Overview: 

If you're looking for the stability of a profitable, growing company with the entrepreneurial spirit of a startup, we’re hiring. SageSure, a leader in catastrophe-exposed property insurance, is seeking a Senior Special Investigator. As a Senior Special Investigator, you will take the helm in orchestrating a multi-faceted approach to protect our organization against fraudulent activities. This role is characterized by a strong focus on leadership, compliance, and expertise.

What you’d be doing:

• Lead the development and execution of comprehensive fraud prevention strategies and investigative operations, driving the organization's efforts to maintain its integrity and financial well-being. Review referrals to determine if red flags exist and assigns work to investigators accordingly. Gathers and examines complex data and interprets said data.
• Lead high-profile and sensitive special investigations involving intricate and specialized fraud referrals. These cases often carry significant exposure and complexity, demanding leadership and expertise to ensure their successful resolution.
• Apply advanced knowledge of state laws and regulations relevant to the P&C insurance industry, its products, services, and processes. This knowledge is the cornerstone of the investigative proficiency and a crucial asset to the organization.
• Prepare and deliver detailed, comprehensive, and well-structured verbal and written investigative reports. These reports serve as vital tools in summarizing investigation results and their implications. Review operational output and reports out on patterns related to: Identified fraud, gaps in process, strengths, and weaknesses.
• Serve as a recognized subject matter expert within SIU, offering expert guidance and conducting training for team members involved in fraud investigations. Your knowledge and experience will be instrumental in shaping the expertise of the team. Develop, implement, and deliver training programs tailored to claims and underwriting personnel, enhancing their ability to identify and prevent fraud effectively. Owns and operates control(s) related to an effective and compliant training program.
• Cultivate and sustain external relationships with key stakeholders, industry experts, and law enforcement authorities involved in the complex realm of fraud investigation, detection, and prevention. Your ability to foster these connections is essential for the organization's holistic approach to fraud prevention.
• Take charge of CAT duty responsibilities as necessary, ensuring a rapid and effective response to business requirements during extraordinary events or emergencies.
• Provide invaluable support for regulatory compliance activities. This includes duties such as regulatory reporting, research, training, and educational requirements to ensure the organization remains compliant with industry regulations and standards.
• Harness the capabilities of third-party vendors and specialized tools as a critical component of your approach to conducting effective claim investigations.
• Prepare and deliver professional, concise, and insightful presentations to leadership, providing actionable findings and recommendations on fraud trends, investigation outcomes, and risk mitigation strategies. 

In this senior role, your comprehensive knowledge, leadership, and dedication will be pivotal in fortifying the organization's defenses against fraudulent activities, ensuring its compliance with industry regulations, and maintaining its reputation for integrity and ethical practices. 

We’re looking for someone who has: 

• Bachelor's degree in a related field or equivalent relevant education 10 years’ experience conducting fraud investigations.
• A minimum of 7 years of comprehensive experience in P&C SIU/Fraud investigations or 9 years in a related fraud industry investigation role.
• Demonstrate exceptional expertise and understanding of fraud investigations, including the application of case law, state laws, and regulations.
• Proven track record as a results-driven, seasoned investigator with significant experience in conducting complex statements involving multiple parties.
• Proficiency in gathering a wide range of evidence and arriving at conclusions based on objective details related to fraud applicability.
• A well-documented ability to effectively organize and prioritize workloads, handling multiple tasks and devising solutions for complex problems.
• Proficiency in utilizing computers and various software packages to input and extract data for analysis from pertinent data sources and systems.
• Comprehensive knowledge of city, state, and local regulations, legal principles, contract understanding, case law, medical treatment, and medical terminology.
• Demonstrated expertise in concurrently managing specialty/complex/litigated claims and cases. 

Overview: 

If you're looking for the stability of a profitable, growing company with the entrepreneurial spirit of a startup, we’re hiring. SageSure, a leader in catastrophe-exposed Property Insurance, is seeking a Claims Compliance Specialist to support the continued growth and operational excellence of our Claims team. 

In this role, you’ll oversee the adjuster licensing process across multiple jurisdictions and lead the complaint handling program to ensure timely, compliant, and customer-focused outcomes. This position is ideal for someone who thrives in ambiguity and enjoys building and scaling processes in a growing organization. You’ll be instrumental in evolving our compliance infrastructure by driving process improvements and transforming manual workflows into streamlined automated solutions. 

As the SageSure Claims team continues to grow, you’ll be an integral part of a dynamic and forward-thinking insurtech—helping to shape how compliance is embedded into the very fabric of our Claims operations. 

What you’d be doing: 

Adjuster Licensing Compliance & Tracking: 

• Own and manage the adjuster licensing lifecycle, including initial licensing, renewals, and continuing education across multiple jurisdictions  

• Ensure ongoing compliance with all state licensing requirements and proactively identify potential risks or gaps  

• Provide regular, data-driven reporting on licensing status, trends, and risks to leadership  

• Serve as the primary point of contact for licensing-related inquiries and communicate regulatory updates clearly to stakeholders  

• Support oversight of third-party vendors and licensing partners, ensuring adherence to regulatory requirements and internal standards  

• Partner with vendors to improve licensing processes, enhance data accuracy, and drive operational efficiency  

• Identify opportunities to streamline and automate licensing workflows, reducing manual effort and improving scalability  

• Develop and maintain procedural documentation, controls, and monitoring mechanisms to ensure consistency, accuracy, and audit readiness 

Regulatory Complaint Management 

• Own the end-to-end complaint handling program, ensuring timely, accurate, and compliant resolution of customer complaints  

• Oversee complaint tracking, reporting, and trend analysis; identify root causes and drive remediation efforts  

• Develop and maintain compliance documentation, including policies, procedures, and training materials 

• Present complaint insights, risks, and recommendations to senior leadership with clarity and precision 

• Support regulatory complaint inquiries regarding data calls, market conduct exams, and carrier audit activities  

• Partner cross-functionally to implement solutions, including process enhancements and automation opportunities, to address recurring complaint drivers  

We’re looking for someone who has: 

• Bachelor’s degree required (Business, Risk Management, Finance, or related field preferred) 

• 3+ years of experience of state and federal insurance claims regulations, including licensing requirements, complaint requirements, claims handling procedures, and compliance standards. 

• 3+ years of P&C insurance experience 

• Proven ability to operate effectively in ambiguous, fast-paced environments with evolving priorities  

• Experience building or significantly enhancing compliance or operational processes from the ground up  

• Demonstrated success driving process improvement, automation, or transformation initiatives  

• Ability to assess, design, and transform processes, including transitioning from manual to automated workflows  

• Experience partnering cross-functionally with Operations, Technology, Legal, and Risk teams  

• Experience working with or overseeing third-party vendors or TPAs in a regulated environment  

• Strong critical thinking skills with the ability to balance regulatory requirements with practical business needs  

• Ability to interpret, apply, and communicate complex regulatory requirements clearly to diverse stakeholders  

• Strong organizational and time-management skills with the ability to manage multiple priorities and deadlines  

• Proficiency in Microsoft Office Suite, Smartsheet, Domo, or similar tools  

• Excellent written and verbal communication skills  

• High attention to detail and accuracy  

• Ability to work both independently and collaboratively 

Highly preferred candidates also have: 

• 5+ years in P&C insurance experience 

• Experience interacting with regulatory agencies and navigating compliance frameworks 

• General GRC (Governance Risk and Compliance) Certifications.  

• Experience implementing or supporting workflow automation tools or system enhancements 

• Experience using licensing and complaint management systems. 

• Excellent written and oral communication skills, including identifying stakeholder needs and communicating credibly and effectively with your audience. 

• Process or Program Management experience  

Overview: 

If you're looking for the stability of a profitable, growing company with the entrepreneurial spirit of a startup, we’re hiring. SageSure, a leader in catastrophe-exposed property insurance, is seeking a Claims Relationship Manager.   

The Claims Relationship Manager will serve as the key liaison between our organization and our valued carrier partners. This role ensures operational alignment, facilitates communication, and provides claims leadership with actionable data for strategic decisions. The ideal candidate excels at relationship management, possesses strong analytical skills, and communicates complex data clearly. 

What you’d be doing: 

• Acting as the primary point of contact for carrier partners and fostering collaborative relationships.
• Leading cadence calls and quarterly business reviews with carrier partners.
• Collaborating with internal claims leadership on strategies to maximize carrier relationship value.
• Identifying opportunities for process improvement in claims handling.
• Designing, generating, and distributing monthly and quarterly performance reports.
• Analyzing claims data to identify trends and areas of concern or success.
• Translating analytical findings into actionable insights.
• Serving as the claims point of contact for carrier-related inquiries and escalations.
• Coordinating onboarding and off boarding of carrier partners.
• Communicating policy, procedural, or technology updates to carrier partners.
• Supporting preparation of executive-level meeting materials.
• Completing ad-hoc projects as they arise.
• And any other duties needed to help drive our purpose and fulfill our values. 

We’re looking for someone who has: 

• 3-5+ years of experience in claims management, account management, or insurance operations.
• Bachelor’s degree in Business, Finance, or related field.
• Strong relationship-building skills.
• Exceptional written and verbal communication skills.
• Advanced Excel and PowerPoint skills.
• Experience generating and interpreting claims performance metrics.
• Highly organized and detail oriented. 

Highly preferred candidates also have: 

• Advanced knowledge of Property & Casualty (P&C) insurance claims processes. 
• Experience with BI tools such as Tableau or Power BI. 

About the Claims team at SageSure:  

On SageSure’s Claims team, you’ll be doing more than investigating and resolving losses. From the ground up, you’ll be pioneering a best-in-class claims handling approach that leverages transformative technology to support our customers, agents and employees. As a part of this customer-focused, process-oriented team you will be the face of SageSure, helping our policyholders through some of their most trying times. Whether you hold a formal leadership role or are a key team player, you’ll coach, mentor and engage with those around you in ways that bring out the best in people and effect change.   

You can easily distill complex processes in ways those outside the industry can understand and know the importance of aligning communication tools to customer preferences.  You thrive on setting and exceeding expectations, and know building relationships, not completing transactions, is the heart of the insurance business.

Overview: 

If you're looking for the stability of a profitable, growing company with the entrepreneurial spirit of a startup, we’re hiring. SageSure, a leader in catastrophe-exposed property insurance, is seeking a Claims Relationship Manager.   

The Claims Relationship Manager will serve as the key liaison between our organization and our valued carrier partners. This role ensures operational alignment, facilitates communication, and provides claims leadership with actionable data for strategic decisions. The ideal candidate excels at relationship management, possesses strong analytical skills, and communicates complex data clearly. 

What you’d be doing: 

• Acting as the primary point of contact for carrier partners and fostering collaborative relationships.
• Leading cadence calls and quarterly business reviews with carrier partners.
• Collaborating with internal claims leadership on strategies to maximize carrier relationship value.
• Identifying opportunities for process improvement in claims handling.
• Designing, generating, and distributing monthly and quarterly performance reports.
• Analyzing claims data to identify trends and areas of concern or success.
• Translating analytical findings into actionable insights.
• Serving as the claims point of contact for carrier-related inquiries and escalations.
• Coordinating onboarding and off boarding of carrier partners.
• Communicating policy, procedural, or technology updates to carrier partners.
• Supporting preparation of executive-level meeting materials.
• Completing ad-hoc projects as they arise.
• And any other duties needed to help drive our purpose and fulfill our values. 

We’re looking for someone who has: 

• 3-5+ years of experience in claims management, account management, or insurance operations.
• Bachelor’s degree in Business, Finance, or related field.
• Strong relationship-building skills.
• Exceptional written and verbal communication skills.
• Advanced Excel and PowerPoint skills.
• Experience generating and interpreting claims performance metrics.
• Highly organized and detail oriented. 

Highly preferred candidates also have: 

• Advanced knowledge of Property & Casualty (P&C) insurance claims processes. 
• Experience with BI tools such as Tableau or Power BI. 

About the Claims team at SageSure:  

On SageSure’s Claims team, you’ll be doing more than investigating and resolving losses. From the ground up, you’ll be pioneering a best-in-class claims handling approach that leverages transformative technology to support our customers, agents and employees. As a part of this customer-focused, process-oriented team you will be the face of SageSure, helping our policyholders through some of their most trying times. Whether you hold a formal leadership role or are a key team player, you’ll coach, mentor and engage with those around you in ways that bring out the best in people and effect change.   

You can easily distill complex processes in ways those outside the industry can understand and know the importance of aligning communication tools to customer preferences.  You thrive on setting and exceeding expectations, and know building relationships, not completing transactions, is the heart of the insurance business.