CLASSIFICATION: CASUALTY INSURANCE EXAMINER
Class Code: 1610-28 Date Established: 12-15-93
Occupational Code: 7-2-4 Date of Last Revision: 03-31-08
BASIC PURPOSE: To analyze property, casualty and liability insurance companies’ rates, rules and forms to determine conformity with state statutes and departmental regulations.
CHARACTERISTIC DUTIES AND RESPONSIBILITIES:
· Reviews and analyzes information and data pertinent to contracts filed by casualty, liability and property insurers and approves or disapproves insurance companies’ policies, contracts, endorsements, and applications.
· Reviews insurance rating plans and underwriting guidelines from existing licensed companies and from new companies seeking licensure to do business in New Hampshire, in order to ensure they are not excessive, inadequate or unfairly discriminatory.
· Confers with insurance company officials to resolve errors in contract endorsements, rules, applications, consumer policy cancellations, and errors in coverage resulting in nonpayment of claims.
· Provides analytical, statistical and technical assistance in writing regulations for policies and for rate structures.
· Obtains and prepares data for in-house examiners to audit insurance agents and/or companies in relation to consumer complaints.
· Monitors the establishment and maintenance of records and files containing specialized information concerning licensed insurance companies.
· Assists unit supervisor in the administration of existing regulations for property, casualty and liability insurance.
· Prepares responses to oral and written inquiries relative to property, casualty and liability insurance to advise, explain and/or interpret technical matters or policy.
Skill: Requires skill in analyzing and interpreting data, policy, and procedures OR in using equipment in order to arrive at logical conclusions or recommendations.
Knowledge: Requires logical or scientific understanding to analyze problems of a specialized or professional nature in a particular field.
Impact: Requires responsibility for achieving major aspects of long-range agency objectives by planning short- and long-term organizational goals, reviewing recommendations for procedural changes, and developing or revising program policies. Errors at this level result in incorrect decisions at an administrative level, and are detected subsequent to implementation in an overall evaluation process.
Supervision: Requires direct supervision of other employees doing related or similar work, including scheduling work, recommending leave, reviewing work for accuracy, performance appraisal, or interviewing applicants for position vacancies.
Working Conditions: Requires performing regular job functions in a controlled environment with minimal exposure to disagreeable job elements and little risk of hazard to physical or mental health.
Physical Demands: Requires light work, including continuous walking or operating simple equipment for extended periods of time as well as occasional strenuous activities such as reaching or bending.
Communication: Requires acting as the official representative of the agency, including explaining and defending current and long-range goals or objectives which directly affect public policy decisions regarding major state programs and services.
Complexity: Requires formulating the combination of overall job functions in order to address highly diverse or novel situations requiring new concepts and imaginative approaches to a wide range of intellectual and practical problems.
Independent Action: Requires independent judgment in planning and evaluating work procedures and in supervising the development of professional, technical and managerial standards under administrative direction and according to broad departmental guidelines.
Education: Bachelor’s degree from a recognized college or university with a major study in insurance, mathematics, business administration, accounting, economics, or a related field. Each additional year of approved formal education may be substituted for one year of required work experience.
Experience: Seven years of experience in the insurance industry, at least five years of which shall have been in the specialty area of property and casualty insurance. Possession of one of the following nationally recognized professional designations: CPCU, CIC, or an equivalent designation may be substituted for one year of the specialized experience in property and casualty insurance. Preference will be given to candidates with insurance industry experience focused on company roles involving underwriting, product development, claims adjusting, statistical analysis, and/or accounting principles.
License/Certification: None required.
RECOMMENDED WORK TRAITS: Knowledge of insurance, accounting and statistical procedures, principles and practices. Knowledge of the regulations of the placement of risks with unlicensed insurers. Knowledge of state laws and regulations relating to insurance companies. Ability to prepare complex technical reports. Ability to objectively evaluate information received to make sound recommendations. Ability to communicate effectively. Ability to establish effective working relationships with representatives of insurance companies and the general public. Must be willing to maintain appearance appropriate to assigned duties and responsibilities as determined by the agency appointing authority.
DISCLAIMER STATEMENT: This class specification is descriptive of general duties and is not intended to list every specific function of this class title.