Insurance Complaint & Compliance Specialist III

State of Ohio; Columbus (OH); On-site; USD 37,000 - 50,000; Full time

Job summary

The Ohio Department of Insurance (ODI) is seeking an Insurance Complaint Analyst 3 in Columbus, Ohio to help consumers understand their insurance benefits and resolve complex issues. You will analyze complaints, research facts, and communicate findings clearly to insureds and stakeholders.

The role requires strong communication, problem solving, and organizational skills, with the ability to adapt in a fast-paced regulatory environment.

Qualifications

• 60 mos. exp. in insurance field (regulatory or industry) working with insureds or insurance contracts
• 6 mos. exp. or 6 mos. trg. in operation of personal computer
• 6 courses in mathematics (i.e., addition, subtraction, multiplication, division, statistics)
• Equivalent of Minimum Class Qualifications For Employment noted above

Responsibilities

• Review, analyze, establish facts, and draw valid conclusions regarding complaints related to all lines of insurance
• Demonstrate research and analysis of the facts according to policy terms and applicable regulations through written and verbal responses
• Identify possible violations of insurance laws
• Make appropriate referrals to other divisions
• Maintain records of investigation
• Communicate complaint analysis and findings verbally and in writing in a professional manner
• Assist consumers via telephone with insurance related questions and provide appropriate response
• Performs other duties as assigned

Skills

Insurance

Education

Undergraduate core program in insurance or business

Mathematics courses (6+)

Job description

The Ohio Department of Insurance (ODI) is seeking an Insurance Complaint Analyst 3 in Columbus, Ohio to help consumers understand their insurance benefits and resolve complex issues. You will analyze complaints, research facts, and communicate findings clearly to insureds and stakeholders.

The role requires strong communication, problem solving, and organizational skills, with the ability to adapt in a fast-paced regulatory environment.