STATE OF NEW HAMPSHIRE
HUMAN RESOURCES


CLASSIFICATION:  INSURANCE COMPANY EXAMINER I

 

Class Code:  5251-29                                      Date Established:  12-16-76           

 

Occupational Code:  7-2-4                              Date of Last Revision:  1-10-02

 

BASIC PURPOSE:  To perform market conduct and financial examinations of domestic and foreign insurance companies licensed to sell insurance in the state.

 

CHARACTERISTIC DUTIES AND RESPONSIBILITIES:

 

·        Examines and analyzes fiscal data and reports involving audits and examinations of insurance companies for adherence to state laws.

 

·        Prepares and reviews reports of audits and examinations to draw conclusions and provide recommendations for corrective measures.

 

·        Examines insurance policy forms, riders and endorsements to assure compliance with established standards, procedures, laws and regulations.

 

·        Analyzes accounting procedures of insurance companies used in determining handling and control of receipts and disbursements.

 

·        Reviews insurance claims to determine that settlements are made in accordance with policy provisions for proper treatment of policy holders.

 

·        Determines the accuracy of financial data and records with the aid of electronic data processing programs and software.

 

·        Prepares statements of income and disbursements, assets and liabilities, underwriting and investment exhibits and necessary supporting schedules such as summaries of the investment accounts and analysis of the surplus accounts.

 

·        Determines that company balance sheets include sufficient reserves to cover all liabilities; reconciles reserves during the period covered by examination.

 

·        Develops, plans, coordinates and executes Market Conduct Examinations with senior insurance company, agency or insurance entity representatives.

 

·        Reviews agent, agency and broker licensing compliance and business practices.

 

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DISTINGUISHING FACTORS:

 

Skill:  Requires skill in analyzing and interpreting data, policy and procedures OR in using equipment in order to arrive at logical conclusions or recommendations.

 

Knowledge:  Requires logical or scientific understanding to analyze problems of a specialized or professional nature in a particular field.

 

Impact:  Requires overall administrative responsibility for achieving agency objectives by directing all aspects of operations management.  Errors at this level result in disruption of systemwide programs or services as well as long-term adverse impact on agency image and the future success of organizational operations.

 

Supervision:  Requires direct supervision of programs or of employees doing work which differs from the supervisor, including disciplining employees, solving personnel problems, recommending hiring and terminating employees, and developing work methods.  The supervisor in this position manages a working unit or section with responsibility for employee performance appraisal.

Working Conditions:  Requires performing regular job functions in a controlled environment with minimal exposure to disagreeable job elements and little risk of hazard to physical or mental health.

 

Physical Demands:  Requires light work, including continuous walking or operating simple equipment for extended periods of time as well as occasional strenuous activities such as reaching or bending.

 

Communication:  Requires acting as the official representative of the agency, including explaining and defending current and long-range goals or objectives which directly affect public policy decisions regarding major state programs and services.

 

Complexity:  Requires formulating the combination of overall job functions in order to address highly diverse or novel situations requiring new concepts and imaginative approaches to a wide range of intellectual and practical problems.

 

Independent Action:  Requires independent judgment in planning and evaluating work procedures and in supervising the development of professional, technical and managerial standards under administrative direction and according to broad departmental guidelines.

 

MINIMUM QUALIFICATIONS:

 

Education:  Bachelor's degree from a recognized college or university with a major in accounting, finance, insurance, statistics, criminal justice, business administration or law, economics, social sciences, government, or its equivalent with a minimum of fifteen credit hours in any of the above fields.

 

Experience:  Six years experience in accounting, auditing or business administration, insurance management or regulation, two years of which must be involved with insurance company examinations, market conduct examinations, insurance department rate, policy, contract or consumer protection regulatory experience, or in underwriting and loss adjustment.  Registration with the New Hampshire Board of Accountancy as a Certified Public Accountant or possession of one of the following nationally recognized professional designations:  AIE, CFE, CIE, FLMI, CLU, ChFC, CPCU, or an equivalent designation may be substituted for two years of work experience.

 

License/Certification:  None required.

 

RECOMMENDED WORK TRAITS:  Extensive knowledge of the insurance laws and regulations of the State of New Hampshire.  Knowledge of accounting and market conduct principles and practices as used in the business of insurance.  Working knowledge of office methods, procedures and equipment.  Ability to communicate effectively with insurance company officials and other insurance company employees.  Ability to develop administrative and statistical reports with evidence and recommendations.  Willingness to spend periods of time out-of-state.  Must be willing to maintain appearance appropriate to assigned duties and responsibilities as determined by the agency appointing authority.

 

DISCLAIMER STATEMENT:  This class specification is descriptive of general duties and is not intended to list every specific function of this class title.

 


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Last Updated 01/07/03
URL: http://www.nh.gov/hr/classspec_i/5251.htm