Insurance Specialist 1/2
Insurance Specialist 1/2
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$ 2922 - 5734
1 Vacancy
Job Description
About this Job
This vacancy is located in the Office of Consumer Advocacy & Diversity/SHIP (Senior Health Information Program) Division.
CORE COMPETENCIES- Communicating Effectively: The ability to relay information correctly and appropriately to connect people and ideas.
- Displaying Expertise: The ability to exhibit specialized skills or knowledge gained from experience or training.
- Making Accurate Judgments: The ability to form an opinion objectively and decisively based on relevant information and in accordance with established standards.
- Managing Risks: The ability to identify assess and control risks and opportunities to fulfill the mission of the organization.
- Thinking Critically: The ability to objectively question analyze interpret and evaluate information to form a conclusion.
- Using Data: The ability to use relevant and valid data to inform a recommendation for action.
- Accepting Direction: The ability to accept and follow directions from those higher in the chain of command.
- Acting with Ethics and Integrity: The ability to be consistent honest and a trustworthy steward of State resources.
- Championing Continuous Improvement: The ability to systematically drive or promote continuous improvement.
Minimum Qualifications
Three years of experience in insurance administrative services investigations or law enforcement; OR
Six years of full-time work experience in any field; OR
A bachelors degree.
EXPERIENCE SUBSTITUTION:
Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field.Job Specification
The official job specifications for this role as defined by the State Civil Service can be found here.
Job Duties and Other Information
- Job Duties:Communicates by telephone correspondence and/or meetings with company filing officials government representatives attorneys private individuals policyholders professional associations and the public regarding: rate filing information submitted or required; state insurance laws regulations and directives; licensing laws rules and regulations; examinations for licensing; and insurance company appointments.
Researches data of submissions from insurance companies involving use of rules and rates through the aid of computer and physical files; researches insurance laws analyzes legal information and insurance contracts renders decisions and composes correspondence to interested parties pertaining to insurance inquiries and complaints and conducts formal investigations regarding these inquiries and complaints.
Compares filing requests with other filings approved and disapproved for similarities in rules and rates requested; reviews insurance policy forms and contracts for compliance with Louisiana Insurance Code recommending approval or disapproval thereon; analyzes rule and rate filings submitted by insurance companies to assess appropriateness of requested changes and fairness to consumers.
Attends departmental hearings to give testimony based on investigative findings.
Cooperates with public agencies and private organizations in efforts to prevent detect and prosecute fraudulent insurance transactions.
Maintains familiarity with the Insurance Code and departmental rules and regulations which govern the administration of the insurance examinations.
Maintains several rating manuals for various lines of insurance.
Position-Specific Details:
This position is located within the Senior Health Insurance Information Program (LaSHIP) a division of the Louisiana Department of Insurances Office of Consumer Advocacy and Diversity. LaSHIP provides free unbiased assistance to Medicare beneficiaries across Louisiana to help them understand their Medicare options and benefits.This position will be filled as a job appointment.
Key Functions Include:- Educating Medicare beneficiaries on the components of Medicare and coordinating insurance options
- Counseling individuals in person by phone and in group settings
- Assisting with enrollment in Medicare prescription drug plans and Medicare assistance programs
- Conducting outreach presentations and participating in health fairs statewide
- Traveling across Louisiana (some overnight stays required)
- Preparing travel authorizations and expense reports
- Collaborating with like-minded organizations for outreach
- Maintaining up-to-date knowledge of Medicare Social Security and Medicaid
- Participating in train-the-trainer efforts for LaSHIP counselors
- Familiarity with Medicare Medicaid and Social Security
- Comfort with public speaking and community outreach
- Strong interpersonal and communication skills
- Experience in case management healthcare access or counseling
- Ability to travel within the state including overnight trips
- Cannot be an active licensed agent
How to Apply:
No Civil Service test score is required in order to be considered for this vacancy.
To apply for this vacancy click on the Apply link above and complete an electronic application which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.
Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.
For further information about this vacancy contact:
Phillip Donagriche
Louisiana Department of Insurance
P.O. Box 94214
Baton Rouge LA 70804
The LA Department of Insurance is a State As a Model Employer (SAME) agency that supports improved employment opportunities for individuals with disabilities.
Required Experience:
Unclear Seniority
Employment Type
Unclear
