Life & Health Consumer Services Specialist

Life & Health Consumer Services Specialist

Anticipated Salary Range: $60,000-$73,000

Salary Commensurate with Qualifications and Experience

The State Corporation Commission (SCC) seeks a Life & Health (L&H) Consumer Services Specialist who has a passion for public service and an interest in supporting Virginia consumers. Joining the SCC’s Bureau of Insurance (BOI), the L&H Consumer Services Specialist responds to inquiries from providers and consumers involving insurance agents, agencies, and companies regarding life insurance, health insurance, long-term care insurance, managed care plans, rate increase notice requirements, provider credentialing, pharmacy benefit management, and the ethics and fairness complaint process.

The SCC offers a hybrid telework schedule, long-term career growth, and professional development opportunities including on-the-job training, certifications, and designations.

• Receive, review, investigate, and resolve insurance complaints from consumers and providers who reach out via phone, email, fax, or the Bureau’s on-line portal
• Conduct an in-depth review and analysis of Virginia’s insurance laws or regulations (Title 38.2 of the Code of Virginia) to determine compliance
• Request all pertinent documentation from the insurance company and agent
• Thoroughly document all steps of the investigation and take action to resolve complaints within a designated time frame
• Enter complete and accurate case information in Sircon in accordance with the Complaint Data System (CDS) guidelines
• Communicate with consumers, agents, agencies, providers, and insurance companies over the phone and in writing in a calm, patient, and professional manner with consumers, insurance industry personnel, and SCC staff
• Refer potential violations to management for review, or refer to the proper regulatory authority if the complaint/inquiry is outside of the Bureau’s jurisdiction
• Collaborate with coworkers, management, and other SCC staff to ensure communication is contextually sound and accurate
• Provide assistance to public, legislative, and government officials regarding issues that fall within the Bureau’s regulatory authority
• Stay informed on federal and state rules and regulations and complete continuing education in the insurance industry
• Participate in outreach events, conferences, special projects, and other duties as assigned

• Professional experience in life and health insurance; knowledge of insurance terminology; and/or knowledge of the laws and regulations applicable to life and health insurance, annuities, long-term care insurance, or managed care plans
• Ability to review insurance policies and related forms, as well as analyze and interpret relevant Virginia insurance laws and regulations
• Ability to interpret and simplify technical insurance terms to educate consumers
• Exceptional research and comprehension skills, including analysis and the application of critical thinking skills
• Ability to work in a fast-paced environment, manage tasks independently, and remain focused on work for extended periods of time
• Excellent judgement and decision-making skills with the ability to multi-task and adapt quickly
• Ability to communicate clearly, concisely, and professionally, both verbally and in writing
• Strong interpersonal skills and ability to work with others in a courteous and professional manner
• Ability to establish and maintain professional working relationships with SCC staff, attorneys, industry personnel, and the general public
• Proficiency in Microsoft Office products
• Some knowledge of the laws, rules, and regulations governing the operation of insurance companies and products
• Insurance related certifications and designations are a plus

Interested candidates are strongly encouraged to apply by February 25, 2026.

If you are an external candidate, applications can be submitted on the SCC Career Center website at (Use the "Apply for this Job" box below). If you are an internal candidate, apply using eSCC (Oracle) - iRecruitment Employee Candidate.