Lead Insurance Examiner - ACA Forms & Plan Management (Hybrid)

State Corporation Commission (SCC)

• $88K — $95K *
Finance & Insurance
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years of experience in insurance examination or related field
  • Strong knowledge of ACA compliance and health insurance regulations
  • Proven leadership experience with staff development and management
  • Exceptional analytical and technical problem-solving skills
  • Excellent verbal and written communication skills
  • Ability to manage multiple projects and meet deadlines
  • Familiarity with Virginia's health insurance marketplace

Responsibilities

  • Lead and mentor a team of insurance professionals
  • Assist in training and monitoring team workload
  • Audit and enhance staff filing reviews through feedback
  • Resolve complex compliance and analytical issues
  • Contribute to policy development and procedural guidelines
  • Provide guidance on compliance matters regarding filings
  • Communicate effectively with stakeholders regarding insurance queries
  • Engage with companies to clarify and amend submissions
  • Evaluate legislation impacts on insurance product reviews
  • Prepare complex reports and lead important meetings

Benefits

  • Hybrid work environment with flexible scheduling
  • Ongoing professional development and training opportunities
  • Opportunity to influence state health insurance policies
  • Collaboration with a team of dedicated insurance professionals
  • Engagement in significant public service and regulatory work
  • Potential for career advancement within the Bureau of Insurance
Full Job Description
Additional Detail

Lead Insurance Examiner - ACA Forms & Plan Management (Hybrid)

Starting Salary Range: $88,275 - $95,500

The State Corporation Commission's ("SCC") Bureau of Insurance ("BOI") seeks two experienced insurance professionals to fill two lead positions in the ACA Forms and Plan Management section in the Life & Health Insurance Division. One Lead Insurance Examiner position will oversee the work of three (3) insurance professionals responsible for ACA and large group health insurance filings, as well as other group accident and sickness filing reviews. The other Lead Insurance Examiner position will oversee the work of two (2) insurance professionals responsible for the review and analysis of applications for carriers to participate on Virginia's health insurance marketplace as well as ACA and non-ACA group health insurance policy forms. The ACA Forms and Plan Management section is responsible for ensuring that all filings and reviews are compliant with Virginia insurance laws and regulations. The Lead Insurance Examiner positions offer a hybrid work schedule (typically 2 days in office and 3 telework days each week) as well as a variety of professional development and training opportunities.

Essential functions and responsibilities include:

  • Lead, coach, mentor, develop, and evaluate assigned staff.
  • Assist section manager in training staff and coordinating and monitoring staff workload.
  • Audit rate and form filing reviews handled by staff and address any training needs identified through these audits.
  • Serve as a subject matter expert and resolve complex analytical or technical issues.
  • Participate in the development of policies, procedures, and guidelines.
  • Provide verbal and written advice and comment on compliance issues for filings.
  • Communicate verbally and in writing with regulators, industry personnel, and the public in response to requests for information, interpretation of contract provisions and laws, or review of staff decisions.
  • Correspond and meet with companies to obtain information, corrections, and amendments.
  • Provide technical, policy implication, and fiscal impact comments on specific issues related to proposed and enacted legislation impacting the review of ACA products, large group health filings and other group accident and sickness product filings.
  • Serve as a liaison with other sections and agencies.
  • Lead projects and prepare complex reports.
  • Lead and participate in meetings.
  • Perform related work as required.


Please Note: SCC only accepts applications received through its career center site. Applications submitted through Virginia Jobs site directly will not be considered.
For more information and to apply for this position directly on the SCC Career Center website, click the Additional Detail button on this page.
To view all current SCC job openings, visit the SCC Career Center website and click the Search button under Job Search.

Similar Jobs

More Jobs at State Corporation Commission (SCC)

More Finance & Insurance Jobs

Find similar Lead Insurance Examiner - ACA Forms & Plan Management (Hybrid) jobs: