Consumer Service Specialist

Do you have experience in the health or life insurance industry such as advocating for consumers, claims administration, underwriting, auditing, contracts, consumer services, or compliance? Do you have knowledge of insurance laws and regulations? Are you able to communicate effectively in written and verbal form? If you answered yes to these questions join our team as a Consumer Service Insurance Specialist in our Health & Life Division at the Utah Insurance Department

The Consumer Service Insurance Specialist will primarily be tasked with answering questions from consumers, and reviewing insurance complaints. This is a great opportunity for individuals who are detail oriented and have a comprehensive knowledge of health or life insurance. Most of the consumer complaint review work is done independently with ample opportunities for collaboration with a larger team to discuss issues or policy questions as they arise. Organizational skills as well as the ability to clearly communicate compliance issues with companies are integral to the position.

Principal Duties

As a Consumer Service Insurance Specialist, you will:

• Advocate for health or life insurance consumers to ensure insurance benefits are compliant and provide required consumer protections.
• Assist consumers with questions and concerns by phone, through email, fax, or mail.
• Effectively communicate with internal/external consumers verbally or in writing.
• Review and set up health or life insurance complaints and independent review requests.
• Coordinate workload with team members to ensure accurate and timely management of cases.

Minimum Qualifications

The best qualified candidate for this position will have:

• 2 or more years of experience in the health or life insurance industry including experience in:
• insurance contract and product development;
• claims administration;
• consumer services; or
• conflict resolution.
• Knowledge of health or life insurance laws.
• Strong, well-rounded computer and writing skills.
• Ability to work both independently and within a team environment.
• Ability to read, understand, apply, and explain federal and state laws.

Preferred Qualifications

• Individuals with both health or life insurance experience are preferred.
• Individuals with experience in advocating for consumers are preferred.

Why You Should Join Our Team

This is an opportunity to make a difference by protecting Utah consumers by conducting a thorough review of insurance complaints for compliance with applicable laws. Employees of the Insurance Department enjoy a flexible work schedule to promote a healthy work/life balance, the satisfaction of serving the residents of our great state, and currently the chance to work from home up to 3 days a week We offer great health benefits and retirement plans, along with generous paid time off.

The Agency

The Utah Insurance Department's mission is to foster a healthy insurance market by promoting fair and reasonable practices that ensure available, affordable and reliable insurance products and services. To learn more about the Insurance Department,

• The Department requires successful completion of a background check before employment will begin.
• Risks found in the typical office setting, which is adequately lighted, heated and ventilated, e.g., safe use of office equipment, avoiding trips and falls, observing fire regulations, etc.
• Typically, the employee may sit comfortably to perform the work; however, there may be some walking; standing; bending; carrying light items; driving an automobile, etc. Special physical demands are not required to perform the work.
• If you are currently licensed with the Utah Insurance Department, your license will be suspended while you are employed by the Department. Your license can be reactivated once you are no longer employed by the Department.
• DHRM rules regarding promotions and transfers apply to current state of Utah employees.