Intake Analyst (FPA 3)
The Office of the Insurance Commissioner’s (OIC) Intake Unit is seeking a motivated and qualified individual to fill an Intake Analyst (Functional Program Analyst 3) position. This position is assigned to the Legal Affairs Division, located in our Tumwater office.
This position supports the mission of the agency by applying knowledge of industry practices, products, and operations. This individual will examine and evaluate the conduct of insurance producers, unauthorized insurers, pharmacy benefit managers, and other regulated entities when complaints of alleged fraud or misconduct are received by the unit.
The Intake Analyst must independently gather evidence, conduct subject matter research, maintain case continuity through meticulous record keeping, analyze complaints for predication of insurance code violations, and make evidence supported recommendations on when further investigation is warranted.
What are we looking for? We are looking for someone who:
- Is knowledgeable AND interested in the multi-faceted and ever evolving industry of insurance.
- Cares deeply about consumer protection and supporting an ethical, compliant insurance industry within Washington State.
- Is resourceful with an inclination to sleuth and a desire to dig deep to find the truth.
- Enjoys collaboration and isn’t afraid to independently research and problem solve complex inquiries and matters.
- Has a passion for helping others and the ability to remain calm and compassionate while providing service to a diverse customer base.
- Excels at communicating complex information in a clear, concise, and confident manner.
- Thrives in a fast-paced environment with the ability to multitask and pivot when high priority matters arise.
This is a Washington General Service position. The monthly salary range for this position is $4,987 - $6,705.
AGENCY PROFILE AND VALUES
The Office of the Insurance Commissioner (OIC) operates under the direction of the state's Insurance Commissioner, a statewide elected official. Our mission is to provide consumer protection and regulation of the state's insurance industry.
With a workforce of approximately 265 employees, we are one of the smaller state agencies in Washington state government and are fortunate to have a stable funding source that does not rely on the state's general fund.
Because we are a small agency, you will truly get a chance to understand the 'big picture' of what we do and why we do it. You will also have a chance to get to know your co-workers.
We value diversity in the workplace. We challenge our employees to continuously improve the way we do business and to meet and exceed the needs of our customers.
To learn more about this agency, we invite you to visit our website at http://www.insurance.wa.gov/ and listen to our employees talk about why they love working here.
BENEFITS OF WORKING FOR OIC
Washington State offers one of the most competitive benefits packages in the nation. We offer a great selection of health and retirement plans, paid leave, and compensation benefits for you and your family.
Additional Benefits:
- Wellness programs.
- Dependent care assistance.
- Washington State Employee Assistance Program.
- Federal Social Security and Medicare systems.
- Additional Leave; Leave Sharing, Parental Leave, Family and Medical Leave Act (FMLA), Leave Without Pay.
- Deferred Compensation (supplemental retirement plan).
- Training and development opportunities, including tuition reimbursement.
- Program for Public Service Loan Forgiveness (if applicable)
- Free parking at our main office in Tumwater.
- A stable funding source that does not rely on the state's general fund.
- The fulfillment of public service.
- Excellent work-life balance.
- Flexible work schedules and telework opportunities.
- Commitment to diversity in the workplace and support one another with respect and trust.
- Free Thurston County Transit public transportation.
The duties of the position include, but are not limited to:
- Respond to all investigative requests and inquiries received by the Intake Unit via the OIC website, telephone, in writing, email, and in person.
- Analyze and respond to complaints made by internal and external sources against insurance producers, unauthorized insurance companies, pharmacy benefit managers, and other regulated entities.
- Triage regulatory misconduct complaints to identify high priority cases and determine next steps to be taken.
- Create and maintain electronic case files that will move forward to investigation when predication of an insurance code violation exists.
- Gather facts and evidence from multiple sources, conduct interviews, review insurance practices, licensure, forms, contracts, service agreements, and other documents.
- Maintain chain of custody related to gathered evidence and log all activity for case continuity.
- Identify and interpret the applicable statutes and regulations within the Insurance Code relative to the allegation(s) and make recommendations as to whether additional, in-depth investigative action is warranted or recommend an alternative resolution for the complaint.
- Present cases to the investigations management team in which you identify predication of an insurance code violation and/or recommend that OIC launches an investigation.
Required Qualifications:
- Combination of six (6) years of professional work experience through degree completion, professional private or public sector work on one or more lines of insurance, ensuring compliance with governmental statutory and regulatory requirements, and/or reviewing legal documents, forms and/or contracts.
- Intermediate level Microsoft Office Suite skills – Word, Excel, and Outlook.
- Basic level Acrobat Adobe skills.
Preferred/Desired:
- Demonstrated ability to plan, prioritize, and organize workloads to meet deadlines.
- Demonstrated ability to be on the job and a be a productive team member in a busy unit with deadlines and seasonal workload issues.
- Have a focus on customer service with compassion and professional communication skills as well as data entry and document review with an attention to detail.
- Additional years of experience as a licensed insurance producer/agent in the United States.
- Regular, sustained retail or regulatory experience with some or all of the following: (a) life insurance and annuities; (b) disability insurance, which can include Medicare Advantage, prescription drug plans, and health benefit plans subject to ERISA, (c) title and escrow, (d) property insurance such as home and auto, (e) pharmacy benefit managers and/or small pharmacy operations.
- Professional experience answering consumer inquiries and complaints about products, services, laws, or regulations.