What are the responsibilities and job description for the Insurance Policy Specialist II position at State of Kentucky - Public Protection Cabinet |...?
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12/10/2025 (7:00 PM EST)
25-07145
Insurance Policy Specialist II
Pay Grade
15
Salary
$3,960.94 - $5,941.50 Monthly
Employment Type
EXECUTIVE BRANCH | FULL TIME | ELIGIBLE FOR OVERTIME PAY | 18A | 37.5 HR/WK
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Hiring Agency
Public Protection Cabinet | Department of Insurance
Location
500 Mero St
Frankfort, KY 40601 USA
The agency may authorize the selected candidate to telecommute. The agency may terminate or modify the telecommuting arrangement at any time.
Frankfort, KY 40601 USA
The agency may authorize the selected candidate to telecommute. The agency may terminate or modify the telecommuting arrangement at any time.
Description
The Health and Life Insurance and Managed Care Division of the Department of Insurance regulates insurance companies and health maintenance organizations offering various types of health and life insurance products. Through application of statutory requirements, the branch reviews policy forms, certificates, applications, rate filings, life settlements contracts and other forms as necessary to assure that the health and life products being offered in Kentucky meet the applicable statutory and regulatory standards.
We are looking for an Insurance Policy Specialist II to join our team of highly skilled professionals. As an Insurance Policy Specialist II, you will perform complex research, analysis or planning functions related to health insurance or life insurance programs (including mathematical and statistical analyses) and serve as a project leader; and perform other duties as required.
Responsibilities include, but are not limited to, the following:
We are looking for an Insurance Policy Specialist II to join our team of highly skilled professionals. As an Insurance Policy Specialist II, you will perform complex research, analysis or planning functions related to health insurance or life insurance programs (including mathematical and statistical analyses) and serve as a project leader; and perform other duties as required.
Responsibilities include, but are not limited to, the following:
- Performs complex research, analysis of Utilization Review and Independent Review Entities policy contract language in the Health and Life and Managed Care Division for compliance with state and federal laws and regulations.
- Identifies and addresses noncompliance or potential violations.
- Performs complex research and analysis related to health insurance including mathematical and statistical analysis of health insurance programs and reports submitted by insurers and utilization review entities, and Pharmacy Benefit Managers (PBM’s).
- Recommends related policy, procedures, and database needs.
- Identifies specific needs to address changes in statutes and regulations and recommends changes needed in procedural processes.
- Coordinates implementation of changes.
- Provides technical assistance to coworkers, professional organizations, and other government agencies, insurers and consumers.
- Serves as a leader of special projects.
- Performs other duties as assigned.
- Attention to detail
- Excellent verbal and written communication skills
- Time management
- Teamwork
- Organizing skills
- A 37.50 hour work week
- Paid Leave (Sick, Vacation, etc.) and Paid Holidays
- Training and Career Development Opportunities
- Educational and Tuition assistance
- A variety of affordable health, dental and vision Insurance options including HRA, HSA and FSA options
- Life Insurance
- Retirement
- Deferred Compensation
- Wellness Incentive Programs
- Employee Discounts on electronics, health and wellness, retail, travel, events, entertainment, services and education
- Telecommuting and flexible work schedules
Minimum Requirements
EDUCATION: Graduate of a college or university with an associate's degree.
EXPERIENCE, TRAINING, OR SKILLS: Four years of professional experience in property and casualty insurance, health insurance, life insurance claims/systems, research, planning, policy development, or administration functions for an insurance company or insurance regulatory agency.
Substitute EDUCATION for EXPERIENCE: Additional education in planning, public administration, business administration, actuarial science, mathematics, statistics, economics, or a related field will substitute for the required experience on a year-for-year basis up to two years OR Successful completion of two actuarial examinations from either the Society of Actuaries or the Casualty Actuarial Society will substitute for the required experience.
Substitute EXPERIENCE for EDUCATION: Additional experience in the preparation of insurance reports, audits, actuarial loss reserving, property and casualty insurance, health insurance, life insurance claims/systems, research, planning, policy development, or administration functions for an insurance company, insurance agency, or insurance regulatory agency will substitute for the required education on a year-for-year basis.
SPECIAL REQUIREMENTS (AGE, LICENSURE, REGULATION, ETC.): NONE
Working Conditions
Duties are typically performed in an office setting.
Probationary Period
This job has an initial and promotional probationary period of 6 months, except as provided in KRS 18A.111.
If you have questions about this advertisement, please contact Angela Raley at angela.raley@ky.gov or (502)782-5280.
An Equal Opportunity Employer M/F/D
Salary : $3,961 - $5,942
