Consumer Assistance Specialist - Anticipated Vacancy - State of Maine : Job Details

Department of Professional & Financial Regulation (and Boards)Job Class Code: 0374Grade: 18/Professional & TechnicalSalary: $19.02-$26.48/HourLocation: GardinerOpening Date: December 13, 2024Closing Date: December 31, 2024This is administrative work in the receipt, analysis, and resolution of consumer complaints and reviewing insurance company form filings for compliance with Maine laws. Responsibilities include investigating complaints and reviewing form filings; gathering information; reviewing for regulatory compliance; and making decisions and/or recommendations. Work is performed under general supervision.Primary responsibilities include:

• Investigating complaints, as well as handling inquiries and requests from the general public, agents, insurance companies and otherstakeholders to enforce compliance with Maine laws and regulations and to attempt resolution or recommend the most appropriate course of action.
• Reviewing life and health insurance contracts, endorsements, riders, applications, advertising and amendment form filings for compliance with laws and regulations.

• Educating the public about rights under insurance law and contracts, during phone and email inquiries, walk-ins and outreach events.
• Contacting outreach event organizers, ensuring registration fees are paid and all logistics completed. Assisting in the preparation of brochures and other materials for outreach events.
• Performing all other day-to-day Bureau operations needs as assigned by CHCD management. This includes clerical work such as answering phones, copying/scanning, scheduling appointments/meetings for management staff. Assigning workloads to staff in accordance with CHCD policies and procedures.

Other duties as assigned.Skills or knowledge required:

• Knowledge of applicable agency laws, rules, regulations, policies, and procedures.
• Knowledge of available assistance agencies. Knowledgeable and proficient in Outlook, Word and Excel.
• Ability to establish and maintain effective working relationships. Ability to communicate effectively.
• Ability to write clearly and effectively.
• Ability to accomplish tasks effectively and efficiently.
• Ability to interpret and explain applicable laws, rules, regulations, policies, and procedures.
• Ability to investigate and evaluate disputes, arrive at logical conclusions, and make sound recommendations.
• Ability to work independently and prioritize.
• Ability to organize and document work products properly.

Minimum qualifications:A four (4) year combination of education and experience of an investigative or public relations nature involving consumer complaints or assistance including analyzing data and making recommendations for dispute resolution.Preference will be given to those applicants:Experience preferred but not required includes billing, claims, physician office insurance determination and authorization, knowledge of the health care system, employee benefits, interpret contracts/law, and/or insurance background. Contact information:Questions about this position should be directed to Kim Davis, [email protected] Instructions:Interested applicants need to apply online by selecting the Apply for this opening button along with uploading a cover letter, current resume, and copies of any transcripts or certifications you wish to have considered while evaluating your application. In order for us to properly determine if you meet the minimum qualifications for any posting, you must be sure your resume includes month and year for any experience listed along with the duties and responsibilities associated with each particular time period. Any experience that was not full-time employment should be identified as such. If you require a paper application, please download and print one here or contact our office at 207-###-####. Paper applications for this posting should be submitted along with cover letter and resume before the closing date to Security & Employment Service Center, 45 Commerce Drive, Augusta, ME 04330 or faxed to 207-###-####. Be sure title of the job you are applying for is included. Applications cannot be accepted after the posting closing date. Benefits of working for the State of Maine:No matter where you work across Maine state government, you find employees who embody our state motto- Dirigo or I lead -as they provide essential services to Mainers every day. We believe in supporting our workforce's health and wellbeing with a valuable total compensation package, including:

• Work-Life Fit - Rest is essential. Take time for yourself using 13 paid holidays, 12 days of sick leave, and 3+ weeks of vacation leave annually. Vacation leave accrual increases with years of service, and overtime-exempt employees receive personal leave.
• Health Insurance Coverage - The State of Maine pays 85%-95% of employee-only premiums ($11,196.96 - $12,514.32 annual value), depending on salary. Use this chart to find the premium costs for you and your family, including the percentage of dependent coverage paid by the State.
• Dental Insurance - The State of Maine pays 100% of employee-only dental premiums ($387.92 annual value).
• Retirement Plan - The State contributes the equivalent of 13.29% of the employee's pay towards the Maine Public Employees Retirement System (MainePERS) for MSEA, or 18.09% for Confidential employees.

State employees are eligible for an extensive and highly competitive benefits package, covering many aspects of wellness. Learn about additional wellness benefits for State employees from the Office of Employee Health and Wellness.Note: Benefits may vary somewhat according to specific collective bargaining agreements and are prorated for anything less than full-time.There's a job and then there's purposeful, transformative work. Our aim is to create a workplace where you can learn, grow, and continuously refine your skills. Applicants demonstrate job requirements in differing ways, and we appreciate that many skills and backgrounds can make people successful in this role. As an Equal Opportunity employer, Maine State Government embraces a culture of respect and awareness. We are committed to creating a strong sense of belonging for all team members, and our process ensures an inclusive environment to applicants of all backgrounds including diverse race, color, sex, sexual orientation or gender identity, physical or mental disability, religion, age, ancestry, national origin, familial status or genetics. If you're looking for a great next step, and want to feel good about what you do, we'd love to hear from you. Please note reasonable accommodations are provided to qualified individuals with disabilities upon request.Thinking about applying?Research shows that people from historically excluded communities tend to apply to jobs only when they check every box in the posting. If you're currently reading this and hesitating to apply for that reason, we encourage you to go for it! Let us know how your lived experience and passion set you apart.