Assistant Insurance Commissioner, Consumer Protection Services

The Department of Banking and Insurance (DOBI) seeks a qualified candidate to serve in the title of Assistant Insurance Commissioner, functioning as Assistant Commissioner of the Office of Consumer Protection Services. This position will report to the Assistant Division Director of the Division of Insurance, or other appropriate DOBI designee.

This position will be responsible for overseeing the operations of the Consumer Protection Services unit by providing reports to the Commissioner and other members of senior staff as requested; monitoring complaint responses for timeliness and accuracy and to identify trends or systemic issues; drafting settlement memoranda on consumer enforcement cases; reviewing text of Orders to Show Cause, Consent Orders and Final Orders; assisting the Attorney General’s Office/Division of Law in prosecution of cases in the Office of Administrative Law; assisting in developing a schedule for market conduct examinations and text of market conduct examination reports, and review producer license denials. This position may also serve on various Board and Commissions and on National Association of Insurance Commissioners (NAIC) committees and perform special projects as needed.

This position will also oversee the Independent Health Care Appeals Program (IHCAP), the Out of Network Arbitration Program and the Provider Payment Arbitration Program. The IHCAP provides for review by an independent medical professional of carriers’ decisions to deny, reduce or terminate coverage based on carriers’ determinations that services are not medically necessary. This position shall serve as the State contract manager for the IHCAP. This position shall supervise the State contract manager over the Out of Network Arbitration program (which allows providers who are not in a carrier’s network and who perform emergency or inadvertent services to contest a carrier’s payment for such services through binding arbitration).

This position shall also supervise the State contract manager over the Provider Payment Arbitration program, which allows any provider, in network or out of network, to contest a carrier’s payment for services (other than emergency or inadvertent services performed by an out of network provider) through binding arbitration. This position will oversee Enforcement, Market Conduct and implementation of mental health parity laws. This position shall manage the following subunits within Consumer Protection Services: Consumer Assistance (operates the Department call center, investigates complaints against insurance companies and other licensed entities; and responds to disasters involving insurance); Enforcement (investigates alleged violations of law against insurance companies, producers, public adjusters and other licensed entities and negotiates penalties where violations are identified);

REQUIREMENTS

Graduation from an accredited college with a Bachelor's degree with a focus in an insurance-related field of study or a Juris Doctorate degree from an accredited law school.

Eight (8) years of administrative experience in insurance programs; four (4) years of which shall have included managerial experience. Applicants who do not possess the required education may substitute experience as indicated above on a year for year basis.