<p>Additional Detail</p> <p>Life & Health Consumer Services Specialist</p> <p>Anticipated Salary Range: $60,000-$73,000</p> <p>Salary Commensurate with Qualifications and Experience</p> <p>The State Corporation Commission (SCC) seeks a Life & Health (L&H) Consumer Services Specialist who has a passion for public service and an interest in supporting Virginia consumers. Joining the SCCs Bureau of Insurance (BOI), the L&H Consumer Services Specialist responds to inquiries from providers and consumers involving insurance agents, agencies, and companies regarding life insurance, health insurance, long-term care insurance, managed care plans, rate increase notice requirements, provider credentialing, pharmacy benefit management, and the ethics and fairness complaint process. The SCC offers a hybrid telework schedule, long-term career growth, and professional development opportunities including on-the-job training, certifications, and designations.</p> <p>Essential Duties & Responsibilities</p> <ul> <li>Receive, review, investigate, and resolve insurance complaints from consumers and providers who reach out via phone, email, fax, or the Bureaus on-line portal </li><li>Conduct an in-depth review and analysis of Virginias insurance laws or regulations (Title 38.2 of the Code of Virginia) to determine compliance </li><li>Request all pertinent documentation from the insurance company and agent </li><li>Thoroughly document all steps of the investigation and take action to resolve complaints within a designated time frame </li><li>Enter complete and accurate case information in Sircon in accordance with the Complaint Data System (CDS) guidelines </li><li>Communicate with consumers, agents, agencies, providers, and insurance companies over the phone and in writing in a calm, patient, and professional manner with consumers, insurance industry personnel, and SCC staff </li><li>Refer potential violations to management for review, or refer to the proper regulatory authority if the complaint/inquiry is outside of the Bureaus jurisdiction </li><li>Collaborate with coworkers, management, and other SCC staff to ensure communication is contextually sound and accurate </li><li>Provide assistance to public, legislative, and government officials regarding issues that fall within the Bureaus regulatory authority </li><li>Participate in outreach events, conferences, special projects, and other duties as assigned </li><li>Stay informed on federal and state rules and regulations and complete continuing education in the insurance industry </li></ul> <p>Please Note: SCC only accepts applications received through its career center site. Applications submitted through Virginia Jobs site directly will not be considered.</p> <p>For more information and to apply for this position directly on the SCC Career Center website, click the Additional Detail button on this page.</p> <p>To view all current SCC job openings, visit the SCC Career Center website and click the Search button under Job Search.</p>