Insurance Policy Compliance Specialist 2

Job Overview

We are seeking a candidate to fill the role of Insurance Policy Compliance Specialist 2 in our Forms Bureau. The successful candidate will serve as a contract reviewer responsible for thoroughly analyzing and reviewing complex insurance contracts policy forms endorsements riders and related documentation. The primary goal is to ensure all insurance products issued in the state provide protection for Montana consumers by meeting statutory requirements. This requires significant reading and understanding of insurance contract language and the ability to interpret and apply Montana statutes and administrative rules with precision.

What can you offer us

The successful candidate will be responsible for the following essential functions and other similar tasks:

• Insurance Contract and Form Review:Review and analyze insurance policy forms and contracts to ensure compliance with regulatory requirements and Montana law identifying and articulating areas of non-compliance to assist insurers with necessary revisions.
  
• Statutory and Regulatory Interpretation:Demonstrate the ability and experience to interpret and apply Montana statutes administrative rules and relevant federal insurance laws (e.g. HIPAA ACA COBRA ERISA) to insurance contract language providing clear actionable feedback to insurers.
  
  
• Communication and Collaboration:Clearly communicate with insurance companies both orally and in writing to resolve unacceptable policy provisions and guide companies through the compliance process.
  
  
• Technical Reading and Writing:Utilize strong technical reading and writing skills to draft correspondence summarize findings and articulate recommendations.
  
  
• Self-Management:Monitor and manage assigned and pending form filings to ensure timely review and approval as required by law.

Minimum Educational and Experience Requirements

The knowledge skills and abilities to successfully perform this job are typically acquired through a combination of education and experience equivalent to a bachelors degree in business administration or a related field and one year of job-related/insurance experience or a minimum of four years of job-related/contract or insurance experience.

Preferred Education and Experience

• Education or experience within the insurance industrythat includes multiple lines of insurance business: Life Disability (Health and Long-Term Care) and/or Property and Casualty insurance.
  
  
• Or experience within the legal industryreviewing regulations contracts and other legal documents such as paralegal work.
  
  
• Alternate combinations of education and experiencemay be considered on a case-by-case basis.

Professional Designations

Insurance industry professional designations are a plus such as:ALMI CLU HIA CIC and RHU. Other recognized industry credentials or NAIC regulator designations will also be considered.

Ideal Candidate Profile and Competencies

We are looking for candidates who bring the following education experience and competencies:

• Education:A bachelors degree is preferred but candidates with equivalent experience will also be considered.
  

• Background:Experience reviewing legal documents contracts or insurance forms such as paralegal contract reviewer or similar legal/compliance roles.
  
  
• Regulatory Expertise:Demonstrated ability to interpret and apply Montana statutes administrative rules and relevant federal insurance laws to ensure compliance.
  
  
• Technical Proficiency:Strong ability to read interpret and analyze complex technical and legal language with excellent written and verbal communication skills.
  
  
• Analytical Skills:Keen attention to detail strong analytical and research skills and the ability to analyze and summarize contract provisions.
  
  
• Communication Skills:Strong written and verbal communication skills including effective business writing spelling punctuation and grammar.
  
  
• Interpersonal Skills:Ability to build establish and maintain effective working relationships with colleagues industry professionals and the public.
  
  
• Work Style:Ability to work independently with minimal supervision adapt to changing priorities stay on task despite interruptions and exercise sound judgment and decision-making.
  
  
• Customer Focus:Strong customer focus attention to detail and follow-through.
  
  
• Organizational Skills:Strong organizational skills effective time management flexibility and multitasking abilities.

How to Apply

Special Instructions:

If you have the qualifications and an interest in protecting Montana consumers please submit the following with your application materials:

1. Cover Letter:Describe your knowledge and experience in the insurance or legal industry including reviewing regulations and analyzing materials. Also discuss your specific experience with Life Disability (Health and Long-Term Care) Property and Casualty insurance or reviewing legal documents and contracts.

2. Resume

Your application will NOT be considered without these required items.

Important Tip:When uploading and submitting your application materials please mark your attachments as relevant or we will not be able to view your documents.

All application materials are subject to review and verification. CSI will invite a limited number of applicants to a minimum of one structured interview which may include a performance test. Those selected are subject to successful reference background and fingerprint checks.

Only electronic materials will be accepted. If you need assistance or an accommodation please contact Human Resources.