Insurance Forms and Information Analyst

Recruitment #051717-MECZ05-120300

Summary Statement

Incumbents in this class are responsible for analyzing and interpreting the terms of insurance products including forms, rates, rules and advertisements to determine compliance with Delaware law, Department of Insurance regulations, bulletins and insurance industry practice; and providing dispositions.  Products reviewed by this class include all new, revised or discontinued insurance products for insurance companies offering health, limited benefits plans, discount medication programs, life, private, and commercial insurance policies to Delawareans.

Essential Functions

Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class.  Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here.
  • Interprets and researches federal and state laws, rules, regulations, standards, policies and procedures relevant to insurance products including forms, rates, rules and
    advertisements to determine compliance and the impact on the applicant or policy holder.
     
  • Provides technical assistance to insurers in developing forms which comply with Delaware guidelines.
     
  • Reviews insurance rates to determine whether rates are reasonable, adequate and non-discriminatory; researches actuarial findings and other artifacts; and establishes a cost/benefits analysis of the product offered.
     
  • Uses computer programs to assist in rate analysis and verification in connection with requested rate changes.
     
  • Meets with insurance representatives to discuss results of findings, causes and impact of any problems, and means of addressing problems; follows up to ensure actions are completed through secondary reviews.
     
  • Reviews withdrawal of insurance products in Delaware to ensure removal does not cause any customer issues or result in non-compliance.
     
  • Ensures accuracy of information printed, TV broadcast, or delivered via public speech to ensure advertisements accurately describe the products they are advertising.
     
  • Reviews premium and loss experience to determine if they are adequately justified on the basis of a statistical analysis of previous submitted policy experience. 
     
  • Provides testimony at hearings for rating and underwriting pertaining to product review findings, explains recommendations and answers questions.
     
  • Communicates critical information both written and oral relating to filings to Supervisor and Commissioner.
     
  • Attends meetings, participates in divisional management work groups, task forces, and conducts conference calls with internal staff, insurance agency representatives, state/federal government, other rate insurance departments, industry representatives and the National Association of Insurance Commissioners; for the purpose of resolving issues, discussing current laws, rules and regulations, answering questions, and making recommendations on insurance product reviews.

Job Requirements

JOB REQUIREMENTS for Insurance Forms and Information Analyst
Applicants must have education, training and/or experience demonstrating competence in each of the following areas:

  1. One year experience in analyzing and evaluating insurance products, forms, rates, rules, and advertisements to identify irregularities for ensuring consumer protection.
  2. One year experience in determining compliance with insurance laws, rules, regulations, standards, policies and procedures.
  3. Six months experience in narrative report writing.
  4. Six months experience in using standard computer software programs for word processing, spreadsheets or databases.

Benefits

To learn more about the comprehensive benefit package please visit our website at http://ben.omb.delaware.gov/

Selection Process

The application and supplemental questionnaire are evaluated based upon a rating of your education, training and experience as they relate to the job requirements of the position.  It is essential that you provide complete and accurate information on your application and the supplemental questionnaire to include dates of employment, job title and job duties.  For education and training, list name of educational provider, training course titles and summary of course content.   Narrative information supplied in response to the questions must be supported by the information supplied on the application including your employment, education and training history as it relates to the job requirements.

 Once you have submitted your application on-line, all future correspondence related to your application will be sent via email.  Please keep your contact information current.  You may also view all correspondence sent to you by the State of Delaware in the “My Applications” tab at www.delawarestatejobs.com.

Accommodations

Accommodations are available for applicants with disabilities in all phases of the application and employment process.  To request an auxiliary aid or service please call (302) 739-5458. TDD users should call the Delaware Relay Service Number 1-800-232-5460 for assistance.  The State of Delaware – An Equal Opportunity and Affirmative Action Employer.