Insurance Examination Data Specialist

State of Ohio • Columbus, OH

1d • $35 • Onsite

About The Position

The Insurance Examination Data Specialist analyzes preliminary market conduct review and examination data before reviews and examinations of insurance companies authorized to conduct business in Ohio. The role evaluates review and examination plans, prepares data parameters, and supports Insurance Compliance Examiners in testing for violations of insurance laws. It resolves complex data-transfer problems and works with insurance company personnel to obtain accurate and complete computer data and documentation.

The specialist designs complex data requests, tests submitted data for credibility, responds to company inquiries about data requirements, and develops tests for examiners using personal computer applications. During in-house or on-site examinations, the specialist serves as the examination team’s computer analyst and liaison with insurance company management information systems staff.

The position develops market analysis projects to identify industry trends, emerging issues, and potential compliance problems. It analyzes insurance product submissions, including underwriting rules, statistical information, and claims procedures, for possible non-compliance with state and federal laws and regulations. The specialist uploads claim and underwriting data to division databases, designs and programs databases for analysis, and prepares reports for division management.

Additional duties include drafting data call notices, coordinating submissions, responding to technical inquiries from insurance company programmers, exchanging regulatory information with the Department of Insurance, NAIC, other state insurance departments, and insurers, and retrieving and transmitting data through NAIC systems. The position also performs public relations duties, attends meetings, may testify at administrative hearings, and performs other duties as assigned. Travel within and outside Ohio is required.

Requirements

• Completion of an undergraduate core program in computer science, insurance, accounting, business economics, statistics/mathematics, or liberal arts, plus four years of experience in insurance information management systems, internal or external auditing, claims analysis, or underwriting, including 24 months of experience in computer applications such as Excel, Access, or ACL, and satisfactory completion of three insurance and/or insurance designation courses; must provide own transportation.
• Alternatively, two years of experience as an Insurance Compliance Examiner 3 (67213) and two years of experience in computer applications such as Excel, Access, or ACL.
• An equivalent combination meeting the minimum class qualifications may be accepted.
• Must provide own transportation.

Responsibilities

• Analyze preliminary market conduct review and examination data and plans; prepare data parameters to support examiner testing for violations of insurance laws.
• Resolve complex data-transfer problems and obtain accurate, complete computer data and documentation from insurance company personnel.
• Design complex computer data requests, submit them to insurance company management information officers, and test resulting data for credibility.
• Respond to insurance company inquiries regarding Market Conduct Division data requirements and design tests for examiners using personal computer applications.
• Serve as examination team computer analyst and liaise with insurance company management information systems officers to resolve data issues during in-house or on-site examinations.
• Develop and coordinate market analysis projects to identify industry trends, emerging issues, and potential compliance problems using data sources, market surveillance reviews, and industry survey data calls.
• Analyze insurance company product submissions, including underwriting rules, statistical information, and claims procedures, for possible non-compliance with state and federal laws and regulations.
• Upload claim and underwriting data into division databases; design and program databases for analysis and prepare reports for division management.
• Draft data call notices, coordinate submission requests, and serve as the division point of contact for complex technical inquiries from insurance company programmers.
• Exchange regulatory information with the Department of Insurance, NAIC, other state insurance departments, and insurance companies through electronic media; retrieve and transmit data using NAIC systems.
• Perform public relations duties, attend meetings, testify at administrative hearings as needed, and perform other assigned duties.
• Travel within and outside Ohio.

Benefits

• Medical coverage.
• Free dental, vision, and basic life insurance premiums after completion of the eligibility period.
• Paid time off, including vacation, personal, and sick leave, and 11 paid holidays per year.
• Childbirth, adoption, and foster care leave.
• Education and development opportunities, including employee development funds and Public Service Loan Forgiveness.
• Public retirement systems, including OPERS, STRS, SERS, and HPRS, and optional deferred compensation.

What This Job Offers

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