Commonwealth of Pennsylvania

Harrisburg or Dauphin County

Insurance Market Conduct Examiner 1

Hybrid$60,538 - $92,010/yrPosted 6 days ago

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Job details

Location: Harrisburg or Dauphin County
Work type: Hybrid
Compensation: $60,538 - $92,010/yr
Posted: 6 days ago
Apply on: governmentjobs.com

About this role

About the Department

As an Insurance Market Conduct Examiner 1 with the PA Insurance Department, you will support the mission of protecting consumers and promoting fair insurance practices. This position gives you the opportunity to review how companies handle claims, complaints, and other customer services. You will gain hands-on experience with real cases and work closely with knowledgeable staff. Your efforts will help ensure that insurance companies follow important laws and treat customers fairly. Advance your career with us!

Position Duties

This position helps protect consumers by reviewing insurance company practices and supporting examinations that check compliance with state and federal laws. As an Insurance Market Conduct Examiner 1, you will perform the following duties:

Data Requests: Help prepare examination data calls and request information from insurance companies
Sampling Methods: Apply random sampling techniques to gather meaningful statistics about company practices
Interview Preparation: Develop interview questions and participate in interviews with company representatives
Compliance Review: Examine company files and records to check adherence to Pennsylvania and federal regulations
Analysis Support: Assist in analyzing compliance with mental health parity requirements under federal law
Evidence Collection: Identify violations and gather documentation to support examination findings

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) part-time, up to three days per week. 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 Harrisburg. The ability to telework is subject to change at any time. Additional details may be provided during the interview.
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.

Minimum Qualifications

QUALIFICATIONS

Minimum Experience and Training Requirements:

Successful completion of the Insurance Market Conduct Examiner Trainee training program; 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.

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.
All application materials and interview responses must reflect the applicant’s own experience, qualifications, and work. Applicants may use generative AI tools for preparation purposes only. Use of AI to misrepresent or falsify information, or to assist during interviews, is not permitted. Review the Guidance for Generative AI Tools & Job Seekers for additional information.

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.pa.gov/agencies/employment/how-to-apply.html and click on Veterans.

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.

Other Qualifications

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.

Benefits

Learn more about our Total Rewards by watching this short video!

See the total value of your benefits package by exploring our benefits calculator.

Health & Wellness

We offer multiple health plans so our employees can choose what works best for themselves and their families. Our comprehensive benefits package includes health coverage, vision, dental, and wellness programs.*

Compensation & Financial Planning
We invest in our employees by providing competitive wages and encouraging financial wellness by offering multiple ways to save money and ensure peace of mind including multiple retirement and investment plan options.

Work/Life Balance
We know there’s more to life than just work! Our generous paid leave benefits include paid vacation, paid sick leave, eight weeks of paid parental leave, military leave, and paid time off for most major U.S. holidays, as well as flexible work schedules and work-from-home opportunities.*

Values and Culture
We believe in the work we do and provide continual opportunities for our employees to grow and contribute to the greater good. As one of the largest employers in the state, we provide opportunities for internal mobility, professional development, and the opportunity to give back by participating in workplace charitable giving.

Employee Perks
Sometimes, it is the little “extras” that make a big difference. Our employees receive special employee-only discounts and rates on a variety of services and memberships.

For more information on all of these Total Rewards benefits, please visit www.employment.pa.gov and click on the benefits box.

*Eligibility rules apply.

Supplemental Questions

Have you successfully completed the Commonwealth of Pennsylvania's Insurance Market Conduct Examiner Trainee program?

If you are claiming experience in the above question, please list the employer(s) where you gained this experience in the text box below. The employer(s) and a description of the experience must also be included in the appropriate sections of your application if you would like the experience to be considered in the eligibility decision. If you claimed you do not have experience, type N/A in the text box below.

Do you possess one or more years full-time professional experience in one of the following areas: 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?

If Yes, please indicate in which area you possess the one year of full-time experience. If no, please type n/a in the text box below.

How much graduate coursework have you completed in Insurance, Risk Management, Business Administration, Business Management, Public Administration, Public Policy, Finance, Economics, Accounting, Mathematics, Education, Criminal Justice, Communications, or Law? If you are claiming credits/degree, you must upload a copy of your college transcript(s) for this education to be considered in the eligibility decision. Unofficial transcripts are acceptable. You must attach your transcript(s) prior to the submission of your application by using the "Attachments" tab on the left. You will not be able to add a transcript(s) to the application after it has been submitted.

If your education was acquired outside of the United States, you must upload a copy of your foreign credential evaluation report. We can only accept foreign credential evaluations from organizations that are members of the National Association of Credential Services (NACES). A list of current NACES members can be found by visiting www.naces.org and clicking the Evaluation Services Link.

You must attach your documentation prior to the submission of your application by using the "Attachments" tab on the left. You will not be able to add a document to the application after it has been submitted.

30 credits or more
Less than 30 credits
None

Do you possess a valid Accredited Insurance Examiner (AIE) or Certified Insurance Examiner (CIE) designation?

If Yes, please provide your designation and the date it was obtained. If no, please type n/a in the text box below.

You must complete the supplemental questions below. These supplemental questions are the exam and will be scored. They are designed to give you the opportunity to relate your experience and training background to the major activities (Work Behaviors) performed in this position. Failure to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved score or disqualification. You must complete the application and answer the supplemental questions. Resumes, cover letters, and similar documents will not be reviewed for the purposes of determining your eligibility for the position or to determine your score.

All information you provide on your application and supplemental questions is subject to verification. Any misrepresentation, falsification or omission of material facts is subject to penalty. If requested, you must provide documentation, including names, addresses, and telephone numbers of individuals who can verify the validity of the information you provide in the application and supplemental questions.

Read each question carefully. Determine and select which "Level of Performance" most closely represents your highest level of experience/training. List the employer(s)/training source(s) from your Work or Education sections of the application where you gained this experience/training. The "Level of Performance" you choose must be clearly supported within the description of the experience and training information entered in your application or your score may be lowered. In order to receive credit for experience, you must have worked in a job for at least six months in which the experience claimed was a major function.

If you have read and understand these instructions, please click on the "Yes" button and proceed to the exam questions.

If you have general questions regarding the application and hiring process, please refer to our FAQ page.

WORK BEHAVIOR 1 – EXAMINES RECORDS, FILES, AND PRACTICES Examines records, files, and practices of insurance companies to ensure compliance with state laws, regulations, and related statutes. This includes the following activities: reviewing policy files, claim files, complaint files, underwriting files, rate structures and rating manuals, underwriting manuals, practices and guidelines, policy terminations, marketing and sales, and producer licensing; determining proper selection of sample files and accuracy of data and information; conducting interviews with insurance company staff to elicit information; and identifying violations of statute, regulation, and policy conditions.

Levels of Performance

Select the "Level of Performance" which best describes your claim.

A. I have professional experience independently conducting compliance examinations. My duties included: selecting adequate sample sizes of records and files to be examined; interviewing insurance company representatives; collecting and analyzing data from insurance companies and agencies; and identifying regulation and policy violations and recommending appropriate action. I was responsible for the complete final product.
B. I have professional experience ASSISTING in conducting compliance examinations. My work was assigned and reviewed by others with more experience, and I was not responsible for the complete final product, OR I was responsible for only a portion of the final product.
C. I have experience REVIEWING insurance records such as: accident and claims reports, underwriting, complaints, ratings and data integrity, marketing and sales, and investigating claims.
D. I have no experience or training related to this work behavior.

In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.

The name(s) of the employer(s) where you gained this experience
The type(s) of information gathered
The type(s) of investigations you conducted
The actual duties you performed
Your level of responsibility

WORK BEHAVIOR 2 – COMMUNICATES AND DOCUMENTS FINDINGS Communicates effectively orally and in writing. This includes the following activities: documenting examination findings; preparing summaries and final reports, which include a comprehensive narrative of the examination and recommended corrective action; and providing clarification and interpretation of insurance rules, statutes, and regulations.

Levels of Performance

Select the "Level of Performance" which best describes your claim.

A. I have professional experience independently performing most aspects of this job duty on a regular basis in the insurance market conduct examination field. I was responsible for preparing final reports that contained detailed examination findings and recommendations for appropriate actions.
B. I have experience performing most aspects of this job duty in the insurance market conduct examination field with assistance or guidance from more experienced employees, OR I prepared sections of insurance market conduct examination reports, but was not responsible for the final report.
C. I have experience preparing reports that contain detailed findings, unrelated to the insurance market conduct examination field.
D. I have successfully completed college-level coursework related to report writing or effective writing.
E. I have no experience or education related to this work behavior.

The name(s) of the employer(s) where you gained this experience
The type(s) of information gathered
The type(s) of reports you developed
The actual duties you performed
Your level of responsibility

If you have selected the level of performance pertaining to college coursework, please provide your responses to the three items listed below. If you indicated you have no education/training related to this work behavior, type N/A in the text box below.

College/University
Course Title
Credits/Clock Hours

WORK BEHAVIOR 3 – UTILIZES SOFTWARE AND INFORMATION TECHNOLOGY Uses personal computer software and information technology as professional tools in the performance of both operational and administrative responsibilities. This includes generating written reports, work papers, and forms; downloading and uploading data; and developing and maintaining electronic databases and spreadsheets of summary findings.

Levels of Performance

Select the "Level of Performance" which best describes your claim.

A. I have experience using Audit Command Language (ACL) and Teammate.
B. I have experience using word processing, spreadsheets, and databases.
C. I have experience using word processing software for typing and printing letters, e-mails, reports, and other written material, but I do not have experience using spreadsheets or databases.
D. I have successfully completed college-level coursework related to word processing, computer software, e-mail, or report writing.
E. I have no experience or training related to this work behavior.

The name(s) of the employer(s) where you gained this experience
The type(s) of software used
The actual duties you performed

College/University
Course Title
Credits/Clock Hours

Required Question

Agency Information

EmployerCommonwealth of PennsylvaniaAddress 613 North Street

Harrisburg, Pennsylvania, 17120 Website http://www.employment.pa.gov

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About Commonwealth of Pennsylvania

Commonwealth of Pennsylvania

Harrisburg or Dauphin County

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