Senior Claims Compliance Analyst (FPA4)

Senior Claims Compliance Analyst (FPA4)

Salary

$5,666.00 - $7,622.00 Monthly

Location

Thurston County - Tumwater, WA

Job Type

Full Time - Permanent

Remote Employment

Flexible/Hybrid

Job Number

2026-04872

Department

Office of the Insurance Commissioner

Division

Consumer Protection

Opening Date

06/11/2026

Closing Date

7/11/2026 11:59 PM Pacific

Salary Information

The high end of the salary range, Step M is typically a longevity step

• Description
• Benefits
• Questions

Description

This recruitment will remain open until July 11, 2026. The agency reserves the right to make a hiring decision at any time after the initial screening date on June 18, 2026. It is in the applicant's best interest to submit materials as soon as possible.

Make a Difference: Protect Consumers & Join Our Dynamic Team!

The Office of the Insurance Commissioner (OIC) seeks 2 qualified individuals for the Senior Claims Compliance Analyst (Functional Program Analyst 4) position. These roles are within the Consumer Protection Division and are based out of our Tumwater Office.

We are an employer of choice! Here's why:

• Meaningful work: Ensure a healthy insurance market & protect Washington consumers.
• Impactful career: Make a daily difference in the lives of countless Washingtonians.
• Small agency, big opportunities: Gain a holistic understanding of our mission and build strong relationships with colleagues.
• Diversity, equity, and inclusion: OIC is committed to ensuring that all employees enjoy a respectful, safe, and supportive working environment - by fostering the inclusion of people from all backgrounds, cultures, and attributes.

About the Position

Are you an insurance claims expert who thrives on solving complex problems, interpreting nuanced regulations, and making a meaningful impact for consumers? The Office of the Insurance Commissioner is seeking 2 Senior Claims Compliance Analysts (FPA4) to serve as recognized subject matter experts in insurer claims handling practices and unfair trade practices investigations.

In this highly visible role, you will lead independent reviews of the agencys most complex, high-profile, and technically challenging consumer complaints involving property and casualty insurance claims. You will analyze insurer conduct, evaluate compliance with state and federal insurance laws, and work directly with consumers, attorneys, insurance company leadership, legislators, and agency executives to resolve disputes and promote fair treatment of policyholders.

These positions play a critical role in advancing the agencys mission to protect consumers, the public interest, and our states economy through fair and efficient regulation of the insurance industry. If you are passionate about consumer advocacy, regulatory excellence, and using your insuranceexpertiseto drive meaningful outcomes, this is an opportunity to make a lasting impact.

This recruitment may be used to establish a qualified pool of candidates for Functional Program Analyst 4 (FPA 4) vacancies in the next sixty days.

This is a Washington General Service position. The monthly salary range for this position is $5,666- $7,622.

Benefits & Perks

• Comprehensive benefits package: Health, dental, vision, retirement, paid leave (vacation,sick, etc.) and much more!
• Supportive work environment: We value diversity, professional growth, and collaborative atmosphere.
• Wellness programs: Invest in your well-being with on-site resources and initiatives.
• Work-life balance: Flexible schedules with telework opportunities.
• Public service fulfillment: Contribute to a cause that matters and feel the satisfaction of serving the public good.
• Training & Development: Continuously learn and grow with tuition reimbursement, Public Service Loan Forgiveness,and other programs.
• Free parking (Tumwater) & Public transportation pass (Thurston County): Save on commuting costs.
• And more! Explore our website foradditionalbenefits:https://www.insurance.wa.gov

Duties

The duties of the position include but are not limited to:

• Investigate and analyze complex, high-priority consumer complaints involving insurance claims handling practices and alleged unfair trade practices.
• Conduct independent reviews of claim denials, settlement decisions, coverage determinations, and adjuster conduct to evaluate compliance with insurance laws and regulations.
• Research insurance policies, contracts, claims files, and insurer practices to identify potential violations and determine appropriate resolutions.
• Serve as a technical expert on insurer claims handling standards, unfair claims settlement practices, and insurance regulatory requirements.
• Collaborate with consumers, attorneys, insurance company representatives, and agency staff to resolve disputes and promote fair treatment of policyholders.
• Prepare comprehensive complaint analyses, regulatory findings, and recommendations for corrective or enforcement actions.
• Provide guidance and consultation to agency leadership and staff on complex claims-related and regulatory issues.
• Support investigations and enforcement activities involving unlawful, unfair, or inequitable insurance practices.
• Deliver training and technical assistance to agency staff on emerging claims handling, coverage, and compliance issues.
• Participate in special projects, process improvement initiatives, policy analysis, and cross-agency workgroups to strengthen consumer protection efforts.

Contact Us: For inquiries about this position and its full duties, please contact us at Recruitment@oic.wa.gov and add the requisition number 2026-04872 and the job name to the subject line of your email.

Qualifications

Required Qualifications:

• Seven (7) years of professional work experience. Experience should include substantive work involving insurance regulation, insurance compliance, market conduct oversight, policy review, regulatory affairs, claim handling, risk management, legal compliance or related field. Relevant experience may include roles such as claims adjuster, insurance compliance analyst, insurance examiner, market conduct examiner, Insurance regulatory analyst, risk management analyst or comparable positions at an insurance company, insurance agency, or at a municipal, state or federal regulatory agency.

AND

• Intermediate-level skills and experience in Microsoft Outlook, Word, and Excel; and Basic PowerPoint.

• A degree in public administration, social work, public health, business administration finance or related field from an accredited institution whose accreditation is recognized by the U.S. Department of Education or the Council of Higher Education Accreditation, or a foreign equivalent may be substituted for relevant experience. Proof of degree may be required prior to employment. If a degree was awarded outside of the United States, candidates must provide a credential evaluation report.

Academic Degree Equivalency Chart

Degree

Years of Relevant Experience Equivalency

Associate's Degree

2 years of experience

Bachelor's Degree

4 years of experience

Master's Degree

5 years of experience

Preferred/Desired Qualifications:

• Two (2) or more years demonstrated professional level experience with licensure or compliance of regulated entities, including but not limited to financial analysis, audits or examinations, and/or inspection of technical documentation such as business contracts, policies, and agreements.
• Prior experience as a Functional Program Analyst 3 with the Washington Office of the Insurance Commissioner (OIC) performing licensing application reviews, financial analysis/exams, consumer complaint analysis, or comparable experience with the OIC; or comparable experience with another state's department of insurance.
• Three (3) years of work experience producing work product that demonstrates scrupulous attention to detail and superior writing skills.
• Industry professional designations, such as, Accredited Financial Examiner (AFE), Chartered Property Casualty Underwriter (CPCU), Fellow Life Management Institute (FLMI), Certified Insurance Examiner (CIE), Accredited Insurance Examiner (AIE), Associate, Insurance Regulatory Compliance (AIRC), Associate Professional in Insurance Regulation (APIR), or Professional in Insurance Regulation (PIR).
• Fluent verbal communication skills in Spanish, Korean, Russian, Vietnamese, Mandarin, or Cantonese, with the ability to score "Advanced Mid skill level" on the oral proficiency assessment by the American Council for the Testing of Foreign Languages.

Ready to join us?

Learn more about the OIC by visiting our website. We encourage you to check out our video below and listen to what our employees have to say about working here!

Welcome to the OIC

Submit your application today and take the first step towards a rewarding career at the OIC!

Resume: Required

Supplemental Information

• This position is represented by the Washington Federation of State Employees (WFSE).
• Wage/salary depends on qualifications or state rules of compensation (if currently a state employee).
• State law (RCW 48.02.090[5]) prohibits employees of the OIC from having any interest, directly or indirectly, in an insurance company other than as a policyholder. This prohibition includes the receipt of renewal commissions. If employment is accepted with this agency, you agree to abide by this state law.
• Prior to a new hire, a background check including criminal record history will be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant's suitability and competence to perform in the position.
• If claiming veteran status, please send your DD 214 to recruitment@oic.wa.gov with FP4_2026-04872 in the subject line. Please do not attachthe DD214 to your application materials. Please black out personally identifiable data such as social security numbers.
• The Office of Insurance Commissioner is an equal opportunity employer, does not discriminate on the basis of age, sex, marital status, sexual orientation, race, creed, color, national origin, honorably discharged veteran or military status, or the presence of any sensory, mental, or physical disability or the use of a trained service animal by a person with a disability. Persons requiring reasonable accommodation in the application process or requiring information in an alternative format may contact the recruitment team at Recruitment@oic.wa.gov. Those with a hearing impairment in need of accommodation are encouraged to contact the Washington Relay Service at 1-800-676-3777 or www.washingtonrelay.com.
• If you are having technical difficulties creating, accessing (log in, password or email issues) or completing your application (error messages), please call toll-free at (855) 524-5627.
• Contact us: For inquiries about this position, please contact us at Recruitment@oic.wa.gov and add the requisition number 2026-04872 and job name to the subject line of your email.

More than Just a Paycheck!

Employee benefits are not just about the kind of services you get, they are also about how much you may have to pay out of pocket. Washington State offers one of the most competitive benefits packages in the nation.

We understand that your life revolves around more than just your career. Like everyone, your first priority is ensuring that you and your family will maintain health and financial security. Thats why choice is a key component of our benefits package. We have a selection of health and retirement plans, paid leave, staff training and other compensation benefits that you can mix and match to meet your current and future needs.

Read about our benefits:

The following information describes typical benefits available for full-time employees who are expected to work more than six months. Actual benefits may vary by appointment type or be prorated for other than full-time work (e.g. part-time); view the job posting for benefits details for job types other than full-time.

Note: If the position offers benefits which differ from the following, the job posting should include the specific benefits.

Insurance Benefits

Employees and their families are covered by medical (including vision), dental and basic life insurance. There are multiple medical plans with affordable monthly premiums that offer coverage throughout the state.

Staff are eligible to enroll each year in a medical flexible spending account which enables them to use tax-deferred dollars toward their health care expenses. Employees are also covered by basic life and long-term disability insurance, with the option to purchase additional coverage amounts.

To view premium rates, coverage choice in your area and how to enroll, please visit the Public Employees Benefits Board (PEBB) website. The Washington Wellness program from the Health Care Authority works with PEBB to support our workplace wellness programs.

Dependent care assistance allows the employee to save pre-tax dollars for a child or elder care expenses.

Other insurance coverage for auto, boat, home, and renter insurance is available through payroll deduction.

The Washington State Employee Assistance Program promotes the health and well-being of employees.

Retirement and Deferred Compensation

State Employees are members of the Washington Public Employees Retirement System (PERS). New employees have the option of two employer contributed retirement programs. For additional information, check out the Department of Retirement Systems web site.

Employees also have the ability to participate in the Deferred Compensation Program (DCP). This is a supplemental retirement savings program (similar to an IRA) that allows you control over the amount of pre-tax salary dollars you defer as well as the flexibility to choose between multiple investment options.

Social Security

All state employees are covered by the federal Social Security and Medicare systems. The state and the employee pay an equal amount into the system.

Public Service Loan Forgiveness

If you are employed by a government or not-for-profit organization, and meet the qualifying criteria, you may be eligible to receive student loan forgiveness under the Public Service Loan Forgiveness Program.

Holidays

Full-time and part-time employees are entitled to paid holidays and one paid personal holiday per calendar year.

Note: Employees who are members of certain Unions may be entitled to additional personal leave day(s), please refer to position specific Collective Bargaining Agreements for more information.

Full-time employees who work full monthly schedules qualify for holiday compensation if they are employed before the holiday and are in pay status for at least 80 nonovertime hours during the month of the holiday; or for the entire work shift preceding the holiday.

Part-time employees who are in pay status during the month of the holiday qualify for the holiday on a pro-rata basis. Compensation for holidays (including personal holiday) will be proportionate to the number of hours in pay status in the month to that required for full-time employment, excluding all holiday hours. Pay status includes hours worked and time on paid leave.

Sick Leave

Full-time employees earn eight hours of sick leave per month. Overtime eligible employees who are in pay status for less than 80 hours per month, earn a monthly proportionate to the number of hours in pay status, in the month to that required for full-time employment. Overtime exempt employees who are in pay status for less than 80 hours per month do not earn a monthly accrual of sick leave.

Sick leave accruals for part-time employees will be proportionate to the number of hours in pay status, in the month to that required for full-time employment. Pay status includes hours worked, time on paid leave and paid holiday.

Vacation (Annual Leave)

Full-time employees accrue vacation leave at the rates specified in WAC 357-31-165(1) or the applicable collective bargaining agreement (CBA). Full-time employees who are in pay status for less than 80 nonovertime hours in a month do not earn a monthly accrual of vacation leave.

Part-time employees accrue vacation leave hours in accordance with WAC 357-31-165(1) or the applicable collective bargaining agreement (CBA) on a pro rata basis. Vacation leave accrual will be proportionate to the number of hours in pay status, in the month to that required for full-time employment.

Pay status includes hours worked, time on paid leave and paid holiday.

As provided in WAC 357-58-175, an employer may authorize a lump-sum accrual of vacation leave or accelerate the vacation leave accrual rate to support the recruitment and/or retention of a candidate or employee for a Washington Management Service position. Vacation leave accrual rates may only be accelerated using the rates established WAC 357-31-165.

Note: Most agencies follow the civil service rules covering leave and holidays for exempt employees even though there is no requirement for them to do so. However, agencies are required to adhere to the applicable RCWs pertaining holidays and leave.

Military Leave

Washington State supports members of the armed forces with 21 days paid military leave per year.

Bereavement Leave

Most employees whose family member or household member dies, or for loss of pregnancy, are entitled to five (5) days of paid bereavement leave. In addition, the employer may approve other available leave types for the purpose of bereavement leave.

Additional Leave

Leave Sharing

Parental Leave

Family and Medical Leave Act (FMLA)

Leave Without Pay

Please visit the State HR Website for more detailed information regarding benefits.

Updated 01-07-2026

01

This position requires you to be onsite (in-person) at our Tumwater location two (2) days a week. Do you agree to this requirement if hired for the position?

• YES
• NO

02

Which one of the following best describes your highest level of Microsoft Excel skills? (To qualify for the Intermediate level, you must also be able to perform the functions at the Basic level; to qualify for the Advanced level, you must also be able to perform the functions at Basic and Intermediate levels; to qualify for the Expert level, you must also be able to perform the functions at the Basic, Intermediate, and Advanced levels.)

• I do not have enough skills to meet the definition of the Basic level below
• BASIC: Create basic worksheets; create basic formulas; use basic functions; modify and format a worksheet; print workbooks
• INTERMEDIATE: Use advanced formulas; organize tables and worksheets; create and modify charts; analyze data using Pivot tables and Pivot Charts; insert and modify graphic objects in a worksheet
• ADVANCED: Create and edit macros; conditional formatting; apply data validation criteria; able to protect, share and merge files; trace cells and troubleshoot formula errors; uses data list outline; consolidate data and link workbooks; export and import text files and XML data; import data from the Web and create Web queries; analyze data using trend lines, Sparklines and scenarios
• EXPERT: Able to use and train others in all Excel functions listed above and uses advanced formulas, functions and arrays; uses information, date and time functions; uses advanced editing and formatting; advanced chart formatting; runs solver models and reports; embed and link information; set up customization including automation

03

Which one of the following best describes your highest level of Microsoft Outlook skills? (To qualify for the Intermediate level, you must also be able to perform the functions at the Basic level; to qualify for the Advanced level, you must also be able to perform the functions at Basic and Intermediate levels; to qualify for the Expert level, you must also be able to perform the functions at the Basic, Intermediate, and Advanced levels.)

• I do not have enough skills to meet the definition of the Basic level below
• BASIC: Compose email messages; send and respond to messages; organize email into folders; create contact information; schedule appointments; schedule meetings, manage tasks and notes
• INTERMEDIATE: Set calendar options; sort, find and filter messages; create distribution lists; share and delegate folder access; customize toolbar, menu bar, quick access tool bar and the To-DO bar; customize message options; use the journal entry to track and record; assign, reply and track tasks; create public folders and send and post information
• ADVANCED: Personalize with stationary and themes; create signatures; configure email security settings; group items and create search folders; apply conditional formatting; manage data files; create mail merge using contacts; archive messages
• EXPERT: Able to use and train others in all Outlook functions listed above

04

Which one of the following best describes your highest level of Microsoft Word skills? (To qualify for the Intermediate level, you must also be able to perform the functions at the Basic level; to qualify for the Advanced level, you must also be able to perform the functions at Basic and Intermediate levels; to qualify for the Expert level, you must also be able to perform the functions at the Basic, Intermediate, and Advanced levels.)

• I do not have enough skills to meet the definition of the Basic level below
• BASIC: Create, save, preview and print a basic document; edit selected text; change font appearance; highlight text; format paragraphs with tabs, borders, shading and styles; page setup, use auto correct
• INTERMEDIATE: Insert graphic objects and visual effects to a document; add tables to a document or convert tables to text; add watermarks, borders, headers and footers; use the word look up (thesaurus, dictionary); customize tables and charts; modify pictures in document; create customized graphic elements; use templates
• ADVANCED: Insert content using quick parts; control text flow; perform mail merge function; uses macros for tasks; insert cover pages and table of contents; track changes and comments; insert bookmarks, footnotes and endnotes; add hyperlinks; cross-references and citations; link documents to excel worksheets; send document to PowerPoint; merge documents; redaction function; hide text; add digital signature, restrict access and use passwords; create, protect and automate forms
• EXPERT: Able to use and train others in all Word functions listed above

05

Do you have 7 years of professional work experience involving insurance regulation, insurance compliance, market conduct oversight, policy review, regulatory affairs, claims handling, risk management, legal compliance, or a related field? If yes, please briefly describe your experience.

06

Please select all that apply to your professional experience and background:

• Two (2) or more years demonstrated professional level experience with licensure or compliance of regulated entities, including but not limited to financial analysis, audits or examinations, and/or inspection of technical documentation such as business contracts, policies, and agreements.
• Prior experience as a Functional Program Analyst 3 with the Washington Office of the Insurance Commissioner (OIC) performing licensing application reviews, financial analysis/exams, consumer complaint analysis, or comparable experience with the OIC; or comparable experience with another state's department of insurance.
• Three (3) years of work experience producing work product that demonstrates scrupulous attention to detail and superior writing skills.
• Industry professional designations, such as, Accredited Financial Examiner (AFE), Chartered Property Casualty Underwriter (CPCU), Fellow Life Management Institute (FLMI), Certified Insurance Examiner (CIE), Accredited Insurance Examiner (AIE), Associate, Insurance Regulatory Compliance (AIRC), Associate Professional in Insurance Regulation (APIR), or Professional in Insurance Regulation (PIR).
• Fluent verbal communication skills in Spanish, Korean, Russian, Vietnamese, Mandarin, or Cantonese, with the ability to score "Advanced Mid skill level" on the oral proficiency assessment by the American Council for the Testing of Foreign Languages.
• None of the above

07

In accordance with RCW 48.02.090(5), Office of Insurance Commissioner employees are prohibited from having any interest, directly or indirectly, in an insurance company other than as a policy-holder. This prohibition includes the receipt of renewal commissions and employees may not hold a valid insurance license. If you have any interest in an insurance company you must forfeit the license prior to the effective date of your appointment. If hired, do you agree to abide by this law?

• YES
• NO

08

As part of the pre-employment process, are you willing and able to undergo a criminal history background investigation? This would include a criminal records check.

• YES
• NO
• N/A - I am currently an OIC employee

Required Question

Employer State of Washington

Address View Job Posting for Agency Information

View Job Posting for Location, Washington, 98504

Website http://www.careers.wa.gov