Insurance Complaints Specialist - Revenue - Insurance - Kanawha

Nature of Work

The Consumer Services unit of the Property & Casualty division helps consumers with questions and concerns regarding automobile, homeowners, motorcycle, boat, pet, commercial property, commercial general liability, and workers' compensation insurance.

• Answer consumer telephone calls and meet with walk-in clients to assist with problems, determine if a formal complaint is warranted, and log all contacts into the SBS system.
• Investigate complaints filed against insurance companies, agencies, and agents involving disputed claims and alleged unfair insurance practices.
• Mediates settlements between claimants and insurance companies by gathering facts and recommending solutions according to policy and insurance code.
• Advises consumers of their rights under insurance laws and regulations.
• Attend hearings on insurance complaints to present findings of investigations.
• Write reports and narratives on complaints.
• Keep supervisor informed of any issues or trends that may need to be addressed, including possible needs for new legislation.
• Review insurance company’s responses to complaints to determine compliance with state insurance laws.
• Develop complaint files for referral to the Legal or Fraud divisions for further investigation when warranted.
• Attend and/or participate in meetings and seminars to inform the public on special or new areas in the insurance industry.
• Confere with United States Congressmen, Senators, and State Legislators in resolving constituent problems.
• Limited travel may be required to participate in educational outreach efforts throughout the state.
• Perform other duties as assigned.

• Excellent verbal and written communication skills, active listening, empathy, patience, and a positive attitude.
• Proficient in Microsoft Office.

• Graduation from an accredited four-year college or university.
• Experience may substitute for the required training on a year-for-year basis.
• Two years of full-time or equivalent part-time paid employment as an insurance agent, broker, examiner, adjuster, or investigator with an insurance company or governmental insurance regulatory agency in life, accident and health, property and casualty, or a technical capacity in an insurance regulatory agency.

• Minimum of 12 paid holidays.
• Annual and sick leave accrual starting at 4.61 and 5.55 hours per pay period, respectively.
• Medical insurance through the Public Employees Insurance Agency (PEIA) with several plan options and flexible benefits through Mountaineer Flex Benefits.
• Free $10,000 basic life insurance and additional life insurance at a low cost.
• Mandatory retirement with employer contribution, plus an optional 457 deferred compensation plan.

Click the APPLY link to apply online.

to visit the Division of Personnel's Benefits Page.

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• I consent to the above statement.