Consumer Service Specialist

Consumer Service Insurance 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? Are you bilingual and do you speak Spanish? 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.
• Review and analyze health or life insurance complaints to ensure compliance with federal and state laws.
• Effectively communicate with insurers regarding complaint findings.
• Negotiate compliant and reasonable solutions.

Minimum Qualifications The best qualified candidate for this position will have:

• 3 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 Bilingual, Spanish speaking applicants with health or life insurance experience are preferred. 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.