Examiner-in-Charge (Rate/Financial Analyst III): DORA/Division of Insurance.

Department Information

Hybrid Workplace Arrangement

Although this position will be designated under the department’s hybrid workplace program, it will still be required to report to the department office on a scheduled basis and at the discretion of the supervisor, based on business need.

The salary range posted for this position is Q1 $6,138 - Q3 $7,970 /monthly; although a salary range is listed, hiring salary will be set commensurate with the successful candidate's qualifications and in compliance with the Equal Pay for Equal Work Act.

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.
  
  

Check out our excellent benefits package!

Description Of Job

The Colorado Division of Insurance (DOI) regulates the insurance industry in Colorado. DOI helps consumers by answering their questions, investigating their complaints, and helping them to understand their insurance. The division regulates and monitors insurance companies in Colorado, as well as insurance agents, ensuring all are following the law.

This work unit exists to ensure that all regulated entities operating in the Colorado insurance market are in compliance with all state insurance laws. The work unit regulates the activities of the insurance industry by ensuring that companies’ activities comply with statutory and regulatory mandates; by ensuring that insurers and producers abstain from deceptive or misleading practices; and by providing reliable market conduct and market analysis information to other sections of the Insurance Division (“Division”), consumers, legislators, regulators and the insurance industry. The work unit analyzes the insurance market and assesses how it is functioning. It identifies and analyzes complex legal and regulatory issues, analyzes and applies insurance laws, and develops strategies for addressing each regulatory issue that is identified. The work unit performs market conduct actions and market conduct examinations to address instances of non-compliance, and shares information and coordinates regulatory actions with other state regulators and the National Association of Insurance Commissioners (“NAIC”) as necessary.

Major Objectives Of Positions

Position: SFA 4200

This position is responsible for performing all aspects of the market conduct examination process. The position serves as the Examiner in Charge, and main point of contact, for all activities related to the market conduct examination functions performed by the Insurance Division. The position is responsible for the oversight, timely completion of, and tracking of all of the Insurance Division’s market conduct examinations. This position develops and implements policies and procedures related to the market conduct examination process. The position also maintains an in-depth understanding of Colorado insurance law, the NAIC’s Market Regulation Handbook, and current issues in all applicable insurance areas related to market conduct.

Duties Include, But Are Not Limited To

• Create and maintain a list of regulated entities in need of a Market Conduct Examination (MCE) including documentation of the trigger, information on market share and compliance concerns and in coordination with the Lead Market Analyst, Director, and internal stakeholders;
• Initiate the MCE process including issuing statutorily required notices and all MCE-related activities pursuant to statutory timeframes;
• Publish requests for bids from external examination companies (examiners), review proposals objectively, award contracts and effectuate the contract pursuant to the Division’s procurement process;
• Document the Market Actions Tracking System (“MATS”), a National Association of Insurance Commissioners online examination tracking system used by all states; the Division’s internal database, SIRCON, with all activities related to the MCE with sufficient narrative to understand the MCE activities;
• Monitor examiners’ work product to ensure MCE is proceeding correctly based on internal procedures, statutory requirements, and the NAIC’s Market Regulation Handbook;
• Ensure examiners provide detailed monthly reporting including any obstacles or other concerns regarding the MCE process including any budgetary concerns;
• Ensure the examiners submit monthly invoices, the regulated entity pays the invoices timely, and the MCE budget remains sufficient;
• Schedule and attend regular meetings with the examiners and the regulated entity under examination to discuss the status of the examination and ensure the MCE is proceeding effectively and efficiently by identifying and resolving obstacles. Escalate any concerns appropriately;
• Conduct ongoing oversight of the MCE and maintain a full understanding of all compliance concerns as they are identified by the examiners and the regulated entity’s position regarding the alleged violation(s);
• Assess and track civil penalties on the regulated entity for failing to respond to or late responses to examiner’s requests, if/when necessary, and ensure regulated entity complies with required payments;
• Appropriately engage the Market Regulation Director, Division’s Subject Matter Expert (SME), and/or Attorney General (AG) to discuss and evaluate alleged violations when needed;
• In coordination with examiners, ensure draft report of findings is completed timely;
• Conduct initial drafting of reports to ensure findings are valid, supported and well documented;
• Identify and develop mandatory corrective action plans;
• Coordinate meetings with examiners and regulated entities to discuss issues as they may appear on the report. Maintain and document regulated entity’s position on the issues and determine what issues will remain and what issues will be removed, if applicable;
• Ensure final draft is reviewed by appropriate Division leadership before sending to the company for review and discussion;
• Determine and recommend monetary penalties to be included in the final report and Final Agency Order (FAO);
• Ensure final report and FAO is reviewed by appropriate Division leadership before submitting to the Commissioner for approval.;
• Conduct market analysis and undertake other non-examination continuum actions;
• Maintain active involvement in appropriate NAIC meetings.
  
  

MINIMUM QUALIFICATIONS (MQs)

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights

There are two ways to qualify for this position: 1) Experience OR 2) A Combination of Education and Experience

Option 1: Experience

• Eight (8) years of professional*experience in either one (1) of the following two (2) areas:
• Working in an insurance regulatory environment performing field market conduct examinations and audits, analyzing the practices of insurance entities to determine regulatory compliance, and performing analysis of the insurance market; OR
• Working in the insurance industry performing corporate compliance functions to ensure company operations meet internal policies and rules, as well as regulatory requirements. This experience includes evaluating, auditing, correcting, and monitoring activities within an organization related to rating, claims handling, underwriting, marketing and/or policy services to ensure regulatory compliance, and experience working directly with insurance regulators to facilitate market conduct examinations.
  

Option 2: A Combination of Education AND Experience

• Associate’s Degree and Experience: Graduation from an accredited college or university with an associate’s degree in accounting, business administration, economics, public health, healthcare administration, finance, public administration, statistics, or in a closely related field; AND

• Six (6) years of professional* experience in either one (1) of the following two (2) areas:
• Working in an insurance regulatory environment performing field market conduct examinations and audits, analyzing the practices of insurance entities to determine regulatory compliance, and performing analysis of the insurance market; OR
• Working in the insurance industry performing corporate compliance functions to ensure company operations meet internal policies and rules, as well as regulatory requirements. This experience includes evaluating, auditing, correcting, and monitoring activities within an organization related to rating, claims handling, underwriting, marketing and/or policy services to ensure regulatory compliance, and experience working directly with insurance regulators to facilitate market conduct examinations.
  

OR

• Bachelor’s Degree and Experience: Graduation from an accredited college or university with a bachelor’s degree in accounting, business administration, economics, public health, healthcare administration, finance, public administration, statistics, or in a closely related field; AND

• Four (4) years of professional* experience in either one (1) of the following two (2) areas:
• Working in an insurance regulatory environment performing field market conduct examinations and audits, analyzing the practices of insurance entities to determine regulatory compliance, and performing analysis of the insurance market; OR
• Working in the insurance industry performing corporate compliance functions to ensure company operations meet internal policies and rules, as well as regulatory requirements. This experience includes evaluating, auditing, correcting, and monitoring activities within an organization related to rating, claims handling, underwriting, marketing and/or policy services to ensure regulatory compliance, and experience working directly with insurance regulators to facilitate market conduct examinations.
  

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

Substitutions

• 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.
• Certification, registration, or licensure related to the work assigned will count for one (1) year of the 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 ability and experience reading, understanding, and communicating rules, policies and statutes;
• Experience related to the legal aspects of contracting and/or procurement;
• Knowledge of and experience working in the insurance industry (including market conduct regulation);
• Knowledge of and experience utilizing the NAIC’s Market Regulation Handbook;
• Experience Developing and Implementing Procedures and Process Improvements;
• Complex problem solving: identifying complex problems and reviewing related information to develop and evaluate options and implement solutions;
• Demonstrated experience in the health insurance industry performing compliance functions;
• Demonstrated experience working on mental health parity and/or addiction equity initiatives.
  
  

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 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 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 need 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:

• 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.
• 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.
• 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 DD-214 to their application. Failure to do so will result in being denied Veterans Preference.

PLEASE NOTE: Former State Personnel System employees who were disciplinarily terminated or resigned in lieu of termination must disclose this information on the application. Colorado Revised Statutes require that all state employees be hired and promoted through competitive examination of merit and fitness. Failure to include the required information, failure to follow instructions, and/or failure to submit materials by the application deadline may result in your application not being considered for the position and may affect your score or inclusion in the final pool of qualified candidates.

The State of Colorado believes that equity, diversity, and inclusion drive our success, and

we encourage candidates from all identities, backgrounds, and abilities to apply. The State

of Colorado is an equal opportunity employer committed to building inclusive, innovative

work environments with employees who reflect our communities and enthusiastically serve

them. Therefore, in all aspects of the employment process, we provide employment opportunities to

all qualified applicants without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity or expression, pregnancy, medical condition related to pregnancy, creed, ancestry, national origin, marital status, genetic information, or military status (with preference given to military veterans), or any other protected status in accordance with applicable law.

DORA is committed to the full inclusion of all qualified individuals. As part of this

commitment, our agency will assist individuals who have a disability with any reasonable

accommodation requests related to employment, including completing the application

process, interviewing, completing any pre-employment testing, participating in the

employee selection process, and/or to perform essential job functions where the requested

accommodation does not impose an undue hardship. If you have a disability and require

reasonable accommodation to ensure you have a positive experience applying or interviewing for this position, please direct your inquiries to our ADAAA Coordinator, Rachael Alkayali, at dora_hr@state.co.us or call (303) 894-2441.

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.