Insurance Market Conduct Examiner 1

Commonwealth of PennsylvaniaDauphin County, PA
Hybrid

About The Position

Do you have the skills and experience to work all sections of a market conduct exam from start to finish? Apply for this Insurance Market Conduct Examiner 1 position with the Pennsylvania Insurance Department, Property and Casualty Market Actions Division. Your work will make a direct difference in promoting accountability and confidence in insurance services. Advance your career with a team that values integrity, adaptability, and compassion! As an Insurance Market Conduct Examiner 1, you will review insurance company practices, policies, and documentation to help ensure compliance with Pennsylvania laws and to protect consumers. Your efforts will strengthen trust in an industry that touches nearly every household.

Requirements

  • Successful completion of the Insurance Market Conduct Examiner Trainee training program (Commonwealth job title or equivalent Federal Government job title, as determined by the Office of Administration); 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.
  • Meet the PA residency requirement.
  • Be able to perform essential job functions.

Responsibilities

  • Participate in market conduct examinations on-site at insurance companies, in-house at the Insurance Department’s office, or teleworking from home
  • Examine insurance company files and electronic records such as policy forms, claims, complaints, underwriting, marketing, licensing, and more for adherence to legal requirements
  • Identify violations of law and general concerns by evaluating claims processing procedures, analyzing claim payment data for trends, identifying procedural problems, reviewing company consumer complaint processes, and analyzing sample cases
  • Secure and retain copies of documentation and evidence to support findings
  • Prepare reports of findings that identify and recommend corrective action necessary for insurance companies to remediate consumer harm and correct non-compliance; attend and testify at administrative hearings as necessary
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