CAPPS, Inc.
TDI-Insurance Specialist III
CAPPS, Inc., Austin, Texas, us, 78716
Job Description
Do you have a passion for public service and enjoy making a difference?Don't miss out on this opportunity. The Texas Department of Insurance (TDI) is hiring! Apply now if you're looking for a rewarding career in public service. We regulate the insurance industry, administer the Texas workers' compensation system, and educate and protect consumers.
You'll love the benefits of working at TDI:
•Flexible work schedules.
•Hybrid work schedule, if applicable.
•Work-life-balance.
•96 hours of accrued vacation a year.
•96 hours of accrued sick leave a year.
•20+ holidays every year.
•Career advancement opportunities.
•Free parking.
•Free comprehensive medical insurance for full-time employees and 50% off premium costs for dependents (state pays other 50%).
Before you apply:
Learn about our selection process, our military employment preference, and licensing and credential requirements.
Classification title:Insurance Specialist III
This position involves performing moderately complex (journey-level) handling of written inquiries and resolving Texas consumer complaints involving insurance issues such as claim settlements, obtaining benefits, resolving customer service grievances, and coordinating with insurance companies for responses and resolution. Work involves researching and identifying alleged violations of the Texas Insurance Code and Texas Administrative Code, including examining, reviewing and interpreting complaints, records, reports, and management practices to ensure compliance with statutes and agency rules. Work may include communication with the public via the agency complaint portal, by email, by phone, or in person; enters information into databases, processes correspondence to customers, and other clerical services. Manages dynamic case load of complaints involving multiple lines of insurance. Coordinates with other functional areas of TDI.Works under general supervision with moderate latitude for the use of initiative and independent judgment.
This position:
•Analyzing complaints against insurance entities to assure that all possible violations of the Texas Insurance Code, and/or Texas Administrative Code are addressed.
•Assist consumers with resolution of complaints against their insurance companies by phone or in writing.
•Analyzes consumer complaints dealing with Life, Accident and Health insurance coverage to ensure compliance with state statutes.
•Provides technical information to consumers, insurance company representatives and agents.
•Supports the agency's Consumer Help Line with overflow calls.
•Performs other duties as assigned.
Qualifications:
This position requires:
•Sixty college hours.
•One- and one-half years of experience in technical insurance or in a field relative to assignment.
•Education and experience relevant to position requirements may be substituted for one another on a year-for-year basis.
Additional job details:
•This position requires regular work attendance.
•The position may be eligible for a hybrid work schedule. If eligible, the employee must have a secure, dedicated workspace with reliable broadband internet service. The ideal candidate must be available for weekly meetings and group collaboration via Microsoft Teams and other applications during regular business hours.
•The interview will include a writing and grammar test.
Preferences for this position include:
•Bi-lingual in Spanish
This position requires demonstrated knowledge of:
•Business or program terminology, spelling, punctuation, grammar, typing formats, and word processing techniques and procedures.
•Life, Accident and Health lines of insurance " list a KSA" ; and
•Rules and statutes pertaining to Life, Accident and Health lines of insurance.
This position requires demonstrated skill in:
•Problem solving and critical thinking.
•Using Microsoft Office software applications, including Word, Excel, Outlook, and SharePoint.
•Using personal computers sufficient to enter and extract data from related systems and programs such as Centralized Accounting Payroll and Personnel (CAPPS) and other systems required to perform the job.
•Planning, decision-making and problem-solving.
•Effective oral and verbal communication.
This position requires the demonstrated ability to:
•Maintain the confidentiality of sensitive information.
•Apply critical thinking to evaluate, analyze, and interpret information.
•Interpret rules, regulations, filing requirements, policies, and procedures.
•Comprehend state and federal health insurance statutes and rules.
•Compose technical correspondence to consumers, insurance company representatives, agents and others.
•Communicate professionally and effectively, both verbally and in writing, with all levels of employees, industry representatives, governmental officials, and the general public.
•Work independently and as a team player.
•Exercise good judgment and discretion.
•Be flexible and able to handle multiple tasks.
•Analyze and solve work-related problems and work independently on a variety of administrative work and technical assignments and;
•Manage and coordinate multiple tasks and priorities to meet necessary deadlines;
Veterans
Get help translating your military work experience and training courses into civilian job terms, qualifications/requirements, and skill sets. Redact personal or sensitive information from all attachments.
To receive a veteran's preference, you must submit the following documents, as applicable, with your application.
•Copy of the DD-214; member #4.
•Statement of compensation from the Veteran's Administration or
•Copy of the DD1300.
Applicable Military Occupational Specialty (MOS) codes are included, but not limited to one of the following:
No direct military equivalent
https://hr.sao.texas.gov/Compensation/MilitaryCrosswalk/MOSC_Insurance.pdf
How to apply:
All applications must contain complete job histories, including job title, dates of employment, name of employer, manager's name and phone number, and a description of duties performed. We may reject applications that do not include all the required information. Resumes do not substitute for this required information.
Submitted through Work in Texas:
Work in Texas (WIT) applicants must complete supplemental questions to be considered for the position. To complete supplemental questions, go to CAPPS Career Center to register or log in and access your profile.
Do you have a passion for public service and enjoy making a difference?Don't miss out on this opportunity. The Texas Department of Insurance (TDI) is hiring! Apply now if you're looking for a rewarding career in public service. We regulate the insurance industry, administer the Texas workers' compensation system, and educate and protect consumers.
You'll love the benefits of working at TDI:
•Flexible work schedules.
•Hybrid work schedule, if applicable.
•Work-life-balance.
•96 hours of accrued vacation a year.
•96 hours of accrued sick leave a year.
•20+ holidays every year.
•Career advancement opportunities.
•Free parking.
•Free comprehensive medical insurance for full-time employees and 50% off premium costs for dependents (state pays other 50%).
Before you apply:
Learn about our selection process, our military employment preference, and licensing and credential requirements.
Classification title:Insurance Specialist III
This position involves performing moderately complex (journey-level) handling of written inquiries and resolving Texas consumer complaints involving insurance issues such as claim settlements, obtaining benefits, resolving customer service grievances, and coordinating with insurance companies for responses and resolution. Work involves researching and identifying alleged violations of the Texas Insurance Code and Texas Administrative Code, including examining, reviewing and interpreting complaints, records, reports, and management practices to ensure compliance with statutes and agency rules. Work may include communication with the public via the agency complaint portal, by email, by phone, or in person; enters information into databases, processes correspondence to customers, and other clerical services. Manages dynamic case load of complaints involving multiple lines of insurance. Coordinates with other functional areas of TDI.Works under general supervision with moderate latitude for the use of initiative and independent judgment.
This position:
•Analyzing complaints against insurance entities to assure that all possible violations of the Texas Insurance Code, and/or Texas Administrative Code are addressed.
•Assist consumers with resolution of complaints against their insurance companies by phone or in writing.
•Analyzes consumer complaints dealing with Life, Accident and Health insurance coverage to ensure compliance with state statutes.
•Provides technical information to consumers, insurance company representatives and agents.
•Supports the agency's Consumer Help Line with overflow calls.
•Performs other duties as assigned.
Qualifications:
This position requires:
•Sixty college hours.
•One- and one-half years of experience in technical insurance or in a field relative to assignment.
•Education and experience relevant to position requirements may be substituted for one another on a year-for-year basis.
Additional job details:
•This position requires regular work attendance.
•The position may be eligible for a hybrid work schedule. If eligible, the employee must have a secure, dedicated workspace with reliable broadband internet service. The ideal candidate must be available for weekly meetings and group collaboration via Microsoft Teams and other applications during regular business hours.
•The interview will include a writing and grammar test.
Preferences for this position include:
•Bi-lingual in Spanish
This position requires demonstrated knowledge of:
•Business or program terminology, spelling, punctuation, grammar, typing formats, and word processing techniques and procedures.
•Life, Accident and Health lines of insurance " list a KSA" ; and
•Rules and statutes pertaining to Life, Accident and Health lines of insurance.
This position requires demonstrated skill in:
•Problem solving and critical thinking.
•Using Microsoft Office software applications, including Word, Excel, Outlook, and SharePoint.
•Using personal computers sufficient to enter and extract data from related systems and programs such as Centralized Accounting Payroll and Personnel (CAPPS) and other systems required to perform the job.
•Planning, decision-making and problem-solving.
•Effective oral and verbal communication.
This position requires the demonstrated ability to:
•Maintain the confidentiality of sensitive information.
•Apply critical thinking to evaluate, analyze, and interpret information.
•Interpret rules, regulations, filing requirements, policies, and procedures.
•Comprehend state and federal health insurance statutes and rules.
•Compose technical correspondence to consumers, insurance company representatives, agents and others.
•Communicate professionally and effectively, both verbally and in writing, with all levels of employees, industry representatives, governmental officials, and the general public.
•Work independently and as a team player.
•Exercise good judgment and discretion.
•Be flexible and able to handle multiple tasks.
•Analyze and solve work-related problems and work independently on a variety of administrative work and technical assignments and;
•Manage and coordinate multiple tasks and priorities to meet necessary deadlines;
Veterans
Get help translating your military work experience and training courses into civilian job terms, qualifications/requirements, and skill sets. Redact personal or sensitive information from all attachments.
To receive a veteran's preference, you must submit the following documents, as applicable, with your application.
•Copy of the DD-214; member #4.
•Statement of compensation from the Veteran's Administration or
•Copy of the DD1300.
Applicable Military Occupational Specialty (MOS) codes are included, but not limited to one of the following:
No direct military equivalent
https://hr.sao.texas.gov/Compensation/MilitaryCrosswalk/MOSC_Insurance.pdf
How to apply:
All applications must contain complete job histories, including job title, dates of employment, name of employer, manager's name and phone number, and a description of duties performed. We may reject applications that do not include all the required information. Resumes do not substitute for this required information.
Submitted through Work in Texas:
Work in Texas (WIT) applicants must complete supplemental questions to be considered for the position. To complete supplemental questions, go to CAPPS Career Center to register or log in and access your profile.