Insurance Consumer Analyst I

Agency Dept of Insurance Division Health Services Group Job Classification Title Insurance Consumer Analyst I (S) Position Number 65012642 Grade NC09 About Us The mission of the North Carolina Department of Insurance is to promote a stable insurance market through unbiased regulation and to protect the lives and property of every citizen in all 100 counties while fostering superior, user-friendly service, courtesy, and respect. Our agency licenses insurance agents, adjusters, bail bondsmen and more, along with investigating fraud matters involving insurance consumers and any entity or individual regulated by the Department. In an ever-changing environment, it is the vision of the Department of Insurance to maintain the stabilization of the insurance industry in order to provide more products, competitive prices and consumer protection. Description of Work Insurance Consumer Analyst I - 65012642 Salary Recruitment Range: $39,671 - $48,410 Salary Grade: NC09 This posting will close on 12/04/2025 at 11:59pm. This position currently qualifies for a hybrid telework option with routine office and 1 remote workday. The NC Department of Insurance trusts our employees to be self-motivated and successful in hybrid/remote roles. Telework options are subject to change at the discretion of management. Mission of the Department of Insurance: The North Carolina Department of Insurance's mission is to promote a stable insurance market through unbiased regulation and to protect the lives and property of every citizen in all 100 counties while fostering superior, user-friendly service, courtesy, and respect. North Carolina Department of Insurance offers rewarding careers in a number of different fields that helps us protect consumers and regulate the insurance industry in North Carolina. But that’s not all that we do! NCDOI also investigates insurance fraud. We set standards for and inspect fire stations, regulate engineering codes and work with building inspectors in every corner of North Carolina. If you’re interested in a career that will help make North Carolina a safer and better place to live while working with some of the best professionals in the industry, apply today! For more information about NCDOI: http://www.ncdoi.gov/ Primary Purpose of the Position: The primary purpose of this position is to provide counseling and education to consumers on health insurance issues for Medicare beneficiaries via the national toll-free line and in-person meetings to include virtual assistance. This includes determining the consumer's needs, gathering correct information and answering the caller's question/inquiry. This requires extensive knowledge of Medicare, Medicare Supplements, Long-Term Care insurance, Medicare Managed Care, Medicare Prescription Drug Plans, medical claims procedures, and Medicare fraud, waste, and abuse. Should the consumer's inquiry require research then this position is to provide information to the appropriate staff member to research the problem and/or question and provide follow-up to the caller with an answer. There are situations when it is appropriate to make referrals to other applicable sources of assistance. This may include social service agencies, other state and federal agencies, or whatever community resource is available to handle a specific problem. Knowledge Skills and Abilities/Management Preferences Management Preferences: Knowledge of health insurance laws and procedures, as well as Medicare laws and claims practices. Extensive knowledge on Medicare Supplement, Medicare Managed Care, Medicare Drug Plans, and Long-Term Care insurance products because individuals will have to compare and differentiate between products in order to advise consumers. Considerable communication and organizational skills Ability to relay information by telephone and in-person to consumers, predominately senior citizens and disabled individuals, in a concise, clear manner. Patience and politeness are critical when speaking with elderly and disabled persons. Minimum Education and Experience Some state job postings say you can qualify by an “equivalent combination of education and experience.” If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both. See the Education and Experience Equivalency Guide for details. Effective July 1, 2025, candidates now meet the minimum qualifications of a position if they have the minimum education and experience listed from the class specification. The knowledge, skills, and abilities listed in the vacancy announcement should be used as management preferences and be used to screen for the most qualified pool of applicants. Bachelor's degree business or economics or a related program from an appropriately accredited institution and one year of experience in insurance underwriting, claims, or policyholder service; or an equivalent combination of education and experience. Benefits of NC State Employment: We value our employees and offer a wide variety of competitive and family-friendly benefits. Benefits include: 12 Annual paid Holidays North Carolina State Health Plan administered by AETNA Supplemental Benefits including: Flexible Spending Accounts, Accident Insurance, Cancer & Specified Disease, Critical Illness, Dental and Vision NC State Retirement (TSERS) WeSave Employee Discounts Learn more about employee perks/benefits: Why Work For NC? NC OSHR: Benefits Supplemental and Contact Information: For consideration for this vacancy, all applicants must complete an online application using the “APPLY” button above. To receive credit for your work history and credentials, you must list the information on the State Application. Any information omitted from your application cannot be considered for qualifying credit. ***Applications with "see attached" or resumes in lieu of completed education and work experience on the formal application will be deemed incomplete and will not be eligible for consideration for the vacancy*** Applications for positions requiring specific coursework must be accompanied by a copy of the applicant's transcript. The Department of Insurance/Industrial Commission may conduct criminal history checks of all job applicants recommended for employment. Failure to accurately acknowledge information on criminal convictions on the state application form will be grounds for non-consideration of applications, disciplinary action, and possible criminal prosecution. The Department of Insurance/Industrial Commission is an Equal Employment Opportunity employer and uses the merit-based recruitment and selection plan to fill positions subject to the State Personnel Act with the most qualified individuals. Academic Degrees must be from appropriately accredited institutions and will be verified. If you are selected for a position at DOI/IC, your academic credentials will be verified. Applicants requesting and receiving an accommodation under the Americans with Disabilities Act (ADA) are eligible to submit paper applications via mail or by fax. Applicants seeking Veteran's Preference under N.C.G.S .126 must submit a DD Form 214, Certificate of Release or Discharge from Active Duty. This information may be attached to the online application or be faxed on or before the closing date. Applicants may check the status of their application for a vacancy at any time by logging in to the government jobs system. Once the applicant has logged in, the status of each submitted application is documented next to each vacancy for which they have applied. EEO Statement T he State of North Carolina is an Equal Employment Opportunity Employer and dedicated to providing employees with a work environment free from all forms of unlawful employment discrimination, harassment, or retaliation. The state provides reasonable accommodation to employees and applicants with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for religious beliefs, observances, and practices. Recruiter: Gretchen Marie Senez Recruiter Email: [email protected]