Insurance Program Coordinator 1(Hybrid)

Introduction

Are you an Insurance Department agency employee?

Do you have experience in insurance regulation, the insurance industry, managed care or health care administration?

If so, apply today!

The Connecticut Insurance Department (CID) is currently recruiting agency employees for the position of Insurance Program Coordinator 1 in the Life & Health Unit.

CONTINUE TO ENJOY:

• Visit our State Employee Benefits Overview page!
• Work at a Forbes-recognized company! Connecticut is proud to be featured on both America's Best Employers by State and Best Employers for New Grads in 2024. With our dynamic job market and commitment to fostering a thriving workforce, Connecticut stands out as a top destination for both seasoned professionals and fresh graduates seeking to launch their careers.
• Professional growth and development opportunities.
• A healthy work/life balance to all employees.

POSITION HIGHLIGHTS:

• Full-time (40 hours/ week)
• Monday - Friday
• Hybrid
• Location: 153 Market Street in Downtown Hartford, CT, easily accessible for all commuters.

THE ROLE:

• Directs staff and operations of assigned program(s);
• Coordinates and plans program(s) activities;
• Formulates or assists in formulation of program(s) goals and objectives;
• Interprets and administers pertinent laws and regulations;
• Assists in preparation of program budget;
• Maintains contacts with individuals both within and outside of division who might impact on program activities;
• Develops, implements and manages training programs for assigned staff consisting of on-the-job training, in-house training programs and formal education;
• Resolves disciplinary issues;
• Performs related duties as required.

ABOUT US:

Our mission at the State of Connecticut, Connecticut Insurance Department (CID) is consumer protection. The department carries out its mission by enforcing state insurance laws to ensure policyholders treated fairly, providing assistance, outreach, and education to help consumers make sound choices, and by regulating the industry in a fair and consistent manner that fosters market competition for the availability of insurance.



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Selection Plan

• In order to be considered for this job opening you must be a current State of CT employee of the agency listed above for at least six (6) months of full-time service or full-time equivalent service, absent any applicable collective bargaining language, and meet the Minimum Qualifications as listed on the job opening. You must specify your qualifications on your application.

FOR ASSISTANCE IN APPLYING:

Check out our Applicant Tips on How to Apply! Need more resources? Visit our Applicant Reference Library for additional support throughout the recruitment process.

BEFORE YOU APPLY:

• Meet Minimum Qualifications: Ensure you meet the Minimum Qualifications listed on the job opening by the job closing date. You must specify your qualifications on your application. The minimum experience and training requirements listed must be met by the close date on the job opening, unless otherwise specified.
• Educational Credits: List your earned credits and degrees from accredited institutions accurately on your application. To receive educational credits towards qualification, the institution must be accredited. If the institution of higher learning is located outside of the U.S., you are responsible for providing documentation from a recognized USA accrediting service which specializes in determining foreign education equivalencies to the contact listed below by the closing date listed on the job posting.
• Resume Policy: Per Public Act 21-69, resumes are not accepted during the initial application process. As the recruitment process progresses, candidates may be required to submit additional documentation to support their qualification(s) for this position. This documentation may include: a cover letter, resume, transcripts, diplomas, performance reviews, attendance records, supervisory references, licensure, etc., at the request and discretion of the hiring agency.
• Preferred Shift/Location: Select all location(s) and shift(s) you are willing to work on your application. Failure to do so may result in not being considered for vacancies in that specific location or shift.
• Timely Submission: All application materials must be received by the job posting deadline. You will be unable to make revisions once you officially submit your application to the State. Late submissions are rarely accepted, with exceptions only for documented events that incapacitate individuals during the entire duration of the job posting. Request exceptions by emailing DAS.SHRM@ct.gov.
• Salary Calculations: For current state employees, salary calculations are not necessarily comparable from one of the three branches of state government (i.e., Executive, Legislative, Judicial) to the other.

• Note: The only way to apply to this posting is via the ‘Apply’ or ‘Apply Online’ buttons on the official State of Connecticut Online Employment Center job posting.

AFTER YOU APPLY:

• Referral Questions: This posting may require completion of additional Referral Questions (RQs), which must be completed by the questionnaire’s expiration date. If requested, RQs can be accessed via an email sent to you after the job close date or by visiting your JobAps Personal Status Board (Certification Questionnaires section).
• Prepare For An Interview: Interviews are limited to those whose experience and training are most aligned with the role. To prepare, review this helpful Interview Preparation Guide to make the best impression!
• Stay connected! Log in daily to your JobAps Personal Status Board to track your status and check email (including spam/junk folders) for updates and tasks.
• The immediate vacancy is listed above, however, applications to this recruitment may be used for future vacancies in this job class.
• Note: This position will be filled in accordance with contractual language, reemployment, SEBAC, transfer, promotion and merit employment rules. Candidates who are offered and accept a position with the State of Connecticut are bound by the State Code of Ethics for Public Officials and State employees, available at www.ct.gov/ethics.

QUESTIONS? WE’RE HERE TO HELP:

Due to high volume, we are unable to confirm receipt or provide status updates directly. For recruitment updates, please check your Personal Status Board and review our Frequently Asked Questions. If you have additional questions about the recruitment process, reach out to Anamaria Giangarra at Anamaria.giangarra@ct.gov

Join the State of Connecticut and take your next career step with confidence!

PURPOSE OF JOB CLASS (NATURE OF WORK)

In the Insurance Department this class is accountable for directing various programs and activities of a division or office.

EXAMPLES OF DUTIES

• Directs staff and operations of assigned program(s);
• Coordinates and plans program(s) activities;
• Formulates or assists in formulation of program(s) goals and objectives;
• Interprets and administers pertinent laws and regulations;
• Assists in preparation of program budget;
• Maintains contacts with individuals both within and outside of division who might impact on program activities;
• Develops, implements and manages training programs for assigned staff consisting of on-the-job training, in-house training programs and formal education;
• Resolves disciplinary issues;
• Schedules field, financial, market conduct or any other related examination and/or audits of domestic insurance companies including captive companies;
• Develops, implements and manages programs and activities related to regulation of insurance companies;
• May review financial analysis of companies, captive companies, holding companies, CPA audit reports and actuarial opinions related to foreign company application for licensure in Connecticut;
• May review examination, work papers and final reports;
• May direct insurance fraud and licensee enforcement related investigative activities;
• May manage development and implementation of managed care and/or utilization review regulatory functions and other related activities;
• Performs related duties as required.

KNOWLEDGE, SKILL AND ABILITY

• Considerable knowledge of
  • financial and business operations, statutory accounting and examination financial procedures related to insurers, fraternal benefit societies, hospital and medical service corporations and health maintenance organizations;
  • health benefits, case management, utilization review and managed care appeals processes;
  • consumer issues in area of health insurance or managed care;
  • program development and management in areas of health care, health insurance and customer service;
• Knowledge of
  • and ability to apply relevant state and federal laws, statutes and regulations;
  • and ability to apply management principles and techniques;
  • business operations of health care providers and health maintenance organizations;
  • methods used by other state insurance regulatory bodies;
  • in-service training and instructional methods;
  • economic and research techniques;
  • state legislative process;
• Considerable
  • interpersonal skills;
  • oral and written communication skills;
• Ability to interpret proposed legislation and determine application and impact on program.

MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE

Eight (8) years of experience in insurance regulation, the insurance industry, managed care or health care administration.

MINIMUM QUALIFICATIONS - SPECIAL EXPERIENCE

At least one (1) year of the General Experience must have been in a lead capacity over professional staff.

NOTE: For state employees this experience is interpreted at the level of an Insurance Associate Examiner.

MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED

• College training may be substituted for the General Experience on the basis of fifteen (15) semester hours equalling one-half (1/2) year of experience to a maximum of four (4) years for a Bachelor's degree.
• A Master's degree in accounting, business, health care management, insurance, finance, economics or actuarial science may be substituted for one (1) additional year of the General Experience.
• A designation of Certified Public Accountant (CPA) and/or Certified Financial Examiner (CFE) may be substituted for one (1) additional year of the General Experience.
• A designation of Certified Life Underwriter (CLU) or Certified Property and Casualty Underwriter (CPCU) may be substituted for one (1) additional year of the General Experience.

PREFERRED QUALIFICATIONS

• Experience with managed care and health insurance laws, regulations and bulletins.
• Experience with the managed care report card.
• Experience with applying the Affordable Care Act (ACA) on a CT specific basis.
• Experience with the health and ACA policy form review and/or network adequacy and prescription drug formulary review.
• Experience with licensing of utilization review companies.

SPECIAL REQUIREMENTS

• Incumbents in this class in specific program positions may be required to possess special qualifications, credentials or requirements. Examples include but are not limited to membership in the Connecticut Bar, associate or full membership in a particular actuarial society, possession of a current license as a registered professional nurse in Connecticut, or possession of a CPA,CLU OR CPCU certification and/or designation.
• Incumbents in this class may be required to travel.

Conclusion

AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER

The State of Connecticut is an equal opportunity/affirmative action employer and strongly encourages the applications of women, minorities, and persons with disabilities.

ACKNOWLEDGEMENT

As defined by Sec. 5-196of the Connecticut General Statutes, a job class is a position or group ofpositions that share general characteristics and are categorized under a singletitle for administrative purposes. As such, a job class is not meant tobe all-inclusive of every task and/or responsibility.