Investigator (Rate/Financial Analyst II): DORA/Division of Insurance - Hybrid

Department Information

This announcement may be used to fill multiple vacancies.

The Department of Regulatory Agencies (DORA) is dedicated to preserving the integrity of the marketplace and is committed to promoting a fair and competitive business environment in Colorado.

Consumer protection is our mission.

DORA values and promotes diversity, supporting a workplace that is inclusive of people from different backgrounds and experiences; creating an environment that is reflective of our communities; promoting positive relationships; and putting forth unique perspectives to fulfill our mission.

• Employer-sponsored RTD EcoPass, with offices located at Civic Center Plaza, above the RTD Civic Center station and just a few blocks from RTD light rail.
• Extensive work-life programs such as flexible schedules, training and professional development opportunities on a wide variety of subjects, and more!
• Employee wellness programs, including the Colorado State Employee Assistance Program (CSEAP), which provides free, confidential counseling services.
• Bike-to-work programs, including access to storage lockers and bike racks.
• Flexible retirement benefits, including a choice of the PERA Defined Benefit Plan or the PERA Defined Contribution Plan, plus optional 401K and 457 plans.
• Medical and Dental Health Insurance for employees and optional coverage for their dependents.
• Life Insurance for employees, and optional coverage for their dependents.
• Paid Time Off, including 11 paid holidays.
• Short- and long-term disability coverage.
• Tuition assistance program.

Description of Job

The Producer Licensing and Enforcement work unit ensures that regulated entities and individuals comply with Colorado insurance producer laws and regulations. The enforcement section investigates allegations of insurance producer misconduct and complaints about unlicensed insurance activity, reviews insurance producer license applications that require investigative scrutiny, initiates enforcement actions as needed, and refers applicable matters to law enforcement and other agencies. The licensing section reviews insurance producer license applications, manages the license examination, prelicensing education, and continuing education programs, and oversees the licensing vendor.

Position: SFA 4027

• 
  Investigating allegations of insurance producer misconduct and complaints about unlicensed insurance activity;
• Researching, reviewing, updating, and promulgating regulations and bulletins relevant to insurance producer licensing and enforcement;
• Responding timely and accurately to time-sensitive information requests in accordance with Colorado’s open records laws and maintaining awareness of legal and regulatory changes;
• Training other Division staff on insurance producer licensing and enforcement matters;
• Recommending that an administrative enforcement action be taken against a licensee, completing a request for a legal services form that requires multiple levels of management approval;
• Answering questions received from consumers, industry, and the general public concerning compliance with Colorado insurance producer laws and regulations, including responding to open-records requests.

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights

• 
  Six (6) years of relevant full-time professional* experience in at least one (1) of the following three (3) areas:
• Auditing, investigative, or compliance experience with violations of the insurance or financial statutes and regulations and/or insurance claims complaints in the insurance industry;
• Experience working in a compliance or regulatory risk unit, including identifying trends or patterns that lead to the discovery of problematic activity;
• Conducting audits of financial records, establishing rates, handling claims, and policy services (involving interpreting and answering in-depth questions on policy provisions).

• 
  Associate’s Degree and Experience: Graduation from an accredited college or university with an associate’s degree in Accounting, Business, Business Administration, Economics, Finance, Public Administration, Public Policy, or a field of study related to the work assignment; AND
• Four (4) of relevant full-time professional* experience in at least one (1) of the following three (3) areas:
• Auditing, investigative, or compliance experience with violations of the insurance or financial statutes and regulations and/or insurance claims complaints in the insurance industry;
• Experience working in a compliance or regulatory risk unit, including identifying trends or patterns that lead to the discovery of problematic activity;
• Conducting audits of financial records, establishing rates, handling claims, and policy services (involving interpreting and answering in-depth questions on policy provisions).
• Certification, registration, or licensure related to the work assigned, including certification as a Certified Internal Auditor (CIA) or a Certified Fraud Examiner (CFE) will count for one (1) year of the requirement.

• Bachelor’s Degree and Experience: Graduation from an accredited college or university with a bachelor's degree in Accounting, Business, Business Administration, Economics, Finance, Public Administration, Public Policy, or a field of study related to the work assignment; AND
• Two (2) years of relevant full-time professional* experience in at least one (1) of the following three (3) areas:
• Auditing, investigative, or compliance experience with violations of the insurance or financial statutes and regulations and/or insurance claims complaints in the insurance industry;
• Experience working in a compliance or regulatory risk unit, including identifying trends or patterns that lead to the discovery of problematic activity;
• Conducting audits of financial records, establishing rates, handling claims, and policy services (involving interpreting and answering in-depth questions on policy provisions).
• Certification, registration, or licensure related to the work assigned, including certification as a Certified Internal Auditor (CIA) or a Certified Fraud Examiner (CFE) will count for one (1) year of the requirement.

Document this experience in your application IN DETAIL, as your experience will not be inferred or assumed. Part time experience will be prorated.

• 
  Partial credit toward the degree requirement will be given for completed college/university coursework that did not result in a degree. A master's or doctorate degree from an accredited college or university in a field of study related to the work assignment will substitute for the bachelor's degree requirement.

• 
  Professional work involves exercising discretion, analytical skill, judgment and personal accountability and responsibility for creating, developing, integrating, applying, and sharing an organized body of knowledge that characteristically is: uniquely acquired through an intense education or training regimen at a recognized college or university; equivalent to the curriculum requirements for a bachelor's or higher degree with major study in or pertinent to the specialized field; and continuously studied to explore, extend, and use additional discoveries, interpretations, and application and to improve data, materials, equipment, applications and methods.

Preferred Qualifications:

• Demonstrated experience working in a state government position investigating matters of administrative, civil, or insurance law and/or regulations;
• Demonstrated experience performing financial analysis in situations involving the misappropriation of funds;
• Demonstrated professional experience analyzing and interpreting Colorado insurance statutes, regulations, bulletins, and the National Association of Insurance Commissioners (NAIC);
• Demonstrated professional experience utilizing investigative databases;
• Demonstrated professional experience coordinating and corresponding with insurance industry representatives and stakeholders;
• Demonstrated professional experience gathering information, and researching regulations and/or laws to inform decisions.

Required Competencies: The following knowledge, skills, abilities, and personal characteristics are required competencies and may be considered during the selection process (including examination and/or interview):

• Demonstrated written communication skills, including the ability to convey information to various stakeholders in a clear, accurate, and concise written manner;
• Demonstrated verbal communication skills, including the ability to effectively convey information to audiences in a concise manner;
• Demonstrated attention to detail;
• Demonstrated critical thinking and analytical skills, including having the ability to evaluate information in order to apply knowledge and to decide on the most appropriate course of action;
• Demonstrated research skills, including the ability to problem-solve complex matters;
• Demonstrated interpersonal skills, including the ability to collaborate with various stakeholders and work as part of a team;
• Demonstrated organizational skills, including the ability to manage shifting priorities;
• Demonstrated prioritization skills, including planning, organizing tasks, and managing work assignments;
• Demonstrated time management skills, including the ability to multi-task to effectively manage competing and constantly changing priorities in order to meet tight deadlines;
• Demonstrated ability to understand and abide by workplace principles, practices and behaviors as internally identified and defined by the division and department;
• Demonstrated ability to read, understand, interpret, apply, and explain laws, rules, policies, and procedures;
• Sound judgment and the confidence to make decisions on a routine basis;
• Ability to travel independently, including work in-office, as required by business needs and scheduled by the supervisor;
• Integrity and high ethical standards;
• Accountability, reliability, including attendance;
• Ability to maintain confidential, controversial, or sensitive information;
• Self-starter, including the ability to work independently, learn new processes, utilize own knowledge and that of the supervisor, and complete work with minimal supervision;
• Demonstrated professional demeanor;
• Knowledge and understanding in the use of PC software applications including Microsoft Office (Access, Word, Excel, etc.), and Google Suite (Doc’s, Sheets, Slides, etc).

Conditions of Employment: Candidates who fail to meet the conditions of employment will be removed from consideration.

• The successful passing of a reference check and/or, if required, a background check.
  • A reference check may include but is not limited to: contacting previous and current supervisors to verify employment and discuss performance, a review of the personnel file, a review of the performance record, a review of job-related public information, etc.
  • The type of background check depends on the job duties of the position and can include a review of any criminal record, credit report, and/or driving record.
• Ability to travel independently, including work in-office, as required by business needs and scheduled by the supervisor.
• Effective September 20, 2021, employees will be required to attest to and verify whether or not they are fully vaccinated for COVID-19. Employees who have not been fully vaccinated may be required to submit to serial testing in the future. Upon hire, new employees will have three (3) business days to provide attestation to their status with proof of vaccination. Vaccinated employees must provide proof of vaccination.
• Note: Fully Vaccinated means two (2) weeks after a second dose in a two-dose series of the COVID-19 vaccine, such as the Pfizer or Moderna vaccine, or two (2) weeks after the single-dose vaccine, such as Johnson & Johnson’s Janssen vaccine, as defined by the most recent State of Colorado’s Public Health Order and current guidance issued by the Colorado Department of Public Health & Environment.

Supplemental Information

PLEASE READ - Required Application Materials

Interested individuals must submit the following online:

1. A completed State of Colorado Application (log-in to your current NeoGov account or create a NeoGov account to complete the online application). Note: Incomplete applications, including incomplete work history sections or "see résumé," "see attachment," or "see addendum" statements, will not be accepted in lieu of a completed application form.

2. A current email address on your application, as all communication pertaining to this position will be conducted via email. Please set up your email to accept messages from info@governmentjobs.com and ‘@state.co.us’ addresses, and check your email often. Note: The department cannot guarantee the successful delivery of email, including incorrect filtering into junk mail folders.

3. A detailed cover letter, explaining how you meet the required competencies and how your accomplishments, qualifications, skills, areas of expertise, personal characteristics, etc. make you a good fit for this position; you may also attach additional documents that demonstrate this.

Comparative Analysis Process: Structured Application Review

Part of, if not the entire, comparative analysis process for this position will involve a review of the information you submit in your application materials; Therefore, it is paramount that in the experience portion of your application and cover letter, you describe the extent to which you possess the education, experience, and competencies outlined in the job announcement as well as the required and/or preferred qualifications/competencies. You are also encouraged to attach additional documents to that effect. Failure to include adequate information or follow instructions may affect your score and prevent you from competing in subsequent measures used to arrive at a top group of applicants.

Veterans’ Preference: Candidates who wish to assert Veterans’ Preference should attach a copy of their DD214 to their application. Failure to do so will result in being denied Veterans Preference.

Appeal Rights:

If you receive notice that you have been eliminated from consideration for this position, you may file an appeal with the State Personnel Board or request a review by the State Personnel Director.

An appeal or review must be submitted on the official appeal form, signed by you or your representative. This form must be delivered to the State Personnel Board by email, US Mail, faxed or hand-delivered within ten (10) calendar days from your receipt of notice or acknowledgment of the department’s action.

For more information about the appeals process, the official appeal form, and how to deliver it to the State Personnel Board go to spb.colorado.gov or refer to 4 Colorado Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov under Rules.