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Insurance Compliance, Department of Insurance Series Specification - Class Titles and Codes
Schem CodeClass CodeClassVJ508564Insurance Compliance Officer, Department of Insurance (abolished 06/04/2015)VJ408562Associate Insurance Compliance Officer, Department of InsuranceVJ368607Senior Insurance Compliance Officer (Specialist), Department of InsuranceVJ308560Supervising Insurance Compliance Officer, Department of InsuranceVJ298606Bureau Chief, Insurance Compliance, Department of Insurance
The Insurance Compliance, Department of Insurance, series describes classes concerned with regulatory work to ensure compliance with the California Insurance Code and other insurance laws as related to insurance rating, underwriting, and claims issues. This series provides for five levels of technical, analytical, professional, and supervisory skills required to ensure the effective and efficient regulatory operation of the Department of Insurance. Functional areas include, but are not limited to, claims, underwriting, rating, and communication. Incumbents perform technical and analytical work to identify violations of insurance laws by insurance providers regarding rating, underwriting, and claims practices and initiate corrective or enforcement actions; provide direct technical information to resolve informal/formal consumer complaints; mediate complaints between consumers, their agents, and insurers with complaints concerning insurance rating, underwriting, or claims issues; and conduct field market examinations of the application and interpretation of policy forms, transactions, and claims practices to determine if insurers are fulfilling their obligations to adhere to State laws regarding unfair discrimination and/or fair claims practices.
The level, variety, and complexity of work; independence of action; level and impact of decision making; degree of supervision exercised and received; the degree of independence and judgment required in making determinations and the consequence of error; type and frequency of contact with others; and supervisory and management responsibilities.
This is the entry and first working level of the series. Under supervision of a Supervising Insurance Compliance Officer, Department of Insurance, incumbents investigate and mediate those inquiries or cases where the issue or issues in dispute are clearly discernible and involve limited contact or investigation with the insurer, agent, or other entity in order to resolve the subject(s) at issue; take first-level enforcement actions; respond to consumer inquiries and complaints regarding all lines of insurance and provide the specific information requested and/or identify insurance practices that are noncompliant with current laws and suggest means of resolution, as appropriate, regarding insurance coverages, rates and rating plans, and claims handling practices where additional investigation through contact with the insurers or other parties is not necessary; either serve as a team member in a nonlead capacity on a market conduct examination examining files for noncompliant activity and conducting other standard elements of the examination process or work alone to conduct examinations of those insurers, third-party administrators, or managing general agents typically with limited premium levels or claims activity or with limited lines of business written; direct the insurance organization under examination to resolve issues, complaints, or violations of insurance laws; identify inquiries which warrant referral or investigation and a-sist the consumer in filing a complaint; represent the Department at meetings with a consumer, agent, or insurer; input claimant information directly into the Department's online database system; and do other related work.
GST taxpayers can't claim any pending input tax credit if this return is not filed by November 30, 2024 for FY 2023-24
