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Investigations Manager

1 month ago

Thurston County Tumwater, United States Disability Solutions Full time

DESCRIPTION

This recruitment will remain open until November 3, 2024. The agency reserves the right to make a hiring decision at any time after the initial screening date on October 17, 2024. It is in the applicant’s best interest to submit materials as soon as possible.
 
OIC CAREER OPPORTUNITY
 
The Office of the Insurance Commissioner’s (OIC) Unauthorized Companies & Registered Entities Investigations Unit is seeking a motivated and qualified individual to fill an Investigations Manager (Exempt) position.  This position is assigned to the Legal Affairs Division, located in our Tumwater office.
 
The Investigations Manager (Exempt) oversees all investigations of health care sharing ministries, fraudulent ERISA plans, service contract providers, discount plan organizations, captive insurance companies, protection product guarantee providers, health care and pharmacy benefit managers, and unauthorized insurance companies.
 
What are we looking for in a candidate?
 
We are seeking a candidate with a background in financial examination, financial auditing, or pharmacy investigation/pharmacy practice, who is well-versed in essential management principles such as coaching, training, and team building.
 
How will you benefit?
 
The successful candidate will become part of a motivated and diverse team that values shared responsibility in safeguarding consumers from harm.

If you're interested in an exciting career that protects consumers' interests and promotes a healthy business environment in this state, please apply and become part of our dynamic team.
 
This is a Civil Service Exempt position. The annual salary range for this position is $90,000 - $125,000.
 
AGENCY PROFILE AND VALUES

The Office of the Insurance Commissioner (OIC) operates under the direction of the state's Insurance Commissioner, a statewide elected official. Our mission is to provide consumer protection and regulation of the state's insurance industry.
 
With a workforce of approximately 265 employees, we are one of the smaller state agencies in Washington state government and are fortunate to have a stable funding source that does not rely on the state's general fund.
 
Because we are a small agency, you will truly get a chance to understand the 'big picture' of what we do and why we do it. You will also have a chance to get to know your co-workers.
 
We value diversity in the workplace. We challenge our employees to continuously improve the way we do business and to meet and exceed the needs of our customers.
 
To learn more about this agency, we invite you to visit our website at http://www.insurance.wa.gov/ and listen to our employees talk about why they love working here. 
 
BENEFITS OF WORKING FOR OIC

Washington State offers one of the most competitive benefits packages in the nation. We offer a great selection of health and retirement plans, paid leave, and compensation benefits for you and your family.
 
Additional Benefits:
 
  • Wellness programs.
  • Dependent care assistance.
  • Washington State Employee Assistance Program.
  • Federal Social Security and Medicare systems.
  • Additional Leave; Leave Sharing, Parental Leave, Family and Medical Leave Act (FMLA), Leave Without Pay.
  • Deferred Compensation (supplemental retirement plan).
  • Training and development opportunities, including tuition reimbursement.
  • Program for Public Service Loan Forgiveness (if applicable)
  • Free parking at our main office in Tumwater.
  • A stable funding source that does not rely on the state's general fund.
  • The fulfillment of public service.
  • Excellent work-life balance.
  • Flexible work schedules and telework opportunities.
  • Commitment to diversity in the workplace and support one another with respect and trust.
  • Free Thurston County Transit public transportation.

DUTIES
The duties of the position include, but are not limited to: 
 
  • Developing and revising policies and procedures for investigations.
  • Developing clear written guidance for investigations.
  • Ensuring efficient and effective use of staff and agency resources.
  • Committing to the overall responsibility of managing a team consisting of three (3) Investigator 3s.
  • Ensuring employees receive required training, mentoring, and guidance needed to meet established expectations.
  • Assigning, planning, instructing, and checking the work of assigned staff; coaching and recognizing staff.
  • Determining and adjusting the schedules for assigned staff.
  • Conducting supervisory fact-findings.

QUALIFICATIONS
Required Qualifications: 
 
You must meet one of the required qualification options listed and any additional qualifications included in the required qualifications section.
 
  • Option 1: Nine (9) or more years of experience as an investigator or equivalent in a law enforcement or regulatory agency, or in the insurance industry or other directly related investigatory experience. At least two (2) years of this experience must have been in a supervisory capacity/senior-level position overseeing the work of other investigators.
  • Option 2: An associate degree and seven (7) years of experience as an investigator or equivalent in a law enforcement or regulatory agency, or in the insurance industry or other directly related investigatory experience. At least two (2) years of this experience must have been in a supervisory capacity/senior-level position overseeing the work of other investigators.
  • Option 3: A bachelor’s degree and five (5) years of experience as an investigator or equivalent in a law enforcement or regulatory agency, or in the insurance industry or other directly related investigatory experience. At least two (2) years of this experience must have been in a supervisory capacity/senior-level position overseeing the work of other investigators.
  • Option 4: A master’s degree and three (3) years of experience as an investigator or equivalent in a law enforcement or regulatory agency, or in the insurance industry or other directly related investigatory experience. At least two (2) years of this experience must have been in a supervisory capacity/senior-level position overseeing the work of other investigators.
 
“Experience” is defined as (a) gathering and analyzing relevant, highly technical data, (b) interpreting and organizing this information, (c) applying the facts to legal statutes, and (d) preparing detailed reports with conclusions supported by evidence keyed to legal statutes). Such experience may be gained through the following types of work functions: review, analysis, and evaluation of insurance contracts or forms for compliance with laws and regulations; investigation and resolution of consumer complaints; professional work experience in areas such as regulatory examinations and regulatory compliance; and ability to conduct audit activities, summarize findings, and recommend corrective actions. 
 

AND
 
  • The ability to train other investigators.
  • The ability to interpret and apply state and federal regulations and laws.
  • The ability to write and speak clearly, concisely, accurately, and informatively.
  • The ability to exercise objective and mature judgment in a wide variety of settings.
 
Preferred/Desired:
 
  • Prior experience supervising investigative, financial examination, or audit staff.
  • Financial examination, pharmacist, or financial audit experience in a regulatory environment.
  • Investigative experience involving the insurance industry or other regulatory compliance. 
  • Familiarity with Title 48 and WAC 284.
  • Qualifying investigative experience was performed within the past three years. 
  • Bachelor’s degree issued by an accredited college or university. 
  • Experience in reading, analyzing, and interpreting complex agreements and contracts; especially insurance contracts and agreements.

SUPPLEMENTAL INFORMATION
How to Apply: Applications for this recruitment will be accepted electronically. Please select the large green "apply" button at the top of this announcement. If you have not done so previously, you will need to set up an account profile.
 
Please provide three (3) professional references on your application. A professional reference is defined as an individual who has been paid to supervise your work and can attest to your work performance, technical skills, and job competencies. If you do not have any or sufficient professional references, please include non-related professionals, such as educators or other professional associates.
 
The initial screening will be based on the content and completeness of your application and the materials submitted. All information may be verified, and documentation may be required. Your letter of interest should describe how your experience, training and education make you a viable and competitive candidate for this position. Applications with comments such as "see attachments" or "see resume" in the supplemental question responses will be considered incomplete.

General suggestions for creating a good application:

  • Read the job posting very carefully. Find out as much as you can about the position.
  • Make sure you are very diligent in following all the application instructions.  Include all requested documentation. 
  • Make sure your application and supplemental question responses address how you meet each of the required and desired qualifications. 
  • Carefully read each of the supplemental questions and respond completely to each one. Pay attention to each component of the question, providing examples, and thoroughly describing when and where you achieved the experience. Detail the types of work you performed, the work products, etc., to demonstrate 'how'. 
  • Specifically include all your work experiences doing the same or similar work, especially if you reference work in these jobs in describing when/where you gained experience or skills. 
  • Make sure your application reflects your best writing.
Wage/salary depends on qualifications or state rules of compensation (if currently a state employee).
 
Contact us: For inquiries about this position, please contact Treese Beckett at recruitment@oic.wa.gov. 
 
Other Information:

  • State law (RCW 48.02.090[5]) prohibits employees of the OIC from having any interest, directly or indirectly, in an insurance company other than as a policyholder. This prohibition includes the receipt of renewal commissions. If employment is accepted with this agency, you agree to abide by this state law.
  • If a degree or other credentials are listed by the candidate, proof will be required at the finalist stage. Candidates are encouraged to pre-plan for this.  University degrees must be recognized by the U.S. Department of Education and the Council for Higher Education Accreditation (CHEA) or foreign equivalent.
  • If a degree was awarded outside the United States, candidates must provide a credential evaluation report.
  • Prior to a new hire, a background check including criminal record history will be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant’s suitability and competence to perform in the position. 
  • The Office of Insurance Commissioner is an equal opportunity employer. Auxiliary aides and services are available upon request to individuals with disabilities. Please contact the recruiter listed above.   
  • If you are having technical difficulties creating, accessing (log in, password or email issues) or completing your application (error messages), please call toll-free at (855) 524-5627.
  • For general questions regarding applying for jobs, contact the recruiter or careershelp@des.wa.gov.