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Commonwealth of Pennsylvania |
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POSITION DESCRIPTION FOR JOB POSTING |
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Position Number: 00050090 |
Description Activated On: 1/14/2026 10:43:11 AM |
Position Purpose: Describe the primary purpose of this position and how it contributes to the organization’s objectives. Example: Provides clerical and office support within the Division to ensure its operations are conducted efficiently and effectively. Investigates allegations of insurance law violations and enforces Pennsylvania Insurance Department Laws and Regulations pertaining to insurance producers and companies. Interviews policyholders and insurance company representatives to gather information, resolves complaints and recommends appropriate action. This position is responsible for coordinating with peer divisional staff to protect consumers through fair and efficient regulation of the insurance industry. |
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Description of Duties: Describe in detail the duties and responsibilities assigned to this position. Descriptions should include the major end result of the task. Example: Types correspondence, reports, and other various documents from handwritten drafts for review and signature of the supervisor. 1. Conducts advanced investigations of insurance companies, producers and any other persons or entities engaged and operating in the business of insurance in Pennsylvania. Investigations are carried out by analyzing above entities’ books, records and files, including but not limited to insurance policies, checking accounts, accounts payable, accounts receivables, correspondence, complaints, account currents, and operating files. 2. Participates in joint insurance related investigations with local, state and federal law enforcement agencies such as the District Attorney’s Offices, the State Attorney General’s Office, the U. S. Postal Inspection Services, the State Police and the F. B. I. 3. Gathers and analyzes evidence obtained in an investigation by interviewing complainants, witnesses, or respondents, and examining collected documents for violations of Insurance Department Laws. 4. Prepares comprehensive detailed reports of investigative activity which document the type of action taken to include initial reports, evidence gathering, background reports, coordination efforts, and interview results. 5. Completes investigative summary reports upon conclusion of an investigation that provide a detailed explanation of the facts pertaining to any violation of Insurance Department Laws and Regulations for each investigation. 6. Prepares evidence for and gives testimony at formal Insurance Department hearings and or criminal court in matters resulting from Insurance Department Investigations. 7. Assists in preparing recommendations for new regulations and legislation to protect policyholders, companies, producers and the general public from unfair and fraudulent practices. 8. Prepares periodic reports, including monthly and weekly reports, regarding the status of each assigned investigation. 9. Prepares all necessary correspondence for each assigned investigation. 10. Makes recommendations for the final disposition of completed investigations based on the evidence gathered and the violations of Insurance Department Laws. 11. Conducts multiple assigned investigations at the same time and ensures prioritization and sufficient time is allotted to each investigation. 12. Prepares an investigative plan for each assigned investigation that identifies all necessary tasks needed to complete each case including the documentation necessary to resolve alleged violations of Insurance Department Laws. 13. Consistently maintains a professional level of conduct while completing assigned investigations and when interacting with representatives of the insurance industry and the general public. 14. Conducts reviews of licensee reporting of actions which includes previous criminal conviction, pending criminal charges, administrative actions, or other insurance law violations via the NAIC Attachments Warehouse reporting system, the Bureau’s resource account, or mail. 15. Performs other duties and related work as assigned or required. |
Decision Making: Describe the types of decisions made by the incumbent of this position and the types of decisions referred to others. Identify the problems or issues that can be resolved at the level of this position, versus those that must be referred to the supervisor. Example: In response to a customer inquiry, this work involves researching the status of an activity and preparing a formal response for the supervisor’s signature. In performing field investigations, the employee will research records and laws, prepare strategies for interviews, resolve complaints, interpret and apply insurance laws and regulations to prepare summaries, findings and recommendations. A formal case summary report is submitted for approval to the division chief. The division chef assigns investigative activities while the employee determines and prioritizes the needed tasks to complete the investigation in a timely fashion. The employee performs job objectives with minimal supervision. |
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Requirements Profile: Identify any specific experience or requirements, such as a licensure, registration, or certification, which may be necessary to perform the functions of the position. Position-specific requirements should be consistent with a Special Requirement or other criteria identified in the classification specification covering this position. Example: Experience using Java; Professional Engineer License Experience: Licenses, registrations, or certifications: 1. N/A 2. N/A 3. N/A 4. 5. 6. |
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Essential Functions: Provide a list of essential functions for this position. Example: Transports boxes weighing up to 60 pounds.
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