Health Products Executive

Position Overview

The Illinois Department of Insurance is seeking to hire an Executive I in the Health Products Division. This position provides support to the Health Products Division; develops and maintains training information on administrative policies and procedures and health insurance related issues such as new laws and statutory requirements; assists in the interagency coordination of legislation and regulations with the insurance industry, trade associations and insurance departments of other states; plans, develops, and provides recommendations to implement policies, procedures and guidelines for statutory compliance; researches, develops, drafts and reviews policy analysis, evaluations, and agency issue papers.  We invite all qualified applicants to apply.

Why Work for Illinois?

Working with the State of Illinois is a testament to the values of compassion, equity, and dedication that define our state. Whether you’re helping to improve schools, protect our natural resources, or support families in need, you’re part of something bigger—something that touches the lives of every person who calls Illinois home.

No matter what state career you’re looking for, we offer jobs that fit your life and your schedule—flexible jobs that provide the gold standard of benefits. Our employees can take advantage of various avenues to advance their careers and realize their dreams. Our top-tier benefits and great retirement packages can help you build a rewarding career and lasting future with the State of Illinois.

Essential Functions

• Owns, implements, and executes the administrative auditing program for the Health Products Division: 
    • in collaboration with management, develops the health products auditing program; 
    • confers with management on the integration of program function activities to resolve administrative problems and program function improvements; 
    • audits and evaluates consumer complaint files, consumer calls and compliance form filings, and mandatory reporting and public posting requirements of companies licensed to sell health products in Illinois; 
    • performs data analyses of health products, complaints, external review, analyst caseloads and compliance filings to ensure data is being managed appropriately; 
    • ensures completeness and accuracy of data or actions taken within a health products, complaints, external review, or compliance filings; 
    • reviews performance standards with trainees, analysts, and management.
• Provides support to the Health Products Division: 
    • produces regular reports to assist staff in management of their workload; 
    • conducts extensive and complex research of the Illinois Insurance Code and administrative code, federal rules and regulations, prior Department positions and regulatory activities of other states; 
    • completes responses to examination inquiries from the Financial Analysis Division; 
    • provides responses to health products FOIA requests; 
    • updates and oversees administrative account changes in the complaints system.
• Develops and maintains training information on administrative policies and procedures and insurance related issues such as new laws and statutory requirements: 
    • coordinates and provides orientation and training to new analysts; 
    • develops and prepares training materials and manuals for the Division; 
    • develops and maintains compliance materials for insurance industry members; 
    • assists trainees and analysts in the review and analysis of insurance contracts, endorsements and related forms as necessitated by workload and staff schedules; 
    • assists trainees and analysts in the review and analysis of insurance complaints, supporting files and related statutes as necessitated by workload and staff schedules; 
    • adds and updates form letters in the complaints system.  
• Aligns and coordinates health product operations within the agency: 
    • provides data for department produced reports, which includes complaint data sent to the National Association of Insurance Commissioners (NAIC); 
    • interacts with professional and management staff of agency in coordinating implementation of statutory mandates; 
    • coordinates with the records department on any destruction/storage of records; 
    • interacts with the Department personnel in administering electronic database systems, electronic complaints system, electronic rate and form filing system and internet and intranet applications.
• Performs other duties as required or assigned which are reasonably within the scope of the duties enumerated above.

Minimum Qualifications

• Requires knowledge, skill, and mental development equivalent to completion of four (4) years of college with coursework in insurance, finance, statistics, accounting, economics, business administration, or a related field. 
• Requires one (1) year of responsible administrative experience in a public or business organization, or completion of an agency approved professional management training program.

Preferred Qualifications

• Prefers at least three (3) years of experience in the health insurance or health insurance regulation field. 
• Prefers at least two (2) years of experience reviewing the work product of lower-level staff involved in health insurance or health insurance regulation. 
• Prefers at least one (1) year of experience with a data management platform. 
• Prefers at least (2) years of experience generating reports by compiling multiple data sources. 
• Prefers at least two (2) years of experience in reviewing, evaluating, and processing health insurance related consumer complaints. 
• Prefers at least two (2) years of experience in reviewing, evaluating, and processing health insurance filings. 
• Prefers at least two (2) years of experience developing, drafting, and delivering written and oral correspondence and reports. 
• Prefers willingness and ability to obtain health insurance designations. 
• Prefers ability to create complete databases including tables, queries, forms, and reports using computer applications such as Word, Excel, Outlook, System for Electronic Rate and Form Filing (SERFF), and Salesforce. 
• Prefers ability to establish and maintain effective working relationships with agency personnel and representatives of the
insurance industry. 
 

Specialized Skills

• Requires three (3) years of experience in the health insurance or health insurance regulation field.
• Requires two (2) years of experience reviewing the work product of lower-level staff involved in health insurance or health insurance regulation.
• Requires one (1) year of experience with a data management platform.

Conditions of Employment

• Requires the ability to pass a background check.

All conditions of employment listed are incorporated and related to any of the job duties as listed in the job description.  

About the Agency

The Department of Insurance (DOI) regulates the insurance market in the State of Illinois including, but not limited to, licensing and educating insurance agents, investigating Workers Compensation fraud, and examining the operations and finances of insurance companies domiciled in the state. We are committed to protecting consumers and regulating the insurance industry with innovation and efficiency. DOI has approximately 220 employees who are split between our Chicago and Springfield offices.

State of Illinois employees enjoy a robust benefit package, including:

• Health, Life, Vision, and Dental Insurance
• 13 Paid Holidays annually, 14 on even numbered years
• 10-25 days of Paid Vacation time annually - (10 days in year one of employment)
• 12 Paid Sick Days annually (sick days carry over from year to year)
• 12 Weeks Paid Maternity/Paternity Leave
• 3 Paid Personal Days annually
• Pension Plan
• Deferred Compensation Program and other pre-tax benefit programs (Medical/Daycare)
• Flexible work schedules may be available, dependent upon position
• Tuition Reimbursement Program and Federal Public Service Loan Forgiveness Program eligibility

Visit https://www2.illinois.gov/cms/benefits/Pages/default.aspx for more information about our benefits.