The Department of Insurance is seeking someone with health insurance experience to become a Rate & Forms Analyst in the Health & Life Division. If you have experience working for a health insurance company, we're looking for you!
As the Rate & Form Analyst, you will: Review and analyze health insurance policy contracts and rates to ensure compliance with federal and state laws and regulations, and agency standards and guidelines. Summarize findings, interpret results, and make recommendations. Communicate information clearly and concisely both verbally and in writing with others to reconcile non-compliant findings. Interpret, clarify, and apply agency policy and procedures, business practices, and federal or state laws and regulations.
The best qualified candidate will: Have at least 2 years of experience in one of the following during the last 10 years: review and determination of health insurance claims administration of health insurance benefits drafting health insurance contracts, or medical underwriting with a health insurance company or third-party administrator. Have formal education related to insurance contracts, health insurance, including heath insurance designations or certifications. Have an Associate's degree or higher in a related field. Be proficient in Microsoft Word, Excel, and Google Drive. Have the ability to work independently, prioritize workload, and manage multiple deadlines. Have the ability to read, understand, apply, and explain laws and regulations.
If you are currently licensed with the Insurance Department, your license will be suspended while you are employed by the Department. Your license can be reactivated once you are no longer employed by the Department.
In addition to the state's competitive and comprehensive, employees of the Insurance Department enjoy a great work schedule, a healthy work/life balance, and the satisfaction of serving the residents of our great state!
The's mission is to foster a healthy insurance market by promoting fair and reasonable practices that ensure available, affordable and reliable insurance products and services.
Working Conditions Risks found in the typical office setting, which is adequately lighted, heated and ventilated, e.g., safe use of office equipment, avoiding trips and falls, observing fire regulations, etc. Standard Schedule: M-F 8:00 am to 5:00 pm
Physical Requirements Typically, the employee may sit comfortably to perform the work; however, there may be some walking; standing; bending; carrying light items; driving an automobile, etc. Special physical demands are not required to perform the work. The position requires an extensive amount of reading and computer usage throughout the day.
A skills and knowledge assessment will be given during the interview process.
DHRM rules apply to promotions/transfers.
This position is eligible for a full benefits package including medical, dental, life, and long-term disability insurance, a retirement plan, plus paid leave to include annual, sick, and holiday pay. The State requires employees to receive their pay through direct deposit. If selected, you will receive more information about these benefit options and enrollment information through our onboarding process and during your first week or two on the job.
Associated topics: casualty, claim, claim adjuster, claimant, fraud, insurance, insurance adjuster, insurance examiner, investigate, liability adjuster