Market Conduct Examiner

Recruitment #101121-MBAC01-120300

Summary Statement

The main duties of the Market Conduct Examiner are to investigate incidents of misconduct or violation of Delaware insurance laws and regulations by licensed insurance agents and/or agencies. These investigations can range from simple to severe cases of alleged violation of law, however, they all involve knowledge of investigative principles and techniques. An investigation may result in the requirement of the Examiner to testify before a court of law or other administrative body and the Examiner must possess the ability to gather evidence within the acceptance of the law.

Essential Functions

Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class.  Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here.

  • Detects and develops trends and patterns of improper and illegal insurance practices using a variety of sources, such as financial documents, a poor history of a company's consumer relations and information obtained from trade associations, co-workers or from other states.
     
  • Investigates cases, obtains evidence and writes a report of the alleged abuses for the Commissioner's determination of appropriate action.
     
  • Acts as representative of the Department in contested cases.
     
  • Negotiates Consent Orders or other compromise arrangements regarding non-compliance by insurers.
     
  • Monitors national market conduct trends and patterns by maintaining close contact with other states and the National Association of Insurance Commissioners.
     
  • Investigates specific complaints of a complex nature.
     
  • Supervises the collection of and analyzes data which indicates changes in a company's premium patterns, lines of coverage, commissions paid, unpaid claim balances and loss adjustment expenses and identifies companies with a poor record of consumer relations.
     
  • Conducts public meetings and public hearings.

Job Requirements

JOB REQUIREMENTS for Market Conduct Examiner
Applicants must have education, training and/or experience demonstrating competence in each of the following areas:

  1. Six months experience in accounting using Generally Accepted Accounting Principles (GAAP).
  2. Six months experience in conducting investigations which includes conducting interviews to obtain confidential information, gathering evidence and documenting findings.
  3. Six months experience in compiling, analyzing and interpreting financial data to ensure effective and efficient accounting of funds or to make projections for financial planning.
  4. Six months experience in civil, criminal or administrative proceedings.
  5. Six months experience in interpreting laws, rules, regulations, standards, policies, and procedures.
  6. Six months experience in narrative report writing. 

Additional Posting Information

As a condition of employment, all employees must certify that they are fully COVID-19 vaccinated; or be required to test for COVID-19 on a weekly basis; or request an exemption from the COVID-19 vaccination(s) due to qualified ADA or sincerely held religious beliefs or practices. New Hires must complete the certification or request during their initial week of employment. This will be in effect until further notice. More information can be found here.
 

Due to a new Interim Federal Rule (IFR) from the Centers for Medicare & Medicaid Services (CMS) the following mandate is effective Nov. 19, 2021, as a condition of employment, employees providing health care services and/or support services in covered facilities must show proof that they have received the first dose of a two-dose COVID-19 vaccine or the one-dose COVID-19 vaccine of a one-dose vaccine by December 6, 2021; or as of December 6, an employee may not provide any care, treatment, or other services until proof is provided. The IFR further requires that these employees (covered by the IFR) are required to be fully vaccinated and provide proof by January 4, 2022; or as of January 4, 2022, employees may not provide any care, treatment, or other services until proof is provided.   The only exception to these requirements is for those employees granted medical or religious exemptions from the COVID-19 vaccine as recommended by the Centers for Disease Control and Prevention, which may require weekly COVID-19 testing. This will be in effect until further notice.  More information can be found here.

Conditions of Hire

Applicants must be legally authorized to work in the United States. The State of Delaware Executive Branch participates in the Federal E-Verify system where the State will provide the federal government with each new hires Form I-9 information to confirm that you are authorized to work in the U.S. For more information refer to our job seeker resources.

Benefits

To learn more about the comprehensive benefit package please visit our website at https://dhr.delaware.gov/benefits/

Selection Process

The application and supplemental questionnaire are evaluated based upon a rating of your education, training and experience as they relate to the job requirements of the position.  It is essential that you provide complete and accurate information on your application and the supplemental questionnaire to include dates of employment, job title and job duties.  For education and training, list name of educational provider, training course titles and summary of course content.   Narrative information supplied in response to the questions must be supported by the information supplied on the application including your employment, education and training history as it relates to the job requirements.

Once you have submitted your application on-line, all future correspondence related to your application will be sent via email.  Please keep your contact information current.  You may also view all correspondence sent to you by the State of Delaware in the “My Applications” tab at Delaware State Jobs.

Accommodations

Accommodations are available for applicants with disabilities in all phases of the application and employment process.  To request an auxiliary aid or service please call (302) 739-5458. TDD users should call the Delaware Relay Service Number 1-800-232-5460 for assistance. The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.