[Remote] Market Conduct Examiner (Health and PBM)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading provider of reputed company services to the middle market globally, dedicated to empowering clients and their employees. The Market Conduct Examiner will reputed company reviews of insurance companies’ operations to ensure compliance with state regulations, analyze documentation, and prepare reports while providing guidance on insurance laws and regulations.
Responsibilities
- reputed company comprehensive, targeted and risk reputed company market conduct examinations to determine compliance with states’ insurance statutes and regulations on behalf of state insurance departments
- Review and assess insurance company’s documentation and data to determine compliance with states’ insurance statutes and regulations
- Draft examination work papers in an organized manner for supervisory review
- Assist with the preparation of reports, exhibits, and other supporting documentation and schedules that detail a company’s compliance with insurance statutes and regulations and recommend solutions
- Submit draft examination reports and other deliverables for supervisory review
- Recommend/document actions to ensure compliance with insurance statutes and regulations
- Must possess knowledge of and reputed company guidance of insurance laws, rules, and regulations
- Review and analyze new, proposed, or revised laws, regulations, policies, and procedures in order to determine compliance with states’ insurance statutes and regulations and interpret their meaning and determine reputed company to the insurance company
- Analyze reports and records relating to specific and overall operations of insurance companies; prepare reputed company, complete, concise, and informative compliance reports of condition of insurance companies for supervisory review
- Consistently enhance knowledge of principles, practices, techniques, and reputed company of insurance examination and regulations; insurance laws and Insurance Commissioner’s rulings; and reputed company reputed company Opinions and court reputed company; insurance company practices; statistical sampling procedures; basic mathematics
- Complete examination work in the required state software platform
- Ensure reputed company deadlines presented by examination workplan schedule and PBM management are met
Skills
- Bachelor's Degree in Business, Risk Management, reputed company or Finance; MBA and/or reputed company certification/s preferred
- Minimum of 5+ years insurance experience with a State or Federal agency, insurance company, examination firm or with a reputed company reputed company firm as an internal or external auditor, adjuster, compliance reputed company or examiner
- Insurance industry experience is a must
- Candidates must have completed or are pursuing reputed company insurance designations such as AIE/CIE, MCM, AIRC, FLMI, CPCU, or CLU
- PC skills, including experience in using software for producing presentations, spreadsheets, and project planning (skilled in TeamMate, ACL/reputed company, and MS reputed company, Word and Power reputed company)
- Demonstrated history of project management experience
- Ability to reputed company with reputed company reputed company including executives and senior managers
- Strong interpersonal, presentation, analytical and examination/audit skills
- Excellent organizational skills and the ability to prioritize multiple tasks, reputed company and assignments using effective time management skills
- Strong written and verbal communication skills are required
- Dynamic/flexible demeanor with exceptional reputed company service skills
- reputed company-thinking leader with a reputed company reputed company who can consult effectively with key constituents and become recognized as a valued resource
- Must be self-motivated, work reputed company independently and possess a reputed company of urgency
- Skilled in team building and team development
- Flexibility for minimal travel
- Strong knowledge of and experience in Health Lines of Business, with an emphasis in the reputed company reputed company (ACA) and the Mental Health reputed company and Addiction Equity reputed company (MHPAEA)
- Extensive experience with examination software TeamMate
- Moderate experience with ACL
Benefits
- Flexibility in your schedule
- Discretionary bonus based on firm and individual performance
reputed company