Compliance Officer - A

Salary $22.
40 - $35.
84 Hourly $46,591 - $74,545 Annually This position is a Pay Band 65 Posting Details Recruitment is ongoing and position will remain open until filled.
Why does the job exist? The purpose of the this position is to provide customer service and assist with insurance disputes with consumer complaints against life & health, property & casualty, and New Mexico Warranty Act companies .
The position functions as a technical advisor with specialized knowledge in the insurance claims and complaint process.
The position opens cases and corresponds with the consumer and the insurance entity.
Additionally, the position provides awareness to inform consumers of their insurance rights.
How does it get done? Provide customer service and assist with insurance disputes with consumer complaints against life & health , property & casualty, and New Mexico Warranty Act companies.
The position functions as a technical advisor with specialized knowledge in the insurance claims and complaint process, ensuring companies and consumers are in compliance with NM Insurance Code, OSI regulations.
The position uses a high level of complex problem solving, critical thinking, and communications skills by researching laws, Insurance code and OSI regulations and identify and determine potential violations by Insurance companies and potential referrals to civil investigations bureau.
Opens cases and corresponds with the consumer and the insurance entity via email, telephone, and postal mail, and provides supporting documentation and relevant information to both parties throughout the complaint process.
All case information and documentation is recorded and stored in our database (SBS) in a transparent and organized manner.
Provides awareness and outreach to inform consumers of their insurance rights.
Compiles and maintains case data required for weekly bureau meetings .
Performs other miscellaneous duties as assigned.
Who are the customers? New Mexico Consumers.
Ideal Candidate - Insurance Knowledge and Insurance background - Excellent Customer Service Skills - Bilingual Minimum Qualification Bachelor's degree in Business Administration and two (2) years of experience in investigations, regulation, policy, statutory, and/or contract compliance.
Substitutions Apply.
See Substitution Table below.
Substitution Table These combinations of education and experience qualify you for the position: Education Experience Education Experience 1 High School Diploma or Equivalent AND 6 years of experience OR High School Diploma or Equivalent AND 6 years of experience 2 Associate's degree in the field(s) specified in the minimum qualification AND 4 years of experience Associate's degree or higher in any field AND 6 years of experience 3 Bachelor's degree in the field(s) specified in the minimum qualification AND 2 years of experience 4 Master's degree or higher in the field(s) specified in the minimum qualification AND 0 years of experience • Education and years of experience must be related to the purpose of the position.
• If Minimum Qualification requires a specific number of "semester hours" in a field (e.
g.
6 semester hours in Accounting), applicants MUST have those semester hours in order to meet the minimum qualifications.
No substitutions apply for semester hours.
Employment Requirements Must possess a valid New Mexico Driver's license, a current defensive driving course certification from the State of New Mexico or must pass Defensive Driving Course Certificate within six months of the date of hire as a condition of continued employment.
Working Conditions Work is performed in an office setting with exposure to Visual/Video Display Terminal (VDT) and extensive personal computer and phone usage.
Some sitting, standing, bending and reaching may be required.
Occasional local and in-state travel may be required.
Ability to lift up to 50lbs.
Supplemental Information Benefits: Do you know what Total Compensation is? Click here Agency Contact Information: Elouisa Macias Email For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
Bargaining Unit Position This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.