LEAD INSURANCE INVESTIGATOR (Appeals and Grievance)

The Maryland Insurance Administration (MIA) is an independent State agency that regulates Maryland’s insurance industry and protects consumers by monitoring and enforcing insurers’ and insurance professionals’ compliance with State law.  Through the diligence of a highly professional staff of market analysts, financial analysts, accountants, lawyers, law enforcement officers, actuaries, complaint investigators, and others, the MIA works to facilitate a strong and competitive insurance marketplace where consumers are well informed and treated fairly.  Staff members are subject matter experts who serve as a resource for lawmakers, consumers, and other public and private entities. 

The MIA is charged with a broad range of responsibilities including the licensure of insurance carriers and insurance producers (brokers/agents) operating in Maryland, the conduct of financial examinations of companies to monitor financial solvency, and the review and approval of rates and contract forms.  The MIA investigates reports of consumer fraud and consumer complaints about life, health, automobile, homeowners, and/or property insurance.  Insurance carriers are subject to market conduct examinations and other actions to monitor compliance with Maryland law. The MIA also has a unit dedicated to consumer education and outreach, which participates in hundreds of events and reaches thousands of individual consumers annually.    

***This is a Special Appointment position that serves at the pleasure of the Appointing Authority.

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Hybrid (between office in Baltimore City and telework)

The Life and Health Division’s Appeals and Grievance Section is recruiting for a Lead Insurance Investigator.  This position investigates consumer complaints alleging improper denials of coverage by carriers/licensees based on lack of medical necessity; assigns and reviews the work of lower level Investigators; and assists with training Investigators on the practice, procedures and policies of the Administration.  The Lead Insurance Investigator prepares memorandums to the Director regarding controversial matters, trends in complaints or areas in which a policy decision may be necessary; and responds to telephone calls and email requests from consumers, licensees and others.   

Education: A Bachelor’s degree from an accredited college or university. 

Experience: A minimum of five (5) years of enforcement/investigatory experience with a regulatory agency, licensed insurer, or accredited law enforcement agency is required.

Note: Additional experience in the review of medical records or medical claims may be substituted on a year-for-year basis for the required education.

This recruitment is limited to current employees of the Maryland Insurance Administration’s Life and Health Division’s Appeals and Grievance Section only.

STATE OF MARYLAND BENEFITS

If you have any questions about this recruitment, please contact charrison@maryland.gov.

For immediate consideration, upload one WORD or PDF file, at the "Resume" tab, that contains:

1. a cover letter stating your interest and specific salary requirements; and

2. a current professional resume.

If you are unable to apply online, you may submit via mail.  Please be sure to include all documents listed above to ensure timely processing. Complete application packets may be mailed to:

Maryland Insurance Administration

Human Resources - Recruitment #:  22-009641-0001

St. Paul Place, Suite 2700

Baltimore, MD 21202

Incomplete submission will not receive consideration.

TTY  Users: call via Maryland Relay

We thank our Veterans for their service to our country, and encourage them to apply.

As an equal opportunity employer Maryland is committed to recruiting, retaining and promoting employees who are reflective of the State’s diversity.