Regulatory Insurance Investigator

State of Missouri; Jefferson City (MO); On-site; USD 44,000 - 54,000; Full time

Job summary

The State of Missouri, Department of Commerce and Insurance, Consumer Affairs Division, is seeking a Complaint Investigator to join a team handling complaints against producers, licensees and insurers in Jefferson City. The role requires analyzing insurance laws, regulations, and industry standards, plus effective communication with stakeholders and the public.

You will self-direct a caseload, interview witnesses, and prepare clear investigative reports, contributing to protecting

Qualifications

• Knowledge through a bachelor’s degree or work experience with specialization in insurance, risk management, business or public administration or closely related areas.
• Working knowledge of applicable insurance statutes and regulations as well as industry standards.
• Proficient with common computer applications.
• Excellent customer service and organizational skills.

Responsibilities

• Apply working knowledge of laws, rules, and regulations pertaining to the business of insurance and service contracts.
• Apply knowledge of industry standards for investigations.
• Answer incoming phone calls, address concerns and/or offer resolutions to the caller.
• Meet with stakeholders, legislators and consumers in person or by phone and communicate effectively verbally and in writing.
• Review and investigate complaints made against insurance producers, business entity producers, other licensees, unlicensed individuals and entities who are suspected of operating without a valid license and/or violating insurance laws.
• Self-direct the investigative caseload, by opening and maintaining cases in the web based case management system with minimal intervention.
• Determine scope of and conduct an investigation, knowledge of principles of identification, preservation and presentation of evidence to write clear and concise reports.
• Use knowledge of interviewing techniques, including effective methods of obtaining information from hostile or reluctant witnesses. Contact witnesses and public officials under conditions requiring tact and good judgment.

Skills

Customer service

Regulatory knowledge

Organizational skills

Education

Bachelor’s degree or work experience in insurance, risk management, business or public administration

Tools

Common computer applications

Job description

The State of Missouri, Department of Commerce and Insurance, Consumer Affairs Division, is seeking a Complaint Investigator to join a team handling complaints against producers, licensees and insurers in Jefferson City. The role requires analyzing insurance laws, regulations, and industry standards, plus effective communication with stakeholders and the public.

You will self-direct a caseload, interview witnesses, and prepare clear investigative reports, contributing to protecting