Insurance Investigator 2

Full Job Description

Do you have the skills and experience to excel at advanced investigative and public contact work in the handling of insurance complaints?

The Pennsylvania Insurance Department, Healthcare Division, is seeking a motivated Insurance Investigator 2 to join our team of professionals.

In this role, you will investigate consumer complaints, bring resolutions where possible and determine compliance with existing statutes and regulations.

Your ability to educate consumers and respond to inquiries on matters relating to their insurance needs is key to this position.

Advance your career and make a difference to insurance consumers in Pennsylvania.

Requirements

As an Insurance Investigator 2, you will play a key role in reviewing and investigating various types of complex consumer complaints in relation to health and disability lines of insurance.

You can expect to prepare detailed notes and written reports in response to complaints and inquiries.

Communication will be key as you handle numerous telephone calls and inquiries from the general public and licensees regarding various insurance regulations, statutes, adjudications, and industry trends.

Your detailed knowledge of insurance principles, practices, and laws will be essential as you handle special assignments and projects as requested by the supervisor or division manager.

Additional duties include:

• Communicating investigative findings and general insurance education in an unbiased manner; making sound decisions and recommendations
• Recognizing and promptly referring to management any trends and suspected violations of insurance law or regulation
• Representing the Department at consumer events
• Testifying at formal hearings
• Traveling on Commonwealth business as necessary

Interested in learning more? Additional details regarding this position can be found in the position description.

Work Schedule and Additional Information:

• Full-time employment
• Work hours are 8:00 AM to 4:30 PM, Monday - Friday, with 60-minute lunch.

Telework: You may have the opportunity to work from home (telework) part-time, two days per week in office.

In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania.

If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg. The ability to telework is subject to change at any time.

Additional details may be provided during the interview.

• Salary: Selected candidates who are new to employment with the Commonwealth of Pennsylvania will begin employment at the starting annual salary of $59,345 (before taxes).
• You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.

Qualifications

QUALIFICATIONS

Minimum Experience and Training Requirements:

• One year as an Insurance Investigator 1 (Commonwealth job title or equivalent Federal Government job title, as determined by the Office of Administration); or
• Seven years of experience as an insurance investigator, underwriter, agent, broker or claims adjuster. College level training may be substituted on a year-for-year basis for four years of the required experience; or
• An equivalent combination of experience and training.

Other Requirements:

• You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency.
• You must be able to perform essential job functions.

How to Apply:

Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position.

Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).

If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.

Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.

Failure to comply with the above application requirements may eliminate you from consideration for this position.

All application materials and interview responses must reflect the applicant’s own experience, qualifications, and work. Applicants may use generative AI tools for preparation purposes only.

Use of AI to misrepresent or falsify information, or to assist during interviews, is not permitted. Review the Guidance for Generative AI Tools & Job Seekers for additional information.

Veterans:

• Pennsylvania law (51 Pa. C.S. §7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to www.pa.gov/agencies/employment/how-to-apply.html and click on Veterans.

Telecommunications Relay Service (TRS):

• 711 (hearing and speech disabilities or other individuals).

If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.

The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce.

The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania.

The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law.

All diverse candidates are encouraged to apply.

Additional Information

• Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).
• Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
• Your score is valid for this specific posting only.
• You must provide complete and accurate information or:
  • your score may be lower than deserved.
  • you may be disqualified.
• You may only apply/test once for this posting.
• Your results will be provided via email.