Insurance Complaints Specialist - Insurance Commission - Kanawha Co.

Under limited supervision, the selected candidate will answer consumer telephone calls and meet with walk-in clients to provide assistance with problems they are experiencing and determine if a formal complaint is warranted. Will be responsible for logging all contacts into the SBS system. Investigates complaints filed against insurance companies, agencies, and agents involving disputed claims and alleged unfair insurance practices. Mediates settlements between claimant and insuring company by gathering facts and recommending solutions according to policy and insurance code. Advises consumers of their rights under the insurance laws and regulations. May attend hearings on Insurance Complaints to present findings of an investigation. Writes reports and narratives on hearings and complaints. Keeps supervisor informed of any issues or trends that may need to be addressed, including possible needs for new legislation. Reviews insurance company's responses to complaints to determine if the companies are in compliance with state insurance laws. Develops complaint files for referral to the Legal or Fraud Divisions for further investigation, when warranted. Attends and/or participates in meetings and seminars to inform the public on special or new areas in the insurance industry. Confers with United States Congressmen, Senators, and State Legislators in resolving constituent problems. Some travel may be required to participate in outreach efforts, including fairs and festivals throughout the state. Performs other duties as needed.

Substitution: Experience as described below may substitute for the required training on a year-for-year basis.

Preference may be given to applicants with previous knowledge of insurance practices or policies, customer service, or call center experience.