Market Conduct Examiner II
Today• Boston, MA
Job Description
About the Organization:
The Division of Insurance ("DOI"), an Agency within the Office of Consumer Affairs and Business Regulation, administers the Commonwealth's insurance consumer protection laws through its regulation of the insurance industry. The primary mission of the Division is to monitor the solvency of its licensees in order to promote a healthy, responsive and willing marketplace for consumers who purchase insurance products. The Division also investigates and responds to consumer inquiries and complaints, enforces state insurance laws and regulations, and provides the public with accurate and unbiased insurance information. An important aspect of the Division's work is ensuring that the individuals and business entities conducting the business of insurance in Massachusetts do so in a legal and timely manner.
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The Division of Insurance is committed to creating and sustaining a work culture that is welcoming, inclusive, and mutually respectful to all its employees regardless of race, color, age, creed, religion, national origin, ethnicity, sex, gender identity or expression, sexual orientation, genetic information, veteran or disability status. We strive to reflect diversity in all facets and levels of our agency. The Division of Insurance values inclusiveness and diversity within their employee and management teams. Within our community we strive to create and maintain working and learning environments that are inclusive, equitable, and welcoming.
The Division of Insurance is committed to ensuring a diverse and inclusive workplace where all employees feel respected, valued, and empowered to maximize their skills and talents to serve our citizens.
About the Role:
The Division's Market Conduct Section, by initiating comprehensive or limited scope examinations, reviews the operations of domestic and foreign licensed insurance companies, pharmacy benefit managers or other insurance related entities licensed or certified by the Division to ensure compliance with state laws, regulations and bulletins. Such examinations may include a review of company operations and management, complaint handling, marketing and sales, producer licensing, underwriting and rating and claims handling. Market conduct examinations are initiated consistent with internal scheduling procedures and as a result of market analysis. Specifically, the Market Conduct Section is responsible for: Conducting comprehensive and limited scope market conduct examinations; Conducting market analysis on certain lines of business; Determining whether multi-state regulatory settlement agreements negotiated by other states are fair to Massachusetts consumers; Monitoring the progress of multi-state regulatory settlement agreements in which the Massachusetts Division of Insurance was a lead state negotiator; and Participating in National Association of Insurance Commissioners market conduct and market analysis related committees, working groups and task forces.
Duties and Responsibilities:
- At the direction of and under the supervision of the Director of Market Conduct:
- Assist in the conduct market conduct examinations of health insurers to determine compliance with the Commonwealth's Mental Health Parity requirements pursuant to M.G.L. c. 8, §§ 8K, 8L and 8M.
- Conduct market analysis and examinations in order to identify insurance companies that may not be in compliance with Massachusetts insurance laws, regulations, and bulletins designed to protect consumers.
- Assist in conducting meetings and conferences with consultants, third parties, and staff to discuss the status of work in progress. Review operating and organizational issues when necessary and, where appropriate, at the direction of the Director of Market Conduct provide training and technical guidance to staff regarding areas related to market conduct.
- Assist the Director of Market Conduct:
- In ensuring that in conducting any market conduct examinations and analysis the Division's work is incompliance with any and all applicable standards issued by the National Association of Insurance Commissioner.
- To allocate market conduct analysis and examination work assignments to consultants as appropriate; monitor and supervise the progress of all work assigned to third parties. Ensure that consultants perform appropriate analysis of licensed entities.
- In ensuring that all examination-related files are maintained in accordance with Division procedures.
- To monitor insurance industry trends, analyze their impact on consumers and the insurance marketplace, and coordinate necessary efforts within the Division to manage the identified trends.
- If requested to do so by the Director of Market Conduct intermittently or on a regular basis meet with the Director of Market Conduct with Division Directors and Managers to establish inter-departmental communications on such topics as (1) complaint activity; (2) producer misconduct and licensing issues; (3) legal and enforcement issues; (4) financial concerns; and irregularities in rate and form fillings.
- Participate in NAIC market conduct related working groups and sub-working groups as assigned by the Director of Market Conduct or the Deputy Commissioner and General Counsel as approved by the Commissioner of Insurance.
- When directed to do so by the Director of Market Conduct meet with representatives of insurance companies and other licensed entities to discuss the market conduct process or the results of an analysis or examination.
- As assigned by the Director of Market Conduct or the Deputy Commissioner and General Counsel, serve on Division selection committees assigned with evaluating bids for pre-qualified consultant pool for Market Conduct and Market Analysis Examinations.
- At the direction of and under the supervision of the Director of Market Conduct or the Deputy Commissioner and General Counsel conduct market conduct examinations of Pharmacy Benefit Managers pursuant to M.G.L. c. 176Y.
- Such other Market Conduct related matters as assigned by the Director of Market Conduct or the Deputy Commissioner and General Counsel.
Preferred Knowledge, Skills, and Abilities:
- Basic knowledge of market conduct and analysis principals and procedures.
- Knowledge of the methods of technical and general report writing.
- Knowledge of the Commonwealth's insurance laws and regulations.
- Ability to exercise sound judgment.
- Ability to exercise discretion in handling confidential information.
- Ability to prepare technical and general reports.
- Ability to work independently.
- Ability to listen carefully and to gather information through questioning and observing individuals and by examining records and documents.
- Ability to establish rapport and maintain harmonious working relationships.
- Ability to deal tactfully with others.
- Ability to assemble items of information in accordance with relevant procedures.
- Ability to maintain accurate records.
- Ability to give written and oral instructions in a precise, understandable manner.
- Ability to conduct interviews.
- Ability to write clearly, precisely, concisely and effectively, to express thoughts clearly and to develop ideas in logical sequence.
- Ability to communicate effectively in oral expression.
- Ability to operate a motor vehicle.
- Ability to conduct training or instruction.
- Ability to determine proper format and procedure for assembling items of information.
All applicants should attach a cover letter and resume to their online submission for this position.
SALARY PLACEMENT IS DETERMINED BY YEARS OF EXPERIENCE AND EDUCATION DIRECTLY RELATED TO THE POSITION AND THE HUMAN RESOURCES DIVISION'S RECRUITING GUIDELINES. IN THE CASE OF A PROMOTIONAL OPPORTUNITY, THE SALARY PROVISIONS OF THE APPLICABLE COLLECTIVE BARGAINING AGREEMENT WILL APPLY TO (OR WILL BE UTILIZED FOR) PLACEMENT WITHIN THE SALARY RANGE.
Qualifications
First consideration will be given to those applicants that apply within the first 14 days.
Minimum Entrance Requirements:
Applicants must have at least (A) three years of full-time, or equivalent part-time, professional experience in accounting, auditing, or in the examination of insurance companies or in the regulation of the insurance industry, or (B) any equivalent combination of the required experience and the substitutions below.
Substitutions:
I. A Bachelor's degree with a major in accounting, business administration, business management or insurance may be substituted for a maximum of two years of the required experience.
II. A Graduate degree with a major in accounting, business administration, business management or insurance may be substituted for the required experience.
*Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed.
Special Requirements: Based on assignment, possession of a current and valid Massachusetts Motor Vehicle Operator's license may be required.
Comprehensive Benefits
When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.
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An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.
The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.
Client-provided location(s): Boston, MA
Job ID: Commonwealth_of_Massachusetts-2500065D
Employment Type: FULL_TIME
Posted: 2025-08-21T18:35:24
Perks and Benefits
Health and Wellness
- Health Insurance
- Health Reimbursement Account
- Dental Insurance
- Vision Insurance
- Life Insurance
- Short-Term Disability
- Long-Term Disability
- FSA
- HSA
- Mental Health Benefits
Parental Benefits
- Adoption Assistance Program
- Family Support Resources
Work Flexibility
- Flexible Work Hours
- Hybrid Work Opportunities
Office Life and Perks
- Commuter Benefits Program
Vacation and Time Off
- Paid Vacation
- Paid Holidays
- Personal/Sick Days
- Volunteer Time Off
Financial and Retirement
- Pension
- Financial Counseling
Professional Development
- Promote From Within
- Mentor Program
- Access to Online Courses
- Lunch and Learns
- Internship Program
- Leadership Training Program
- Associate or Rotational Training Program
Diversity and Inclusion
- Diversity, Equity, and Inclusion Program