INSURANCE EXAMINER II - 43000741

State of Florida•West Palm Beach, FL

12d•Hybrid

About The Position

Responsible for investigating complex insurance cases involving alleged violations of the Florida Insurance Code and Department Rules by licensees in the areas of property & casualty insurance, life & health insurance, bail bonds, title, viatical settlements, claims adjusting practices and activities related to unauthorized insurers and preparing investigative reports is accordance with Bureau standards and expectations. Analyzes complaints and investigates the activities and conduct of insurance agents, adjusters, and other related entities. This includes on-site investigations review, examination, and evaluation of evidentiary documents obtained pertaining to licensees and the insurance entities they represent. Documents include but are not limited to insurance contracts, forms, endorsements, underwriting practices, claims forms, advertising, premium handling, claims handling procedures, sales practices, licensing requirements, record keeping methods, and other related matters. Responsible for conducting interviews, gathering evidence, taking affidavits, interpreting statutes and rules, and writing comprehensive reports for the purpose of initiating disciplinary action or prosecution by the Department against licensees. Interacts with appropriate agencies, divisions, attorneys, law enforcement, and state attorneys when necessary. Provides testimony regarding questionable insurance transactions and activities at hearings and trials when necessary. Duties include, but are not limited to: Analyzing complaints and investigative reports concerning insurance agents, adjusters and other related entities; Maintaining work files, proper usage of state-issued equipment and preparing related reports according to Bureau and Department procedures and rules; Communicating with insurance licensees, the public, insurance company representatives, or other insurance regulators; Participating in training, workshops, conferences and study groups to keep abreast of statutes, rules, regulations, policies and procedures, relating to insurance contracts, solicitation, claims handling, and other insurance related transactions. Interacts with other governmental agencies and personnel to secure and share regulatory information regarding the investigation of the activities and conduct of insurance producers and related entities. Works cooperatively with management and other investigators in the division to handle large or complex cases and to provide cross-training opportunities for investigators or to mentor new investigators. Provides constructive feedback to other team members to promote team effectiveness and efficiency in producing timely and sufficient investigative reports of insurance licensees. Performs related duties as required.

Requirements

Experience collecting, evaluating, and analyzing data.
Experience organizing data into a logical format for presentation.
Experience using Microsoft Word, Excel, and Outlook.
Valid driver’s license and be willing to travel, when necessary, within the state of Florida and occasionally overnight on short notice.
Knowledge of the methods of data collection and analysis.
Ability to identify the nature of problems and use logic and analysis to develop different approaches to resolve them.
Ability to organize data into logical format for presentation in reports, documents, and other written materials.
Ability to understand and apply Florida Statutes, rules, and regulations pertaining to insurance matters.
Ability to establish and maintain effective working relationships with co-workers and the public.
Ability to operate a motor vehicle in a safe manner.

Nice To Haves

One (1) year or more experience in the insurance industry, or professional work experience related to the insurance business, within the last five (5) years.
Experience in writing professional and comprehensive reports.
Ability to speak, read and write in Spanish.
A bachelor’s degree from an accredited college or university with major course work in insurance or risk management.
Experience applying the Florida Statutes, rules and regulations directly or indirectly relating to insurance matters.

Responsibilities

Investigating complex insurance cases involving alleged violations of the Florida Insurance Code and Department Rules by licensees.
Analyzing complaints and investigating the activities and conduct of insurance agents, adjusters, and other related entities.
Conducting interviews, gathering evidence, taking affidavits, interpreting statutes and rules, and writing comprehensive reports.
Communicating with insurance licensees, the public, insurance company representatives, or other insurance regulators.
Participating in training, workshops, conferences and study groups to keep abreast of statutes, rules, regulations, policies and procedures.
Interacting with other governmental agencies and personnel to secure and share regulatory information.
Working cooperatively with management and other investigators to handle large or complex cases.
Providing constructive feedback to other team members to promote team effectiveness and efficiency.