Insurance Market Conduct Examiner 1

The Insurance Market Conduct Examiner 1 role with the Insurance Department gives you the chance to protect consumers across the state. You will help ensure that insurance companies follow important laws that keep families safe and informed. This position is a great fit for someone who enjoys problem solving and wants to make a real difference. Join a team that values careful work and strong teamwork.

This position focuses on reviewing the practices of health insurance companies to help protect consumers and ensure legal compliance. The work supports fair treatment for people across Pennsylvania. As a Insurance Market Conduct Examiner 1, you will perform the following duties:

• Data Requests: Assist in preparing examination data calls and other requests for insurance company information
• Sampling Methods: Apply proper random sampling techniques to gather information from company records
• File Review: Examine policy forms, claims, complaints, and other records to assess compliance with state and federal laws
• Interview Support: Help prepare and conduct interviews with company staff to understand business practices
• Compliance Analysis: Assist in reviewing financial and non financial requirements related to mental health parity laws
• Reporting Work: Prepare summary reports, review company responses, and support development of exam findings

Work Schedule and Additional Information:

• Full-time employment
• Work hours are 8:00 AM to 4:30 PM, Monday - Friday, with a 60-minute lunch.
• Telework: You may have the opportunity to work from home (telework) part-time, up to three days per week. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg. The ability to telework is subject to change at any time. Additional details may be provided during the interview.
• Salary: Selected candidates who are new to employment with the Commonwealth of Pennsylvania will begin employment at the starting annual salary of $59,345.00 (before taxes).
• You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.

QUALIFICATIONS

Minimum Experience and Training Requirements:

• Successful completion of the Insurance Market Conduct Examiner Trainee training program (Commonwealth job title or equivalent Federal Government job title, as determined by the Office of Administration); or
• One year of professional experience in insurance market conduct examinations, insurance company financial examinations, insurance investigations, insurance financial analysis, insurance underwriting, insurance policy review and analysis, insurance claims administration, or insurance sales, and a bachelor's degree; or
• An equivalent combination of experience and training.

Other Requirements:

• You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency.
• You must be able to perform essential job functions.

How to Apply:

• Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).
• If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.
• Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.
• Failure to comply with the above application requirements may eliminate you from consideration for this position.
• All application materials and interview responses must reflect the applicant's own experience, qualifications, and work. Applicants may use generative AI tools for preparation purposes only. Use of AI to misrepresent or falsify information, or to assist during interviews, is not permitted. Review the Guidance for Generative AI Tools & Job Seekers for additional information.

Veterans:

Telecommunications Relay Service (TRS):

• 711 (hearing and speech disabilities or other individuals).

If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.

The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.

• Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).
• Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
• Your score is valid for this specific posting only.
• You must provide complete and accurate information or:
  • your score may be lower than deserved.
  • you may be disqualified.
• You may only apply/test once for this posting.
• Your results will be provided via email.