Insurance Investigator 2

THE POSITION

Do you possess exceptional investigative skills? The Pennsylvania Insurance Department, Healthcare Division, is eagerly seeking a motivated Insurance Investigator 2 to  join our team of professionals. In this role, you will investigate consumer complaints to determine company and producer compliance with existing statutes and regulations. Your ability to educate consumers and respond to inquiries on matters relating to their insurance needs is key to this position. Join us in our mission to protect Pennsylvania’s insurance consumers through fair and effective regulation of the marketplace.

DESCRIPTION OF WORK

As an Insurance Investigator 2, you will review and investigate complex consumer complaints in relation to health insurance and prepare responses to complaints and inquires. You will be tasked to handle numerous telephone calls and inquiries from the public and licensees regarding various insurance regulations, statutes, adjudications, and industry trends. This position requires a detailed knowledge of insurance principles, practices, and laws.
Additional duties to include but not limited to:

• Communicating investigative findings and general insurance education in an unbiased manner; making sound decisions and recommendations.
• Recognizing and promptly referring to management any trends and suspected violations of insurance law and/or regulation.
• Being available to represent the Department at consumer events; Disaster Recovery Centers; traveling on Commonwealth business as necessary and testifying at formal hearings.

Interested in learning more? Additional details regarding this position can be found in the position description.

Work Schedule and Additional Information: 

• Full-time employment
• Work hours are 8:00 AM to 4:30 PM, Monday - Friday, with a 60-minute lunch.
• Telework: You may have the opportunity to work from home (telework) full-time, 1 day per month in the office will be required. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in 
• Salary: In some cases, the starting salary may be non-negotiable.
• You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.

REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY

QUALIFICATIONS

Minimum Experience and Training Requirements:

• One year as an Insurance Investigator 1; or
• Seven years of experience as an insurance investigator, underwriter, agent, broker or claims adjuster. College level training may be substituted on a year-for-year basis for four years of the required experience; or
• An equivalent combination of experience and training.

Other Requirements:

• You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency. 
• You must be able to perform essential job functions.

How to Apply:

• Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).
• If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.
• Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.
• Failure to comply with the above application requirements may eliminate you from consideration for this position. 

Veterans: 

• Pennsylvania law (51 Pa. C.S. §7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to www.employment.pa.gov/Additional%20Info/Pages/default.aspx and click the Veterans’ Preference tab or contact us at ra-cs-vetpreference@pa.gov.

Telecommunications Relay Service (TRS): 

• 711 (hearing and speech disabilities or other individuals).

If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date. 

The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.

EXAMINATION INFORMATION

• Completing the application, including all supplemental questions, serves as your exam for this position.  No additional exam is required at a test center (also referred to as a written exam). 

• Your score is based on the detailed information you provide on your application and in response to the supplemental questions.

• Your score is valid for this specific posting only. 

• You must provide complete and accurate information or: 

• your score may be lower than deserved. 

• you may be disqualified. 

• You may only apply/test once for this posting. 

• Your results will be provided via email. 

https://www.governmentjobs.com/careers/pabureau/jobs/4658147/insurance-investigator-2