Insurance Associate Examiner (Hybrid)

The Connecticut Insurance Department (CID) is currently accepting applications for an Insurance Associate Examiner within the Fraud Unit in Hartford.

WHAT WE CAN OFFER YOU

• Competitive salary.
• NEW: A Platinum Healthcare Plan, the nation’s best for state employees and dependents, according to a report by Georgetown’s Center on Health Insurance Reform an article by Ellen Andrews, Ph.D., along with comprehensive benefit offerings.
• Extensive pension plan and supplemental retirement offerings.
• Paid time off including 13 paid holidays per calendar year.
• Learn more about what sets us apart as an employer with our Employer Value Proposition.
• A culture that encourages work/life balance.
• Professional growth and development opportunities.
• Work for a Forbes top company: State of Connecticut Ranked One of the Best Employers of 2023 -  State of CT receives National Recognition for offering Job Growth, Competitive Benefits and Flexible Schedule.
• State of Connecticut is an eligible Public Service Loan Forgiveness employer, meaning you may be eligible to have qualifying student loans forgiven after 10 years of service.  Click here for more information.

POSITION HIGHLIGHTS

• Full Time, 40 hours per week
• Location: 153 Market Street in Downtown Hartford, easily accessible for all commuters.
• Monday - Friday
• 8:00 AM to 4:30 PM
• Hybrid (combination of in-office/telework)

THE ROLE

TO APPLY

• In order to be considered for this job opening, you must meet the Minimum Qualifications as listed on this job opening. You must specify your qualifications on your application.
• The minimum experience and training requirements must be met by the close date on the job opening, unless otherwise specified.
• Ensure that your application is complete and detailed before submitting it. In order to comply with Public Act 21-69, the State of Connecticut is no longer asking for resumes during the initial application process. You will not be able to make revisions once your application is submitted into the JobAps system.
• In order to receive educational credits toward qualification for this job posting, the institution must be accredited. If the institution of higher learning is located outside of the U.S., you are responsible for providing documentation from a recognized USA accrediting service which specializes in determining foreign education equivalencies to the recruiter listed on this job posting.
  
• For current state employees, salary calculations are not necessarily comparable from one of the three branches of state government (i.e., Executive, Legislative, Judicial) to the other.
• Please select all location(s) and shift(s) you are willing to work on your application. Failure to do so may result in not being considered for vacancies in that specific location or shift.
• All application materials must be received by the recruiting agency by the time specified on the job opening for the position for which you are applying. Late applications may not be submitted and will not be considered. Exceptions are rare and limited to documented events that incapacitate a candidate during the entire duration of the job posting time period. It is the candidate’s obligation and responsibility to request an exception and provide a legally recognized justification to accommodate such exception. Requests should be made to DAS.SHRM@ct.gov.

IMPORTANT INFORMATION AFTER YOU APPLY

In the Insurance Department this class is accountable for independently performing complex tasks related to the review of insurance policy forms and rates, investigation and mediation of consumer complaints or examination of insurance company records and market and/or business practices or analysis of financial statements and related records.

• Considerable knowledge of
  • and ability to interpret insurance licensee law, regulations and guidelines;
  • accounting and auditing principles and practices;
  • business practices and operational procedures of insurance licensees;
  • policy contracts and forms;
• Knowledge of
  • methods and procedures for conducting investigations and examinations;
  • and ability to interpret and apply insurance statutes, regulations and bulletins;
  • insurance rates and rating procedures;
  • contract and property law;
• Considerable
  • interpersonal skills;
  • oral and written communication skills;
• Ability to
  • calculate complex mathematical formulas;
  • utilize computer software;
• Supervisory ability.

Seven (7) years of experience in one or more of the following areas: claims, claims adjusting, sales, underwriting, contract development, actuarial work or agency services within the insurance industry OR governmental regulation of the insurance industry OR governmental examination of financial condition of insurance companies.

One (1) year of the General Experience must have been in a professional capacity. 

NOTE: Professional capacity will be interpreted as work requiring the exercise of independent analysis and judgment in the application of professional principles and practices of underwriting, actuarial work or product development in the insurance industry or of government regulation of insurance policy forms and/or rates. For state employees this experience is interpreted at the level of Insurance Examiner or Insurance Examiner (Examination and Market Conduct).

• College training may be substituted for the General Experience on the basis of fifteen (15) semester hours equalling one-half (1/2) year of experience to a maximum of four (4) years for a Bachelor's degree.
• A Master's degree in insurance, business administration, economics or a closely related field may be substituted for one (1) additional year of the General Experience.
• A Certified Life Underwriter (CLU) or Certified Property and Casualty Underwriter (CPCU) designation may be substituted for one (1) additional year of the General Experience.

• Experience testifying in administrative hearings or criminal court proceedings.
• Experience preparing investigative case files for referral to a regulatory or law enforcement entity.
• Experience conducting fraud investigations, working in an insurance company Special Investigations Unit (SIU) or Insurance Compliance.
• Experience reviewing insurance applications, and interpreting insurance law, regulations, and guidelines.
• Experience independently conducting investigations of consumer complaints and interviewing witnesses.

• Incumbents in this class may be required to travel.
• Incumbents in this class may be required to possess and retain a valid Motor Vehicle Operator’s license.

AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER
The State of Connecticut is an equal opportunity/affirmative action employer and strongly encourages the applications of women, minorities, and persons with disabilities.

As defined by Sec. 5-196 of the Connecticut General Statutes, a job class is a position or group of positions that share general characteristics and are categorized under a single title for administrative purposes.  As such, a job class is not meant to be all-inclusive of every task and/or responsibility.