State of Connecticut Executive Branch

Insurance Program Coordinator 1 (4976AR)

$49.17-$67.03 Hourly / $3,933.07-$5,362.38 BiWeekly /
$102,653.00-$139,958.00 Yearly

PURPOSE OF JOB CLASS (NATURE OF WORK)

In the Insurance Department this class is accountable for directing various programs and activities of a division or office.

GUIDELINES FOR JOB CLASS USE

The Insurance Program Coordinator classes are structured into two (2) levels which are distinguished based on the complexity, breadth, and impact on operations and services.

The Insurance Program Coordinator 1 is distinguished from the Insurance Program Coordinator 2 by:
  • Interacts regularly with internal departments and occasionally with external stakeholders to resolve issues with broad organizational impact related to the functional area. 
  • Responsible for direction and coordination of a limited organizational unit or program of operational or technical staff while assisting in the performance of work activities. Coordinates a team with diverse roles focusing on compliance reviews, regulatory analysis, and customer service.
  • Makes decisions independently within defined scope related to program oversight and regulatory compliance.

SUPERVISION RECEIVED

Receives administrative direction from an administrative or executive official of higher grade.

SUPERVISION EXERCISED

Directs or assists in direction of staff as assigned.

EXAMPLES OF DUTIES

  • Directs staff and operations of assigned program(s); 
  • Coordinates and plans program(s) activities; 
  • Formulates or assists in formulation of program(s) goals and objectives; 
  • Interprets and administers pertinent laws and regulations; 
  • Assists in preparation of program budget; 
  • Maintains contacts with individuals both within and outside of division who might impact on program activities; 
  • Develops, implements and manages training programs for assigned staff consisting of on-the-job training, in-house training programs and formal education; 
  • Resolves disciplinary issues; 
  • Schedules field, financial, market conduct or any other related examination and/or audits of domestic insurance companies including captive companies; 
  • Develops, implements and manages programs and activities related to regulation of insurance companies; 
  • May review financial analysis of companies, captive companies, holding companies, CPA audit reports and actuarial opinions related to foreign company application for licensure in Connecticut; 
  • May review examination, work papers and final reports; 
  • May direct insurance fraud and licensee enforcement related investigative activities; 
  • May manage development and implementation of managed care and/or utilization review regulatory functions and other related activities; 
  • Performs related duties as required.

KNOWLEDGE, SKILL AND ABILITY

  • Considerable knowledge of
    • financial and business operations, statutory accounting and examination financial procedures related to insurers, fraternal benefit societies, hospital and medical service corporations and health maintenance organizations; 
    • health benefits, case management, utilization review and managed care appeals processes; 
    • consumer issues in area of health insurance or managed care; 
    • program development and management in areas of health care, health insurance and customer service; 
  • Knowledge of
    • and ability to apply relevant state and federal laws, statutes and regulations; 
    • and ability to apply management principles and techniques; 
    • business operations of health care providers and health maintenance organizations; 
    • methods used by other state insurance regulatory bodies; 
    • in-service training and instructional methods; 
    • economic and research techniques; 
    • state legislative process; 
  • Considerable
    • interpersonal skills; 
    • oral and written communication skills; 
  • Ability to interpret proposed legislation and determine application and impact on program.

MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE

Eight (8) years of experience in insurance regulation, the insurance industry, managed care or health care administration.

MINIMUM QUALIFICATIONS - SPECIAL EXPERIENCE

At least one (1) year of the General Experience must have been in a lead capacity over professional staff.

NOTE: For state employees this experience is interpreted at the level of an Insurance Associate Examiner.

MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED

  • College training may be substituted for the General Experience on the basis of fifteen (15) semester hours equalling one-half (1/2) year of experience to a maximum of four (4) years for a Bachelor's degree.
  • A Master's degree in accounting, business, health care management, insurance, finance, economics or actuarial science may be substituted for one (1) additional year of the General Experience.
  • A designation of Certified Public Accountant (CPA) and/or Certified Financial Examiner (CFE) may be substituted for one (1) additional year of the General Experience.
  • A designation of Certified Life Underwriter (CLU) or Certified Property and Casualty Underwriter (CPCU) may be substituted for one (1) additional year of the General Experience.

SPECIAL REQUIREMENTS

  • Incumbents in this class in specific program positions may be required to possess special qualifications, credentials or requirements. Examples include but are not limited to membership in the Connecticut Bar, associate or full membership in a particular actuarial society, possession of a current license as a registered professional nurse in Connecticut, or possession of a CPA,CLU OR CPCU certification and/or designation.
  • Incumbents in this class may be required to travel.

JOB CLASS DESIGNATION

Classified/Competitive

OCCUPATIONAL GROUP

(15)-Insurance Programs and Control

BARGAINING UNIT

(16)-ADMIN & RESID (P-5)

EEO

(2)-Professional

SALARY INFORMATION

AR2 65

ACKNOWLEDGEMENT

As defined by Sec. 5-196 of the Connecticut General Statutes, a job class is a position or group of positions that share general characteristics and are categorized under a single title for administrative purposes.  As such, a job class is not meant to be all-inclusive of every task and/or responsibility.

CANCELLATION CLAUSE

This replaces the existing title and specification for the class of Insurance Program Manager in Salary Group AR2 65 approved effective April 29, 2021. (Revised to retitle and modify content, modernize format, and add Acknowledgement section) Item No. 24-097

EFFECTIVE DATE

11/07/2024
CLASS: 4976AR; REV: 11/13/2024;