[Remote] COMPLAINTS INVESTIGATOR III, CONTRACTUAL MIA ANALYST II

Note: The job is a remote job and is open to candidates in USA. The Maryland Insurance Administration is hiring a Complaints Investigator III in its Life and Health Division. The role investigates consumer complaints about life and health insurance, communicates with consumers and providers, analyzes policies and company responses under applicable insurance laws, and supports hearing preparation when needed.

Responsibilities

• 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

Skills

• Good customer service skills
• Strong verbal and written communication skills
• The ability to read and understand statutes and regulations
• Pay attention to details
• Handle fluctuating caseloads
• Meet standards for timely handling of complaint files
• Bachelor's degree from an accredited college or university
• Three years of experience in insurance compliance for a regulatory agency or insurer
• Five (5) years experience in insurance compliance for a regulatory agency or an insurer
• 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
• 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
• 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
• 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. The employee pays 25% of the premiums for medical and prescription coverage, including eligible enrolled dependents; the State of Maryland subsidizes the remaining 75%.
• Eligible contractual employees may elect dental coverage, accidental death and dismemberment insurance, and life insurance, paying 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.
• Hybrid work (between office and telework), or 100% remote after successful completion of initial training.

Company Overview