrated written communication skills, including the ability to convey information to various stakeholders in a clear, accurate, and concise written manner;
Demonstrated verbal communication skills, including the ability to effectively convey information to audiences in a concise manner;
Demonstrated attention to detail;
Demonstrated critical thinking and analytical skills, including having the ability to evaluate information in order to apply knowledge and to decide on the most appropriate course of action;
Demonstrated prioritization skills, including planning, organizing tasks, and managing work assignments;
Demonstrated interpersonal skills, including the ability to work with stakeholders;
Demonstrated time management skills, including the ability to multi-task to effectively manage competing and constantly changing priorities in order to meet tight deadlines;
Demonstrated knowledge of Colorado’s insurance statutes, regulations, bulletins, federal statutes and regulations, NAIC standards and guidelines;
Demonstrated ability to collaborate with regulated entities while conveying authority with tact and diplomacy;
Demonstrated ability to understand and abide by workplace principles, practices, and behaviors as internally identified and defined by the division and department;
Demonstrated ability to read, understand, interpret, apply, and explain laws, rules, policies, and procedures;
Sound judgment and the confidence to make decisions on a routine basis;
Ability to travel independently, including work in-office, as required by business needs and scheduled by the supervisor;
Integrity and high ethical standards;
Accountability, reliability, including attendance;
Ability to maintain confidential, controversial, or sensitive information;
Self-starter, including the ability to work independently, learn new processes, utilize own knowledge and that of supervisor, and complete work with minimal supervision;
Demonstrated professional demeanor;
Knowledge and understanding in the use of PC software applications including Microsoft Office (Access, Word, Excel, etc.), and Google Suite (Doc’s, Sheets, Slides, etc).

Nice To Haves

Demonstrated experience working in a state government position conducting research and analyzing insurance policy contracts;
Demonstrated professional experience investigating complex insurance matters that involve diverse stakeholders;
Demonstrated professional experience reading, interpreting, and communicating Colorado insurance statutes, regulations, and policies;
Demonstrated professional direct customer service experience by working in a call center and/or member services;
Demonstrated professional experience working in the property and casualty insurance industry;
Demonstrated experience liaising between insurance carriers and consumers;
Demonstrated experience working with consumers through direct contact (via phone, email, or in person).

Responsibilities

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.

Benefits

Employer-sponsored RTD EcoPass
Flexible schedules
Training and professional development opportunities
Employee wellness programs
Colorado State Employee Assistance Program (CSEAP)
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