TDI-Insurance Specialist II (Compliance Specialist)

Job Description

Do you have a passion for public service and enjoy making a difference? Don't miss out on this opportunity. The Texas Department of Insurance (TDI) is hiring! Apply now if you're looking for a rewarding career in public service. We regulate the insurance industry, administer the Texas workers' compensation system, and educate and protect consumers.

You'll love the benefits of working at TDI:

• Flexible work schedules.

• Hybrid work schedule, if applicable.

• Work-life-balance.

• 96 hours of accrued vacation a year.

• 96 hours of accrued sick leave a year.

• 20+ holidays every year.

• Career advancement opportunities.

• Free parking.

• Free comprehensive medical insurance for full-time employees and 50% off premium costs for dependents (state pays the other 50%).

Before you apply:

Learn about our selection process, our military employment preference, and licensing and credential requirements.

Insurance Specialist II (Compliance Specialist)

Performs routine (journey-level) insurance investigation work and data entry in the Audits and Investigation section of Compliance and Investigations. Work involves reviewing complaint referrals and conducting formal audits of system participants for compliance with the Texas Labor Code and Texas Administrative Code. May be cross-trained for multiple functions within the section. Works under moderate supervision with limited latitude for the use of initiative and independent judgment.

This position:

• Investigates complaint referrals for compliance, documents findings, and recommends enforcement actions.

• Conduct compliance audits of Texas workers' compensation system participants.

• Provides customer service and answers technical questions for system participants.

• Assists with special projects.

• Performs other duties as assigned.



Qualifications:

This position requires:

• Sixty (60) college hours.

• One year of work experience.

• Education and experience relevant to position requirements may be substituted for one another on a year-for-year basis.

Additional job details:

This position requires regular work attendance. The position may be eligible for a hybrid work schedule. If eligible, the employee must have a secure, dedicated workspace with reliable broadband internet service. The ideal candidate must be available for weekly meetings and group collaboration via Microsoft Teams and other applications during regular business hours.

The interview will include a grammar test.

Preferences for this position include:

• Four-year college degree.

• Experience with databases and spreadsheets.

• Experience with medical billing, medical benefits, or medical treatment.

• Indemnity benefit experience.

This position requires demonstrated knowledge of:

• State laws, rules, procedures, and regulations relevant to job requirements.

• Researching databases.

• Business terminology, spelling, punctuation, grammar, sentence structure, and typing formats.

This position requires demonstrated skill in:

• Problem-solving and critical thinking.

• Using Microsoft Office software applications, including Word, Excel, Outlook, PowerPoint, Access, Teams, and SharePoint.

• Using personal computers to enter and extract data from related systems and programs, such as Centralized Accounting Payroll (CAPPS), and other systems required to perform the job.

This position requires the demonstrated ability to:

• Communicate and work effectively with a wide range of people with varied skills, knowledge, and backgrounds.

• Maintain confidentiality of sensitive information.

• Analyze and solve work-related problems and work independently on a variety of administrative work and technical assignments.

• Work both independently and as a team player.

• Manage and coordinate multiple tasks and priorities to meet necessary deadlines.

• Learn, research, and apply the state laws, rules, procedures, and regulations (including Texas Labor Code and Texas Administrative Code) relevant to workers' compensation.

• Learn Generally Accepted Government Auditing Standards (GAGAS) for performing audits.

• Learn documentary evidence review principles for investigating complaints involving workers' compensation medical and claims records and data.

• Communicate data, policies, and recommendations clearly and concisely, both verbally and in writing.

• Establish and maintain effective working relationships with both internal and external customers.

Veterans

Get help translating your military work experience and training courses into civilian job terms, qualifications/requirements, and skill sets. Redact personal or sensitive information from all attachments.

To receive a veteran's preference, you must submit the following documents, as applicable, with your application.

• Copy of the DD-214; member #4.

• Statement of compensation from the Veteran's Administration or

• Copy of the DD1300.

Applicable Military Occupational Specialty (MOS) codes are included, but not limited to one of the following:

No military equivalents.

Click or copy and paste the following link into your browser to access Military Crosswalk information:

Military Crosswalk for Occupational Category - Insurance (texas.gov)

How to apply:

All applications must contain complete job histories, including job title, dates of employment, name of employer, manager's name and phone number, and a description of duties performed. We may reject applications that do not include all the required information. Resumes do not substitute for this required information.

Submitted through Work in Texas:

Work in Texas (WIT) applicants must complete supplemental questions to be considered for the position. To complete supplemental questions, go to CAPPS Career Center to register or log in and access your profile.