Insurance Complaints Specialist - Revenue - Insurance Commission - Kanawha Co.

Full Job Description

***This job opportunity is not in the classified service and is not covered by the WV Division of Personnel merit system.***

The ideal candidate will be responsible for performing the following duties:

• Under limited supervision, the selected candidate will answer consumer telephone calls and meet with walk-in clients to provide assistance with problems they are experiencing and determine if a formal complaint is warranted and logs all contacts into the SBS system.
• Will investigate complaints filed against insurance companies, agencies, and agents involving disputed claims and alleged unfair insurance practices.
• Will mediate settlements between claimant and insurance company by gathering facts and recommending solutions according to policy and insurance code.
• This position advises consumers of their rights under the insurance laws and regulations.
• May be required to attend hearings on insurance complaints to present findings of an investigation.
• Writes reports and narratives on complaints.
• Required to keep their supervisor informed of any issues or trends that may need to be addressed, including possible needs for new legislation.
• Reviews insurance company’s responses to complaints to determine if companies are in compliance with state insurance laws.
• Develops complaint files for referral to the Legal or Fraud divisions for further investigation, when warranted.
• Attends and/or participates in meetings and seminars to inform the public on special or new areas in the insurance industry.
• Confers with United States Congressmen, Senators, and State Legislators in resolving constituent problems.
• Limited travel may be required to participate in educational outreach efforts throughout the state.
• Will perform other duties as assigned.

The following knowledge, skills, and abilities will be beneficial to the selected candidate:

• The ideal candidate will have excellent verbal and written communication skills, be an active listener and display empathy, patience, and a positive attitude.
• Must be proficient in Microsoft Office.

Click The APPLY Link To Apply Online.

INSTRUCTIONS TO APPLICANT:

You must submit an application for each position of interest.

Your complete work history is used to qualify you for positions. Please be as detailed as possible and list all of your past employment in the Work Experience section of your application or you may attach it to your application with a resume.

If you have not previously submitted a copy of your official transcript or diploma, or licensure or training earned, you may attach it to your application or email it to applicantservices@wv.gov

If you have already submitted copies of these documents with other applications, please do not resubmit. You may contact Staffing & Recruitment at 304-414-1852 if you have any questions.

If you would like to be notified of jobs of this nature or in other categories, please complete our Job Interest Card

Qualifications

***Your complete work history is needed to qualify you for positions. Please be as detailed as possible and list all of your past employment.***

Additional Information

Come join our team!

We believe our employees deserve the best to make sure they have a great work-life balance. The WV Offices of the Insurance Commissioner offers a great benefit package that includes:

• Holidays - Minimum of 12 paid holidays
• Leave Accrual - Ample Annual (starting at 4.61 hours a pay period) and Sick Leave (5.55 hours a pay period) Accrual
• Medical Insurance - Insurance through Public Employees Insurance Agency (PEIA) with several plan options and Flexible Benefits through Mountaineer Flex Benefits to cover additional needs
• Life Insurance - Free $10,000 Basic Life Insurance and additional life insurance offered at a low cost to you
• Retirement - Mandatory retirement where the employee contributes a portion of their annual salary and the employer also contributes, in addition to an optional 457 deferred compensation retirement plan