Insurance Consumer Analyst I

State of North Carolina; Wake Village (TX); Hybrid; USD 40,000 - 48,000; Full time

Benefits offered by this job

12 Annual paid Holidays

North Carolina State Health Plan (AETN

Supplemental Benefits including: FSA,

NC State Retirement (TSERS)

WeSave Employee Discounts

Job summary

State of North Carolina's Department of Insurance seeks an Insurance Consumer Analyst I to assist Medicare beneficiaries via a national toll-free line, in-person meetings, and virtual support. You will assess needs, verify information, and respond clearly to inquiries while coordinating follow-up with consumers.

The role requires strong knowledge of Medicare products and health insurance regulation, plus excellent communication skills to work with seniors and disabled individuals in a hybrid

Qualifications

• Bachelor’s degree in business or economics or a related program plus one year of insurance underwriting, claims, or policyholder service, or an equivalent combination of education and experience.
• Knowledge of health insurance laws, regulations, policies, procedures, and Medicare rules.
• Strong communication, organizational, and interpersonal skills to assess needs, document inquiries, and manage follow-up.

Responsibilities

• Provide counseling, education, and assistance to consumers regarding health insurance issues affecting Medicare beneficiaries.
• Assess consumer needs, gather and verify information, and provide clear responses to questions.
• Refer complex inquiries to appropriate staff and coordinate follow-up with the consumer.

Skills

Medicare knowledge

Counseling

Phone support

Documentation

Interpersonal skills

Education

Bachelor’s degree in business or economics

Job description

Agency

Dept of Insurance

Division

Health Services Group

Job Classification Title

Insurance Consumer Analyst I (S)

Position Number

65012642

Grade

NC09

About Us

The mission of the North Carolina Department of Insurance is to promote a stable insurance market through unbiased regulation and to protect the lives and property of every citizen in all 100 counties while fostering superior, user-friendly service, courtesy, and respect. Our agency licenses insurance agents, adjusters, bail bondsmen and more, along with investigating fraud matters involving insurance consumers and any entity or individual regulated by the Department. In an ever-changing environment, it is the vision of the Department of Insurance to maintain the stabilization of the insurance industry in order to provide more products, competitive prices and consumer protection.

Description of Work

Insurance Consumer Analyst I - 65012642
Salary Recruitment Range: $39,671 - $48,410
Salary Grade: NC09

The posting will close at 11:59 p.m. the night before the closing date.

* This is a re-post, current applicants are still being considered and do not need to reapply

This position currently qualifies for a hybrid telework option with routine office and up to one remote workday per week. The NC Department of Insurance trusts our employees to be self-motivated and successful in hybrid/remote roles. Telework options are subject to change at the discretion of management.

Primary Purpose of the Position

The primary purpose of this position is to provide counseling, education, and assistance to consumers regarding health insurance issues affecting Medicare beneficiaries through a national toll-free telephone line, in-person meetings, and virtual assistance. This position is responsible for assessing consumers’ needs, gathering and verifying accurate information, and providing clear and appropriate responses to questions and inquiries.

The position requires extensive knowledge of Medicare, Medicare Supplement insurance, Long-Term Care insurance, Medicare Managed Care, Medicare Prescription Drug Plans, medical claims procedures, and Medicare fraud, waste, and abuse. When an inquiry requires additional research, the position will refer the issue to the appropriate staff member for further review and coordinate follow-up with the consumer to ensure the question or concern is addressed.

The position may also make appropriate referrals to other sources of assistance, including social service organizations, state and federal agencies, and community resources, based on the consumer’s specific needs and circumstances.

Knowledge Skills and Abilities/Management Preferences

Management Preferences

• Strong knowledge of health insurance laws, regulations, policies, procedures, and Medicare laws and claims practices.
• Extensive knowledge of Medicare Supplement, Medicare Managed Care, Medicare Prescription Drug Plans, and Long-Term Care insurance products, including the ability to compare and differentiate among various products to effectively educate, advise, and assist consumers.
• Strong communication, organizational, and interpersonal skills, with the ability to accurately assess consumer needs, gather information, document inquiries, and manage follow-up activities.
• Demonstrated ability to communicate complex health insurance and Medicare-related information clearly, accurately, and concisely by telephone, in person, and through virtual platforms, primarily to senior citizens and individuals with disabilities.
• Demonstrated patience, professionalism, empathy, and courtesy when assisting elderly and disabled individuals, particularly when addressing complex, sensitive, or potentially confusing insurance-related questions and concerns.

Minimum Education and Experience

Some state job postings say you can qualify by an “equivalent combination of education and experience.” If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both. See the Education and Experience Equivalency Guide for details.

Effective July 1, 2025, candidates now meet the minimum qualifications of a position if they have the minimum education and experience listed from the class specification. The knowledge, skills, and abilities listed in the vacancy announcement should be used as management preferences and be used to screen for the most qualified pool of applicants.

Bachelor’s degree business or economics or a related program from an appropriately accredited institution and one year of experience in insurance underwriting, claims, or policyholder service; or an equivalent combination of education and experience.

Benefits of NC State Employment:

We value our employees and offer a wide varietyof competitive and family-friendly benefits. Benefits include:

• 12 Annual paid Holidays
• North Carolina State Health Plan administered by AETNA
• Supplemental Benefits including: Flexible Spending Accounts, Accident Insurance, Cancer & Specified Disease, Critical Illness, Dental and Vision
• NC State Retirement (TSERS)
• WeSave Employee Discounts

Learn more about employee perks/benefits:

• Why Work For NC?
• NC OSHR: Benefits

Supplemental and Contact Information:

The Department of Insurance/Industrial Commission may conduct criminal history checks of all job applicants recommended for employment. Failure to accurately acknowledge information on criminal convictions on the state application form will be grounds for non-consideration of applications, disciplinary action, and possible criminal prosecution.
The Department of Insurance/Industrial Commission is an Equal Employment Opportunity employer and uses the merit-based recruitment and selection plan to fill positions subject to the State Personnel Act with the most qualified individuals.

• Academic Degrees must be from appropriately accredited institutions and will be verified. If you are selected for a position at DOI/IC, your academic credentials will be verified.
• Applicants requesting and receiving an accommodation under the Americans with Disabilities Act (ADA) are eligible to submit paper applications via mail or by fax.
• Applicants seeking Veteran’s Preference under N.C.G.S .126 must submit a DD Form 214, Certificate of Release or Discharge from Active Duty. This information may be attached to the online application or be faxed on or before the closing date.

For more information about NCDOI:http://www.ncdoi.gov/

DOI Supplemental Questions:

1. If offered this position, are you willing to accept the recruitment range listed in the posting?
2. Have you ever been convicted of an offense against the law other than a minor traffic violation? (A conviction does not mean you cannot be hired. The offense and how recently you were convicted will be evaluated in relation to the position for which you are applying.)

• If you answered “yes” to the previous question, please indicate in *DETAIL* the offense(s) and date(s) of the offense(s).

1. How did you hear of this opportunity?

• NC Department of Insurance Outreach
• Handshake
• OSHR Website
• Employee Referral
• Conference/Career Fair
• Other Social Media (Indeed, LinkedIn, etc.)

EEO Statement

The State of North Carolina is an Equal Employment Opportunity Employer and dedicated to providing employees with a work environment free from all forms of unlawful employment discrimination, harassment, or retaliation. The state provides reasonable accommodation to employees and applicants with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for religious beliefs, observances, and practices.