Insurance Analyst (Rate/Financial Analyst II): DORA/Division of Insurance - Hybrid.

This position is part of the department’s hybrid workplace program. While designated as hybrid, the role requires reporting to the department office on a scheduled basis at the supervisor’s discretion, based on business need. This announcement may be used to fill multiple vacancies.

About the Department

The Department of Regulatory Agencies (DORA) is dedicated to preserving the integrity of the marketplace and promoting a fair and competitive business environment in Colorado. Consumer protection is our mission. DORA values and promotes diversity, supporting an inclusive workplace that reflects our communities and fosters positive relationships.

Benefits

• Employer-sponsored RTD EcoPass, with offices located at Civic Center Plaza, above the RTD Civic Center station and near RTD light rail.
• Extensive work-life programs, including flexible schedules, training, and professional development opportunities.
• Employee wellness programs, such as the Colorado State Employee Assistance Program (CSEAP), offering free, confidential counseling services.
• Bike-to-work programs, including access to storage lockers and bike racks.
• Flexible retirement benefits, including a choice of the PERA Defined Benefit Plan or the PERA Defined Contribution Plan, plus optional 401K and 457 plans.
• Medical and dental health insurance for employees, with optional coverage for dependents.
• Life insurance for employees, with optional coverage for dependents.
• Paid Time Off, including 11 paid holidays.
• Short- and long-term disability coverage.
• Tuition assistance program.

About the Role

The Colorado Division of Insurance (DOI) regulates the insurance industry in Colorado, assisting consumers with questions, investigating complaints, and ensuring compliance with laws. The Consumer Services – Life and Health work unit regulates industry trade practices and addresses consumer inquiries and complaints. This position supports the Life and Health Consumer Services section by acting as an ombudsman for Colorado consumers experiencing issues with insurers where alleged law violations have occurred.

Responsibilities

• Review policy contracts, insurer communications, and Colorado insurance laws, regulations, and bulletins.
• Educate consumers, producers, providers, and others through telephone, face-to-face discussions, and community meetings.
• Investigate written complaints from Colorado consumers involving life and health insurance, including life insurance, annuities, preneed funeral contracts, and health insurance products.
• Assist in developing consumer education materials, identifying common issues, and preparing targeted information.
• Direct, counsel, and guide insurance companies and consumers by determining applicable Colorado statutes, regulations, and bulletins for specific questions.
• Use applicable laws and regulations to determine steps to assist consumers or ensure covered expenses or benefits are paid promptly.

Requirements

There are two ways to qualify for this position:

Option 1: Experience

• Six (6) years of full-time professional experience in the insurance industry (government, public, or private sector), including at least one of the following:
  • Reviewing rates, policy forms, and/or filings for compliance with laws and regulations.
  • Educating consumers, producers, or providers about insurance products, rates, or claims.
  • Reviewing, researching, or resolving complaints related to the commercial health and life insurance industry.
  • Handling claims, policy services, compliance, or member services.

Option 2: Combination of Education and Experience

• Associate’s Degree and Experience:
  • Associate’s degree in accounting, business administration, economics, English, insurance and risk management, healthcare disciplines (e.g., public health, healthcare administration), public administration, or a related field.
  • Four (4) years of full-time professional experience in the insurance industry, including at least one of the following:
    • Reviewing rates, policy forms, and/or filings for compliance.
    • Educating consumers, producers, or providers about insurance products, rates, or claims.
    • Reviewing, researching, or resolving complaints related to the commercial health and life insurance industry.
    • Handling claims, policy services, compliance, or member services.
• Bachelor’s Degree and Experience:
  • Bachelor’s degree in accounting, business administration, economics, English, insurance and risk management, healthcare disciplines (e.g., public health, healthcare administration), public administration, or a related field.
  • Two (2) years of full-time professional experience in the insurance industry, including at least one of the following:
    • Reviewing rates, policy forms, and/or filings for compliance.
    • Educating consumers, producers, or providers about insurance products, rates, or claims.
    • Reviewing, researching, or resolving complaints related to the commercial health and life insurance industry.
    • Handling claims, policy services, compliance, or member services.

Certification, registration, or licensure as a Certified Insurance Examiner (CIE), Accredited Insurance Examiner (AIE), Certified Insurance Consumer Service Representative (CICSR), or another relevant designation may substitute for one (1) year of the experience requirement. Document all experience in detail in your application.

Preferred Qualifications

• Experience working in a state government position conducting research and analyzing insurance policy contracts.
• Experience investigating complex insurance matters involving diverse stakeholders.
• Experience reading, interpreting, and communicating Colorado insurance statutes, regulations, and policies.
• Direct customer service experience in a call center and/or member services.
• Experience working in the property and casualty insurance industry.
• Experience liaising between insurance carriers and consumers.
• Experience working with consumers through direct contact (phone, email, or in person).

Skills

• Written communication skills, including conveying information clearly and concisely to stakeholders.
• Verbal communication skills, including effectively conveying information to audiences.
• Attention to detail.
• Critical thinking and analytical skills, including evaluating information and determining appropriate courses of action.
• Prioritization skills, including planning, organizing tasks, and managing work assignments.
• Interpersonal skills, including working with stakeholders.
• Time management skills, including multitasking to meet tight deadlines.
• Knowledge of Colorado’s insurance statutes, regulations, bulletins, federal statutes, and NAIC standards.
• Ability to collaborate with regulated entities while conveying authority with tact and diplomacy.
• Ability to understand and abide by workplace principles, practices, and behaviors.
• Ability to read, understand, interpret, apply, and explain laws, rules, policies, and procedures.
• Sound judgment and confidence in decision-making.
• Ability to travel independently, including in-office work as required.
• Integrity and high ethical standards.
• Accountability and reliability, including attendance.
• Ability to maintain confidential, controversial, or sensitive information.
• Self-starter with the ability to work independently and complete tasks with minimal supervision.
• Professional demeanor.
• Proficiency in PC software applications, including Microsoft Office (Access, Word, Excel) and Google Suite (Docs, Sheets, Slides).

Professional work involves exercising discretion, analytical skill, judgment, and personal accountability for applying specialized knowledge acquired through education or training.