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Life and Health Complaints Supervisor

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Regulatory
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Insurance and Safety Fire Commissioner, Office of - OCI

Under general supervision, the Life and Health Complaints Supervisor, supervises, guides, and/or instructs the work assignments of subordinate staff.

Directs personnel in the performance of audits and analysis of corporate practices in insurance and other businesses to detect and remediate fraud.

Supervises and plans work of assigned staff.

Provides on the job training and performance coaching for assigned staff.

Examines and analyze insurance forms and policies to determine compliance with the rules, regulations, laws and underwriting practices.

Investigates consumer complaints of fraud or abuse. 

Performs investigations, audits, and examinations according to established rules and regulations and other statutes.

Research and analyze state codes, federal regulations and industry manuals regarding forms, policies and procedures. 

Performs other duties as assigned.

Associate degree from an accredited college or university and five (5) years of job-related experience, including two (2) years in a lead worker, team leader, or supervisory role; or one (1) year of experience required at the lower level Compliance Business Analyst 3 (RCP032) or position equivalent.

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