Investigator (Rate/Financial Analyst II) - DORA: DOI Hybrid

About the role

The Colorado Division of Insurance (DOI) regulates the insurance industry in Colorado, assisting consumers with questions, complaints, and insurance understanding. The Producer Licensing and Enforcement work unit ensures compliance with Colorado insurance producer laws and regulations. This position investigates allegations of insurance producer misconduct and complaints about unlicensed insurance activity, reviews license applications requiring investigative scrutiny, initiates enforcement actions, and refers matters to law enforcement or other agencies. Additionally, the role involves educating stakeholders, researching and updating regulations, and responding to information requests under Colorado's open records laws.

Responsibilities

• Investigate allegations of insurance producer misconduct and complaints about unlicensed insurance activity.
• Research, review, update, and promulgate regulations and bulletins relevant to insurance producer licensing and enforcement.
• Respond timely and accurately to time-sensitive information requests in accordance with Colorado's open records laws.
• Train other Division staff on insurance producer licensing and enforcement matters.
• Recommend administrative enforcement actions against licensees, completing requests for legal services requiring multiple levels of management approval.
• Answer questions from consumers, industry, and the public concerning compliance with Colorado insurance producer laws and regulations, including responding to open-records requests.

Qualifications

There are two ways to qualify for this position:

Option 1: Experience

Six (6) years of relevant full-time professional* experience in at least one (1) of the following areas:

• Auditing, investigative, or compliance experience with violations of insurance or financial statutes and regulations and/or insurance claims complaints in the insurance industry.
• Experience working in a compliance or regulatory risk unit, including identifying trends or patterns that lead to the discovery of problematic activity.
• Conducting audits of financial records, establishing rates, handling claims, and policy services (involving interpreting and answering in-depth questions on policy provisions).

Option 2: A Combination of Education and Experience

Associate's Degree and Experience

Graduation from an accredited college or university with an associate's degree in accounting, business, business administration, economics, finance, public administration, public policy, or a related field; AND four (4) years of relevant full-time professional* experience in at least one (1) of the areas listed above.

Certification, registration, or licensure related to the work assigned, including Certified Internal Auditor (CIA) or Certified Fraud Examiner (CFE), may count for one (1) year of the requirement.

Bachelor's Degree and Experience

Graduation from an accredited college or university with a bachelor's degree in accounting, business, business administration, economics, finance, public administration, public policy, or a related field; AND two (2) years of relevant full-time professional* experience in at least one (1) of the areas listed above.

Certification, registration, or licensure related to the work assigned, including Certified Internal Auditor (CIA) or Certified Fraud Examiner (CFE), may count for one (1) year of the requirement.

Document this experience in your application in detail, as your experience will not be inferred or assumed. Part-time experience will be prorated.

Substitutions: Partial credit toward the degree requirement will be given for completed college/university coursework that did not result in a degree. A master's or doctorate degree in a related field may substitute for the bachelor's degree requirement.

Professional work involves exercising discretion, analytical skill, judgment, and personal accountability for creating, developing, integrating, applying, and sharing an organized body of knowledge typically acquired through an intense education or training regimen at a recognized college or university.

Preferred Qualifications

• Demonstrated experience working in a government position investigating matters of administrative, civil, or insurance law and/or regulations.
• Demonstrated experience performing financial analysis in situations involving the misappropriation of funds.
• Demonstrated professional experience analyzing and interpreting Colorado insurance statutes, regulations, bulletins, and NAIC (National Association of Insurance Commissioners) materials.
• Demonstrated professional experience utilizing investigative databases.