COMPLAINTS INVESTIGATOR III, CONTRACTUAL (MIA ANALYST II)

State of Maryland - Maryland Insurance Administration; Baltimore (MD); Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health benefits subsidy

Dental coverage option

Life insurance option

Paid leave accrual

Job summary

The Maryland Insurance Administration (MIA) is recruiting a Complaints Investigator III in the Life and Health Division to handle consumer complaints related to life and health insurance. You will read complaints, identify issues, and ask insurers written questions. You will analyze responses, apply laws, and determine if a violation occurred.

You will assist callers and help prepare hearings as needed. Ideal candidates have a background in insurance compliance within a regulatory setting,

Qualifications

• Bachelor’s degree from an accredited college or university.
• Three years of experience in insurance compliance for a regulatory agency or insurer.
• Additional substitution options include LOMA or AHIP exams or related combinations as described in the job posting.

Responsibilities

• Investigate consumer complaints concerning life and health insurance issues.
• Read and analyze complaints, read policies and documents, and identify issues.
• Ask insurers written questions and review responses to determine if laws were violated.
• Explain the reasons for no violation to complainants in writing and assist callers with guidance.

Skills

Bachelor's degree

Insurance compliance

Regulatory agency experience

Customer service

Education

Bachelor's degree in a relevant field

Job description

Introduction

The Maryland Insurance
Administration (MIA) is an independent State agency that regulates Maryland’s
$49 billion insurance industry and protects consumers by monitoring and
enforcing insurers’ and insurance professionals’ compliance with State
law.� Staff members are subject matter experts who serve as a resource for
lawmakers, consumers, and other public and private entities.�
The MIA is charged with a broad range of responsibilities including the
licensure of insurance carriers and insurance producers (brokers/agents)
operating in Maryland, the conduct of financial examinations of companies to
monitor financial solvency, and the review and approval of rates and contract
forms.� The MIA investigates reports of consumer fraud and consumer
complaints about life, health, automobile, homeowners, and/or property
insurance.� Insurance carriers are subject to market conduct examinations
and other actions to monitor compliance with Maryland law.� The MIA also
has a unit dedicated to consumer education and outreach, which participates in
hundreds of events and reaches thousands of individual consumers annually.

GRADE

MIA 0016

LOCATION OF POSITION

Baltimore City, Hybrid (between office and telework), or 100% remote (after successful completion of initial training)

POSITION DUTIES

The MIA is recruiting to fill a Complaints Investigator III position (full performance level) in the Life and Health Division. These positions investigate consumer complaints concerning life and health insurance issues; and communicate with members of the public in writing and by telephone. The Complaints Investigator III conducts an investigation by reading the complaint, identifying the issues, and asking the company written questions. The Complaints Investigator III reads and analyzes responses, including insurance policies and documents, applies relevant insurance laws, and recommends a determination of whether the company has violated the law. If there is no violation, the Complaints Investigator III explains, to the complainant in writing, the reasons a company did not violate the law. The Complaints Investigator III also answers incoming calls from consumers and providers, offering them assistance and directions with their complaints; and assists with hearing preparation if needed.�

MINIMUM QUALIFICATIONS

• Education: Bachelor’s degree from an accredited college or university.
• Experience: Three years of experience in insurance compliance for a regulatory agency or insurer.�
• �
• Notes:
• �
• 1- Five (5) years experience in insurance compliance for a regulatory agency or an insurer; or
• 2- Four (4) years experience in insurance compliance for a regulatory agency or an insurer and passing of 6 LOMA or 6 AHIP examination or a combination of the above; or
• 3- Bachelor’s degree from an accredited four-year college or university and 2 years experience in insurance compliance for a regulatory agency or licensed insurer, and passing at least 4 exams offered by LOMA or AHIP; or
• 4- Two (2) years experience in insurance compliance for a regulatory agency or an insurer and J.D. degree may substitute for the minimum requirements as stated above.
• 5- Three (3) years’ experience working within the Maryland Insurance Administration or another State’s insurance regulatory agency in a life/health insurance capacity as an investigator, examiner, enforcement officer, customer service representative or administrative support capacity can be substituted for the education requirements.

BENEFITS

Contractual employees who work for an agency covered under the State Employee and Retiree Health and Welfare Benefits Program, have a current employment contract and work 30 or more hours a week (or on average 130 hours per month) may be eligible for subsidized health benefits coverage for themselves and their dependents. As a contractual employee, you will be responsible for paying 25% of the premiums for your medical and prescription coverage, including any eligible dependents you have enrolled. The State of Maryland will subsidize the remaining 75% of the cost for these benefits. You can also elect to enroll in dental coverage, accidental death and dismemberment insurance, and life insurance, but will be responsible to pay the full premium for these benefits.
Leave may be granted to a contractual employee at a rate of one hour for every 30 hours worked, not to exceed 40 hours per calendar year.

FURTHER INSTRUCTIONS

We thank our Veterans for their service to our country, and encourage them to apply.
As an equal opportunity employer Maryland is committed to recruiting, retaining and promoting employees who are reflective of the State’s diversity.