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Life and Health Insurance Policy Examiner 1

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Life and Health Insurance Policy Examiner 1

Salary

$50,836.00 - $77,321.00 Annually

Location

Dauphin County, PA

Job Type

Civil Service Permanent Full-Time

Job Number

CS-2025-26777-03470

Department

Insurance Department

Division

IN Plcy Rvw Div

Opening Date

06/06/2025

Closing Date

6/20/2025 11:59 PM Eastern

Job Code

03470

Position Number

50663259

Union

AFSCME

Bargaining Unit

A4

Pay Group

ST06

Bureau / Division Code

00096852

Bureau / Division

Policy Review Division

Worksite Address

393 Walnut Street

City

Harrisburg, Pennsylvania

Zip Code

17128

Contact Name

Jachy Meyers

Contact Email

[email protected]

+ Description

+ Benefits

+ Questions

THE POSITION

Are you a strong critical thinker who would enjoy functioning as an integral component of the Insurance Department's Policy Review Division? We are seeking an ambitious and detail-oriented professional to take on the vital role of Life and Health Insurance Policy Examiner 1. This is an opportunity to analyze credit, accident and health, annuity, and life insurance policies and related forms to ensure compliance with statutory and regulatory requirements. Showcase your analytical skills while embarking upon a challenging yet rewarding career path, apply today!

DESCRIPTION OF WORK

As a Life and Health Insurance Policy Examiner 1, you will examine and analyze various L&H assigned policy form filings to determine compliance with state and federal insurance laws and regulations , including compliance with the Affordable Care Act. This includes forms submitted by insurers, non-profit hospital and professional health service corporations, HMOs, PPOs, and Fraternal Benefit Societies. You will also be responsible for collecting and analyzing information supporting decisions for approval or disapproval.

Excellent interpersonal and communication skills are imperative in order to collaborate with companies, consultants, and legal counsel through correspondence, telephone, and meetings to discuss and resolve filing issues and other related matters. This includes answering questions from filers, other program areas of the department, and from the general public surrounding credit, accident and health, annuity, and life insurance forms and the department's requirements for such forms and filings of such forms. This professional also assists with training new examiners for policy review work and cross-training current staff to assure adequate coverage.

Work Schedule and Additional Information:

+ Full-time employment

+ Work hours are 8:00 AM to 4:30 PM, Monday - Friday, with a 60-minute lunch.

+ Telework: You may have the opportunity to work from home (telework) full-time. Full-time telework status employees are required to work in-office once per month. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg.

+ Salary: Selected candidates who are new to employment with the Commonwealth of Pennsylvania will begin employment at the starting annual salary of $50,836.00 (before taxes).

+ You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.

REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY

QUALIFICATIONS

Minimum Experience and Training Requirements:

+ One year as a Financial Management Trainee, or an Administration and Management Trainee ( Commonwealth job titles or equivalent Federal Government job titles, as determined by the Office of Administration) or in any other Trainee class which is Management related that involved insurance policy examination work, including at least six months in the life and health insurance area ;or

+ Three years of experience in life and/or accident and health insurance sales or underwriting, or in drafting or reviewing and examining life and/or accident and health insurance policies and forms, or in a closely-related area; and satisfactory completion of two years of business school or college ;or

+ Any equivalent combination of experience and training which included at least one year of experience in life and/or accident and health insurance sales or underwriting, or in drafting or reviewing and examining life and/or accident and health insurance policies and forms ; or

+ Designation as a Chartered Life Underwriter.

Other Requirements:

+ You must meet the PA residency requirement (https://www.employment.pa.gov/Additional%20Info/Pages/default.aspx) . For more information on ways to meet PA residency requirements, follow the link (https://www.employment.pa.gov/Additional%20Info/Pages/default.aspx) and click on Residency.

+ You must be able to perform essential job functions.

How to Apply:

+ Resumes, cover letters, and similar documents willnot be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).

+ If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.

+ Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.

+ Failure to comply with the above application requirements may eliminate you from consideration for this position.

Veterans:

+ Pennsylvania law (51 Pa. C.S. §7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to www.employment.pa.gov/Additional%20Info/Pages/default.aspx and click the Veterans’ Preference tab or contact us at [email protected] .

Telecommunications Relay Service (TRS):

+ 711 (hearing and speech disabilities or other individuals).

If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.

The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.

EXAMINATION INFORMATION

+ Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).

+ Your score is based on the detailed information you provide on your application and in response to the supplemental questions.

+ Your score is valid for this specific posting only.

+ You must provide complete and accurate information or:

+ your score may be lower than deserved.

+ you may be disqualified.

+ You may only apply/testoncefor this posting.

+ Your results will be provided via email.

Learn more about our Total Rewards by watching this shortvideo (https://www.youtube.com/embed/HtcSRnndflc?rel=0) !

See the total value of your benefits package by exploring ourbenefits calculator.

Health & Wellness

We offer multiple health plans so our employees can choose what works best for themselves and their families. Our comprehensive benefits package includes health coverage, vision, dental, and wellness programs.*

Compensation & Financial Planning

We invest in our employees by providing competitive wages and encouraging financial wellness by offering multiple ways to save money and ensure peace of mind including multiple retirement and investment plan options.

Work/Life Balance

We know there’s more to life than just work! Our generous paid leave benefits include paid vacation, paid sick leave, eight weeks of paid parental leave, military leave, and paid time off for most major U.S. holidays, as well as flexible work schedules and work-from-home opportunities.*

Values and Culture

We believe in the work we do and provide continual opportunities for our employees to grow and contribute to the greater good. As one of the largest employers in the state, we provide opportunities for internal mobility, professional development, and the opportunity to give back by participating in workplace charitable giving.

Employee Perks

Sometimes, it is the little “extras” that make a big difference. Our employees receive special employee-only discounts and rates on a variety of services and memberships.

For more information on all of these Total Rewards benefits, please visitwww.employment.pa.gov and click on the benefits box.

*Eligibility rules apply.

01

Have you been employed by the Commonwealth of Pennsylvania as a Financial Management Trainee or an Administration and Management Trainee or in any other Trainee class which is management related that involved insurance policy examination work for one or more years full-time, including at least 6 months in the life and health insurance area?

+ Yes

+ No

02

If you are claiming experience in the above question, please list the employer(s) where you gained this experience in the text box below. The employer(s) and a description of the experiencemustalso be included in the appropriate sections of your application if you would like the experience to be considered in the eligibility decision. If you claimed you do not have experience, type N/A in the text box below.

03

How many years of experience do you possess in life and/or accident and health insurance sales or underwriting, or in drafting or reviewing and examining life and/or accident and health insurance policies and forms, or in a closely-related area?

+ 3 years or more

+ 2 years to less than 3 years

+ 1 year to less than 2 years

+ Less than 1 year

+ None

04

If you are claiming experience in the above question, please list the employer(s) where you gained this experience in the text box below. The employer(s) and a description of the experiencemustalso be included in the appropriate sections of your application if you would like the experience to be considered in the eligibility decision. If you claimed you do not have experience, type N/A in the text box below.

05

Are you designated as a Chartered Life Underwriter?

+ Yes

+ No

06

If you are claiming experience in the above question, please list the employer(s) where you gained this experience in the text box below. The employer(s) and a description of the experiencemustalso be included in the appropriate sections of your application if you would like the experience to be considered in the eligibility decision. If you claimed you do not have experience, type N/A in the text box below.

07

Have you successfully completed at least two years of business school or college? If you are claiming credits/degree, you must upload a copy of your college transcript(s) for this education to be considered in the eligibility decision. Unofficial transcripts are acceptable. You must attach your transcript(s) prior to the submission of your application by using the "Attachments" tab on the left. You will not be able to add a transcript(s) to the application after it has been submitted.

If you answer "Yes" to this question based on education acquired outside of the United States, you must upload a copy of your foreign credential evaluation report. We can only accept foreign credential evaluations from organizations that are members of the National Association of Credential Services (NACES). A list of current NACES members can be found by visitingwww.naces.organd clicking the Evaluation Services Link.

For additional information on foreign education credentials, please visithttps://www.employment.pa.gov/Additional%20Info/Pages/default.aspx#q3and click on Other Information. You must attach your documentation prior to the submission of your application by using the "Attachments" tab on the left. You will not be able to add a document to the application after it has been submitted.

+ Yes

+ No

08

You must complete the supplemental questions below. These supplemental questions are the exam and will be scored. They are designed to give you the opportunity to relate your experience and training background to the major activities (Work Behaviors) performed in this position. Failure to provide complete and accurate information may delay the processing of your application, or result in a lower-than-deserved score or disqualification. Youmustcomplete the applicationandanswer the supplemental questions. Resumes, cover letters, and similar documents willnotbe reviewed for the purposes of determining your eligibility for the position or to determine your score.

All information you provide on your application and supplemental questions is subject to verification. Any misrepresentation, falsification or omission of material facts is subject to penalty. If requested, you must provide documentation, including names, addresses, and telephone numbers of individuals who can verify the validity of the information you provide in the application and supplemental questions.

Read each work behavior carefully. Determine and select which "Level of Performance" most closely represents your highest level of experience/training. List the employer(s)/training source(s) from your Work or Education sections of the application where you gained this experience/training.The "Level of Performance" you choose for each work behavior must be clearly supported within the description of the experience and training information entered in your application or your score may be lowered.In order to receive credit for experience, you must have worked in a job for at least six months in which the experience claimed was a major function.

If you have read and understand these instructions, please click on the "Yes" button and proceed to the exam questions.

If you have general questions regarding the application and hiring process, please refer to ourFAQ page (https://www.employment.pa.gov/Additional%20Info/Pages/default.aspx) .

+ Yes

09

WORK BEHAVIOR 1 - ANALYZING INSURANCE POLICIES

Analyzes filings of credit, accident and health, annuity and life insurance policies and related forms submitted by insurers, non-profit hospital and professional health service corporations, HMOs, PPOs and Fraternal Benefit Societies for compliance with statutory and regulatory requirements and approves or disapproves them.

Levels of Performance

Select the Level of Performance that best describes your claim.

+ A. I have experience analyzing insurance policies and related information. I was responsible for utilizing my analysis to make recommendations regarding insurance policies and related forms.

+ B. I have experience analyzing insurance policies and related information. Someone else utilized my analysis to make recommendations regarding insurance policies and related forms.

+ C. I have successfully completed college-level coursework in areas such as insurance, finance, or economics.

+ D. I have NO experience or coursework related to this work behavior.

10

In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.

+ The name(s) of the employer(s) where you gained this experience.

+ Your experience analyzing insurance policies and related information.

+ Your level of responsibility.

11

If you have selected the level of performance pertaining to college coursework, please provide your responses to the items listed below. If you indicated you have no education/training related to this work behavior, type N/A in the text box below.

+ College/University

+ Course Title

+ Credits/Clock Hours

12

WORK BEHAVIOR 2 – WRITTEN COMMUNICATION

Prepares insurance-related documents and correspondence, such as notifications to filers whose forms are disapproved, stating in detail the reasons for the objection. Prepares form review checklists and other pertinent documents.

Levels of Performance

Select the Level of Performance that best describes your claim.

+ A. I have experience preparing correspondence to clients. I was responsible for the final document that conveyed information to the intended recipient.

+ B. I have experience preparing correspondence to clients but someone else was responsible for the final version that conveyed information to the intended recipient.

+ C. I have successfully completed college-level coursework in business writing, technical writing, English composition, journalism, or communications.

+ D. I have NO experience or coursework related to this work behavior.

13

In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.

+ The name(s) of the employer(s) where you gained this experience.

+ Your experience preparing correspondence to clients.

+ Your level of responsibility.

14

If you have selected the level of performance pertaining to college coursework, please provide your responses to the items listed below. If you indicated you have no education/training related to this work behavior, type N/A in the text box below.

+ College/University

+ Course Title

+ Credits/Clock Hours

15

WORK BEHAVIOR 3 – TECHNICAL ASSISTANCE

Communicates verbally and in writing with companies, consultants, and legal counsel to discuss filing issues. Answers questions posed by filers, internal staff, and the general public about credit, accident and health, annuity and life insurance forms, and the requirements for such forms and the filing of them.

Levels of Performance

Select the Level of Performance that best describes your claim.

+ A. I have experience interacting with individuals and utilizing customer service skills to answer questions on insurance laws and regulations, forms, or policies. I was responsible for answering general questions and providing technical advice.

+ B. I have experience interacting with individuals and utilizing customer service skills to answer questions on insurance laws and regulations, forms, or policies. I was responsible for answering general questions, but I referred technical questions to someone else to provide information.

+ C. I have successfully completed college-level coursework in counseling, public speaking, public relations, or education.

+ D. I have NO experience or coursework related to this work behavior.

16

In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.

+ The name(s) of the employer(s) where you gained this experience.

+ Your experience utilizing customer service skills to answer questions on insurance laws and regulations, forms, or policies.

+ Your level of responsibility.

17

If you have selected the level of performance pertaining to college coursework, please provide your responses to the items listed below. If you indicated you have no education/training related to this work behavior, type N/A in the text box below.

+ College/University

+ Course Title

+ Credits/Clock Hours

18

WORK BEHAVIOR 4 – RESEARCH AND DOCUMENTATION

Researches, analyzes, and interprets statutes, regulations, laws, or Statements of Policy and drafts proposed changes.

Levels of Performance

Select the Level of Performance that best describes your claim.

+ A. I have experience researching records and files for various projects and reports. When given a topic, I was responsible for compiling and summarizing information from a variety of data sources.

+ B. I have experience retrieving specifically requested records and files from a single records location and providing the information to someone else.

+ C. I have successfully completed college-level coursework in areas such as research methods, statistics, research design and analysis, or data collection.

+ D. I have NO experience or coursework related to this work behavior.

19

In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.

+ The name(s) of the employer(s) where you gained this experience.

+ The actual duties you performed related to researching records and compiling information.

+ Your level of responsibility.

20

If you have selected the level of performance pertaining to college coursework, please provide your responses to the items listed below. If you indicated you have no education/training related to this work behavior, type N/A in the text box below.

+ College/University

+ Course Title

+ Credits/Clock Hours

Required Question

Employer

Commonwealth of Pennsylvania

Address

613 North Street

Harrisburg, Pennsylvania, 17120

Website

http://www.employment.pa.gov