Mass.gov
About the Organization
The Division of Insurance ("DOI"), an Agency within the Office of Consumer Affairs and Business Regulation, administers the Commonwealth’s insurance consumer protection laws through its regulation of the insurance industry. The primary mission is to monitor the solvency of licensees to promote a healthy, responsive and willing marketplace for consumers who purchase insurance products. The Division also investigates and responds to consumer inquiries and complaints, enforces state insurance laws and regulations, and provides the public with accurate and unbiased insurance information. The Division ensures that individuals and business entities conducting the business of insurance in Massachusetts do so in a legal and timely manner. The Division is committed to a diverse, welcoming, inclusive, and mutually respectful work culture. We strive to reflect diversity in all facets and levels of our agency, and to create and maintain working and learning environments that are inclusive, equitable, and welcoming. About the Role
The Division\'s Market Conduct Section initiates comprehensive or limited scope examinations to review the operations of domestic and foreign licensed insurance companies, pharmacy benefit managers, or other insurance-related entities licensed or certified by the Division to ensure compliance with state laws, regulations and bulletins. Examinations may include review of company operations and management, complaint handling, marketing and sales, producer licensing, underwriting and rating, and claims handling. Market conduct examinations are initiated consistent with internal scheduling procedures and market analysis. Specifically, the Market Conduct Section is responsible for: conducting comprehensive and limited scope market conduct examinations; conducting market analysis on certain lines of business; determining whether multi-state regulatory settlement agreements negotiated by other states are fair to Massachusetts consumers; monitoring the progress of multi-state regulatory settlement agreements in which the Massachusetts Division of Insurance was a lead state negotiator; and participating in National Association of Insurance Commissioners market conduct and market analysis related committees, working groups and task forces. Duties and Responsibilities At the direction of and under the supervision of the Director of Market Conduct: Assist in the conduct market conduct examinations of health insurers to determine compliance with the Commonwealth’s Mental Health Parity requirements pursuant to M.G.L. c. 8, §§ 8K, 8L and 8M. Conduct market analysis and examinations to identify insurance companies that may not be in compliance with Massachusetts insurance laws, regulations, and bulletins designed to protect consumers. Assist in conducting meetings and conferences with consultants, third parties, and staff to discuss the status of work in progress. Review operating and organizational issues when necessary and, where appropriate, provide training and technical guidance to staff regarding areas related to market conduct. Assist the Director of Market Conduct: Ensure that examinations and analysis are in compliance with applicable standards issued by the National Association of Insurance Commissioners. Allocate market conduct analysis and examination work assignments to consultants as appropriate; monitor and supervise the progress of all work assigned to third parties and ensure consultants perform appropriate analysis of licensed entities. Ensure that all examination-related files are maintained in accordance with Division procedures. Monitor insurance industry trends, analyze their impact on consumers and the marketplace, and coordinate efforts within the Division to manage identified trends. If requested by the Director of Market Conduct, intermittently or regularly meet with the Director and other Division leaders to discuss topics such as complaint activity, producer misconduct and licensing issues, legal and enforcement issues, financial concerns, and irregularities in rate and form fillings. Participate in NAIC market conduct related working groups and sub-working groups as assigned by the Director of Market Conduct or the Deputy Commissioner and General Counsel as approved by the Commissioner of Insurance. When directed, meet with representatives of insurance companies and other licensed entities to discuss the market conduct process or the results of an analysis or examination. As assigned, serve on Division selection committees evaluating bids for a pre-qualified consultant pool for Market Conduct and Market Analysis Examinations. At the direction of and under the supervision of the Director of Market Conduct or the Deputy Commissioner and General Counsel, conduct market conduct examinations of Pharmacy Benefit Managers pursuant to M.G.L. c. 176Y. Other Market Conduct related matters as assigned by the Director of Market Conduct or the Deputy Commissioner and General Counsel. Preferred Knowledge, Skills, and Abilities
Basic knowledge of market conduct and analysis principles and procedures. Knowledge of methods of technical and general report writing. Knowledge of the Commonwealth\'s insurance laws and regulations. Ability to exercise sound judgment and discretion in handling confidential information. Ability to prepare technical and general reports, work independently, listen carefully, and gather information through questioning and observing records and documents. Ability to establish rapport and maintain harmonious working relationships; to deal tactfully with others; to assemble items of information in accordance with procedures; to maintain accurate records. Ability to give written and oral instructions clearly; to conduct interviews; to write clearly and concisely; to communicate effectively in oral expression. Ability to operate a motor vehicle and to conduct training or instruction; ability to determine proper format and procedure for assembling items of information. All applicants should attach a cover letter and resume to their online submission for this position. Salary placement is determined by years of experience and education directly related to the position and the Human Resources Division’s recruiting guidelines. In the case of a promotional opportunity, salary provisions of the applicable collective bargaining agreement will apply to placement within the salary range. First consideration will be given to those applicants that apply within the first 14 days. Minimum Entrance Requirements: Applicants must have at least (A) three years of full-time, or equivalent part-time, professional experience in accounting, auditing, or in the examination of insurance companies or in the regulation of the insurance industry, or (B) any equivalent combination of the required experience and the substitutions below. Substitutions: I. A Bachelor\'s degree with a major in accounting, business administration, business management or insurance may be substituted for a maximum of two years of the required experience. II. A Graduate degree with a major in accounting, business administration, business management or insurance may be substituted for the required experience. *Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed. Special Requirements: Based on assignment, possession of a current and valid Massachusetts Motor Vehicle Operator\'s license may be required. Comprehensive Benefits
When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future. Want the specifics? Explore our Employee Benefits and Rewards! Equal Opportunity
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Affirmative Action Employer . Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply. The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by applicable law. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.
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The Division of Insurance ("DOI"), an Agency within the Office of Consumer Affairs and Business Regulation, administers the Commonwealth’s insurance consumer protection laws through its regulation of the insurance industry. The primary mission is to monitor the solvency of licensees to promote a healthy, responsive and willing marketplace for consumers who purchase insurance products. The Division also investigates and responds to consumer inquiries and complaints, enforces state insurance laws and regulations, and provides the public with accurate and unbiased insurance information. The Division ensures that individuals and business entities conducting the business of insurance in Massachusetts do so in a legal and timely manner. The Division is committed to a diverse, welcoming, inclusive, and mutually respectful work culture. We strive to reflect diversity in all facets and levels of our agency, and to create and maintain working and learning environments that are inclusive, equitable, and welcoming. About the Role
The Division\'s Market Conduct Section initiates comprehensive or limited scope examinations to review the operations of domestic and foreign licensed insurance companies, pharmacy benefit managers, or other insurance-related entities licensed or certified by the Division to ensure compliance with state laws, regulations and bulletins. Examinations may include review of company operations and management, complaint handling, marketing and sales, producer licensing, underwriting and rating, and claims handling. Market conduct examinations are initiated consistent with internal scheduling procedures and market analysis. Specifically, the Market Conduct Section is responsible for: conducting comprehensive and limited scope market conduct examinations; conducting market analysis on certain lines of business; determining whether multi-state regulatory settlement agreements negotiated by other states are fair to Massachusetts consumers; monitoring the progress of multi-state regulatory settlement agreements in which the Massachusetts Division of Insurance was a lead state negotiator; and participating in National Association of Insurance Commissioners market conduct and market analysis related committees, working groups and task forces. Duties and Responsibilities At the direction of and under the supervision of the Director of Market Conduct: Assist in the conduct market conduct examinations of health insurers to determine compliance with the Commonwealth’s Mental Health Parity requirements pursuant to M.G.L. c. 8, §§ 8K, 8L and 8M. Conduct market analysis and examinations to identify insurance companies that may not be in compliance with Massachusetts insurance laws, regulations, and bulletins designed to protect consumers. Assist in conducting meetings and conferences with consultants, third parties, and staff to discuss the status of work in progress. Review operating and organizational issues when necessary and, where appropriate, provide training and technical guidance to staff regarding areas related to market conduct. Assist the Director of Market Conduct: Ensure that examinations and analysis are in compliance with applicable standards issued by the National Association of Insurance Commissioners. Allocate market conduct analysis and examination work assignments to consultants as appropriate; monitor and supervise the progress of all work assigned to third parties and ensure consultants perform appropriate analysis of licensed entities. Ensure that all examination-related files are maintained in accordance with Division procedures. Monitor insurance industry trends, analyze their impact on consumers and the marketplace, and coordinate efforts within the Division to manage identified trends. If requested by the Director of Market Conduct, intermittently or regularly meet with the Director and other Division leaders to discuss topics such as complaint activity, producer misconduct and licensing issues, legal and enforcement issues, financial concerns, and irregularities in rate and form fillings. Participate in NAIC market conduct related working groups and sub-working groups as assigned by the Director of Market Conduct or the Deputy Commissioner and General Counsel as approved by the Commissioner of Insurance. When directed, meet with representatives of insurance companies and other licensed entities to discuss the market conduct process or the results of an analysis or examination. As assigned, serve on Division selection committees evaluating bids for a pre-qualified consultant pool for Market Conduct and Market Analysis Examinations. At the direction of and under the supervision of the Director of Market Conduct or the Deputy Commissioner and General Counsel, conduct market conduct examinations of Pharmacy Benefit Managers pursuant to M.G.L. c. 176Y. Other Market Conduct related matters as assigned by the Director of Market Conduct or the Deputy Commissioner and General Counsel. Preferred Knowledge, Skills, and Abilities
Basic knowledge of market conduct and analysis principles and procedures. Knowledge of methods of technical and general report writing. Knowledge of the Commonwealth\'s insurance laws and regulations. Ability to exercise sound judgment and discretion in handling confidential information. Ability to prepare technical and general reports, work independently, listen carefully, and gather information through questioning and observing records and documents. Ability to establish rapport and maintain harmonious working relationships; to deal tactfully with others; to assemble items of information in accordance with procedures; to maintain accurate records. Ability to give written and oral instructions clearly; to conduct interviews; to write clearly and concisely; to communicate effectively in oral expression. Ability to operate a motor vehicle and to conduct training or instruction; ability to determine proper format and procedure for assembling items of information. All applicants should attach a cover letter and resume to their online submission for this position. Salary placement is determined by years of experience and education directly related to the position and the Human Resources Division’s recruiting guidelines. In the case of a promotional opportunity, salary provisions of the applicable collective bargaining agreement will apply to placement within the salary range. First consideration will be given to those applicants that apply within the first 14 days. Minimum Entrance Requirements: Applicants must have at least (A) three years of full-time, or equivalent part-time, professional experience in accounting, auditing, or in the examination of insurance companies or in the regulation of the insurance industry, or (B) any equivalent combination of the required experience and the substitutions below. Substitutions: I. A Bachelor\'s degree with a major in accounting, business administration, business management or insurance may be substituted for a maximum of two years of the required experience. II. A Graduate degree with a major in accounting, business administration, business management or insurance may be substituted for the required experience. *Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed. Special Requirements: Based on assignment, possession of a current and valid Massachusetts Motor Vehicle Operator\'s license may be required. Comprehensive Benefits
When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future. Want the specifics? Explore our Employee Benefits and Rewards! Equal Opportunity
/
Affirmative Action Employer . Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply. The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by applicable law. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.
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