Insurance Contract Examiner

State of Maine • Gardiner, ME

2d • $49,296 - $68,786 • Onsite

About The Position

This is administrative work in examining life and health insurance contracts to determine compliance with Maine law. Work includes reviewing policy forms, riders, and endorsements used by insurance companies doing business within Maine; reviewing certificates issued pursuant to out-of-state group policies as well as processing complaints, inquiries, and requests for assistance from the public regarding insurance matters. Work is performed under limited supervision.

Requirements

• Knowledge of life, health, and accident insurance.
• Knowledge of contract law as it relates to insurance.
• Knowledge of state insurance laws, rules, and regulations.
• Knowledge of practices and procedures of insurance and related industries.
• Knowledge of federal insurance programs.
• Knowledge of insurance examination and question development procedures.
• Ability to recognize conflicts in contracts (prohibited and required provisions).
• Ability to solve problems independently.
• Ability to communicate effectively.
• Ability to write clearly and effectively.
• Ability to read and understand insurance contracts.
• A Bachelors Degree in Business Administration or related field and two (2) years of experience in the insurance industry -OR- a six (6) year combination of education, training, and/or experience in the insurance industry.

Responsibilities

• Reviews and analyzes life, accident, and health insurance contracts including policies, certificates, riders, and endorsements attached or included in order to determine compliance with Maine law.
• Consults with insurance company representatives in order to clarify, correct, and alter contract provisions where contracts conflict with Maine laws, rules, and regulations.
• Researches and evaluates insurance related problems in order to develop solutions including improved procedures, changes in regulations, or proposed legislation.
• Advises Bureau of Insurance personnel in order to provide technical information regarding area of expertise.
• Responds to telephone queries and/or complaints from the public and conducts individual interviews in order to solicit or provide information and provide solutions to life and health insurance related problems.
• Mediates settlements with life and health insurers in order to resolve complaints.
• Represents the agency and speaks before various groups in order to provide information regarding life and health insurance.

Benefits

• 13 paid holidays
• 12 days of sick leave
• 3+ weeks of vacation leave annually
• Health Insurance Coverage
• Health Insurance Premium Credit
• Dental Insurance
• Retirement Plan
• Gym Membership Reimbursement
• Health and Dependent Care Flexible Spending Accounts
• Public Service Student Loan Forgiveness
• Living Resources Program
• Parental leave (forty-two (42) consecutive calendar days of fully paid parental leave)
• Voluntary Deferred Compensation

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level