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173270

INSURANCE SPECIALIST 4

AS617     $49,192 - $96,533
Creation Date: 11/22/2013
Change Date: 10/16/2025

FUNCTION OF WORK:
To regulate and enforce statutory laws relative to the insurance industry.

LEVEL OF WORK:
Advanced

SUPERVISION RECEIVED:
Direct from Insurance Manager or other higher-level personnel.

SUPERVISION EXERCISED:
None.

JOB DISTINCTIONS:
Differs from Insurance Specialist 3 by the presence of serving as lead-worker over a unit, conducting the highest level of investigations, and/or serving as a specialist over an assigned insurance topic.

Differs from Insurance Supervisor by the absence of supervisory responsibilities.

CORE COMPETENCIES:
IDENTIFIED BY STATE CIVIL SERVICE, CORE COMPETENCIES ARE THE KNOWLEDGE, SKILLS, ABILITIES AND BEHAVIORS BASED ON THE WORK TASKS OUTLINED IN THE EXAMPLES OF WORK. MORE INFORMATION ON THE SCS COMPETENCY MODEL CAN BE FOUND HERE.

Developing PlansMaking Accurate JudgmentsManaging Stakeholders

EXAMPLES OF WORK:
EXAMPLES BELOW ARE A BRIEF SAMPLE OF COMMON DUTIES ASSOCIATED WITH THIS JOB TITLE. NOT ALL POSSIBLE TASKS ARE INCLUDED.

Plans, assigns, and/or reviews the work of Insurance Technicians and lower level Specialists in the analysis of rates and premiums, in the licensing of insurance agents, agencies, and corporations, and in the examinations of prospective insurance agents, brokers, and solicitors.

Conducts high-level investigations regarding complex inquiries and complaints from consumers, insurance companies, agents, and other interested parties regarding life and health or property and casualty insurance laws and contracts.

Performs Market Conduct Examinations that entail reviewing complex life and health insurance policy forms, contracts and Health Maintenance Organization contracts, or complex property and casualty insurance policy forms and contracts for compliance with the Louisiana Insurance Code.

Conducts field rate and claims examinations including the review of rate structures, individual rate application and rating procedures, including various records, documents, rating schedules and associated statistical methods used by insurance companies and rating bureaus; makes reports on findings and data
gained in the examination.

Conducts examinations of rating bureaus to determine compliance with statutory requirements; reviews statistical plans used by insurance companies and rating bureaus to determine compliance with the Louisiana Insurance Code, regulations and directives.

Meets with insurance company officials, government representatives, private individuals, and attorneys regarding state insurance laws, regulations, and directives.

QUALIFICATION REQUIREMENTS:
MINIMUM QUALIFICATIONS:
Six years of experience in insurance, administrative services, investigations, or law enforcement; OR

Six years of full-time work experience in any field plus three years of experience in insurance, administrative services, investigations, or law enforcement; OR

A bachelor's degree plus three years of experience in insurance, administrative services, investigations, or law enforcement; OR

An advanced degree plus two years of experience in insurance, administrative services, investigations, or law enforcement.

EXPERIENCE SUBSTITUTION:
Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field.
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