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The Colorado Division of Insurance (DOI) regulates the insurance industry in Colorado. DOI helps consumers by answering their questions, investigating their complaints, and helping them to understand their insurance. The division regulates and monitors insurance companies in Colorado, as well as insurance agents, ensuring all are following the law.

The Consumer Services – Life and Health work unit exists to regulate the insurance industry trade practices and address consumer inquiries and complaints. In this context, "consumer" includes attorneys, health care providers, legislators, service providers, special interest and civic groups, company employees, and the general public.

Position: SFA 4125

The Insurance Analyst position exists to provide support to the Life and Health Consumer Services section, which enforces Colorado insurance statutes and regulations by acting as an ombudsman for Colorado consumers who have experienced problems with specific insurers where alleged law violations have occurred.

Duties include, but are not limited to:

• Reviewing policy contracts, insurer communication, and Colorado insurance law, regulations, and bulletins;
• Educating consumers, producers, providers, and others through telephone conversations, face-to-face discussions, and community meetings;
• Investigating written complaints filed by Colorado consumers involving all types of life and health insurance including, but not limited to life insurance, annuities, preneed funeral contracts and all types of health insurance product complaints;
• Assisting in the development of consumer education materials, including identification of common issues and preparation of general and specific targeted information;
• Directing, counseling, and/or providing guidance to insurance companies and consumers by determining, if any, the applicable Colorado statutes, Division regulations and/or bulletins for specific questions presented;
• Using applicable Colorado statutes, Division regulations and/or bulletins to determine what steps need to be taken to assist the consumer or to get the covered expenses or benefits paid promptly.

Minimum qualifications (MQs):

There are two ways to qualify for this position: 1) Experience OR 2) A Combination of Education and Experience

Option 1: Experience

• Six (6) years of full-time professional* experience working in the insurance industry set in a government environment, public sector, or private sector, which must include at least one (1) of the following:
• Reviewing rates, policy forms, and/or filings to ensure compliance with laws and regulations;
• Educating consumers, producers, providers, and others through email, telephone, and face-to-face discussions about insurance product lines, rates, and/or claims;
• Reviewing, researching, and/or resolving complaints pertaining to the commercial (private) health and life insurance industry;
• Handling claims, policy services, compliance, and/or member services.

Option 2: A Combination of Education AND Experience

• Associate's Degree and Experience: Graduation from an accredited college or university with an associate's degree in accounting, business administration, economics, English, insurance and risk management, one of the healthcare disciplines (i.e., public health, healthcare administration, etc.), public administration, or a field of study related to the work assignment; AND
• Four (4) years of full-time professional* experience working in the insurance industry set in a government environment, public sector, or private sector, which must include at least one (1) of the following:
• Reviewing rates, policy forms, and/or filings to ensure compliance with laws and regulations;
• Educating consumers, producers, providers, and others through email, telephone, and face-to-face discussions about insurance product lines, rates, and/or claims;
• Reviewing, researching, and/or resolving complaints pertaining to the commercial (private) health and life insurance industry;
• Handling claims, policy services, compliance, and/or member services.
• Certification, registration, or licensure as a Certified Insurance Examiner (CIE), Accredited Insurance Examiner (AIE), Certified Insurance Consumer Service Representative (CICSR), and/or another designation related to the work assigned will count for one (1) year of the requirement.
• OR
• Bachelor's Degree and Experience : Graduation from an accredited college or university with a bachelor's degree in accounting, business administration, economics, English, insurance and risk management, one of the healthcare disciplines (i.e., public health, healthcare administration, etc.), public administration, or a field of study related to the work assignment; AND
• Two (2) years of full-time professional* experience working in the insurance industry set in a government environment, public sector, or private sector, which must include at least one (1) of the following:
• Reviewing rates, policy forms, and/or filings to ensure compliance with laws and regulations;
• Educating consumers, producers, providers, and others through email, telephone, and face-to-face discussions about insurance product lines, rates, and/or claims;
• Reviewing, researching, and/or resolving complaints pertaining to the commercial (private) health and life insurance industry;
• Handling claims, policy services, compliance, and/or member services.
• Certification, registration, or licensure as a Certified Insurance Examiner (CIE), Accredited Insurance Examiner (AIE), Certified Insurance Consumer Service Representative (CICSR), and/or another designation related to the work assigned will count for one (1) year of the requirement.

Document this experience in your application in detail, as your experience will not be inferred or assumed. Part-time experience will be prorated.

Substitutions:

• Partial credit toward the degree requirement will be given for completed college/university coursework that did not result in a degree. A master's or doctorate degree from an accredited college or university in a field of study related to the work assignment will substitute for the bachelor's degree requirement.

Required competencies:

• Demonstrated written communication skills, including the ability to convey information to various stakeholders in a clear, accurate, and concise written manner;
• Demonstrated verbal communication skills, including the ability to effectively convey information to audiences in a concise manner;
• Demonstrated attention to detail;
• Demonstrated critical thinking and analytical skills, including having the ability to evaluate information in order to apply knowledge and to decide on the most appropriate course of action;
• Demonstrated prioritization skills, including planning, organizing tasks, and managing work assignments;
• Demonstrated interpersonal skills, including the ability to work with stakeholders;
• Demonstrated time management skills, including the ability to multi-task to effectively manage competing and constantly changing priorities in order to meet tight deadlines;
• Demonstrated knowledge of Colorado's insurance statutes, regulations, bulletins, federal statutes and regulations, NAIC standards and guidelines;
• Demonstrated ability to collaborate with regulated entities while conveying authority with tact and diplomacy;
• Demonstrated ability to understand and abide by workplace principles, practices, and behaviors as internally identified and defined by the division and department;
• Demonstrated ability to read, understand, interpret, apply, and explain laws, rules, policies, and procedures;
• Sound judgment and the confidence to make decisions on a routine basis;
• Ability to travel independently, including work in-office, as required by business needs and scheduled by the supervisor;
• Integrity and high ethical standards;
• Accountability, reliability, including attendance;
• Ability to maintain confidential, controversial, or sensitive information;
• Self-starter, including the ability to work independently, learn new processes, utilize own knowledge and that of supervisor, and complete work with minimal supervision;
• Demonstrated professional demeanor;
• Knowledge and understanding in the use of PC software applications including Microsoft Office (Access, Word, Excel, etc.), and Google Suite (Doc's, Sheets, Slides, etc).

Conditions of employment:

• The successful passing of a reference check and/or, if required, a background check.
  • A reference check may include but is not limited to: contacting previous and current supervisors to verify employment and discuss performance, a review of the