[Hiring] Senior Special Investigator @SageSure

Role Description

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.

• Lead the development and execution of comprehensive fraud prevention strategies and investigative operations.
• Review referrals to determine if red flags exist and assign work to investigators accordingly.
• Gather and examine complex data and interpret said data.
• Lead high-profile and sensitive special investigations involving intricate and specialized fraud referrals.
• Apply advanced knowledge of state laws and regulations relevant to the P&C insurance industry.
• Prepare and deliver detailed, comprehensive, and well-structured verbal and written investigative reports.
• Review operational output and report 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.
• Develop, implement, and deliver training programs tailored to claims and underwriting personnel.
• Cultivate and sustain external relationships with key stakeholders, industry experts, and law enforcement authorities.
• Take charge of CAT duty responsibilities as necessary.
• Provide invaluable support for regulatory compliance activities.
• Harness the capabilities of third-party vendors and specialized tools for effective claim investigations.
• Prepare and deliver professional, concise, and insightful presentations to leadership.

Qualifications

• 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.
• Proven track record as a results-driven, seasoned investigator.
• Proficiency in gathering a wide range of evidence and arriving at conclusions based on objective details.
• A well-documented ability to effectively organize and prioritize workloads.
• Proficiency in utilizing computers and various software packages for data analysis.
• Comprehensive knowledge of city, state, and local regulations, legal principles, and medical terminology.
• Demonstrated expertise in concurrently managing specialty/complex/litigated claims and cases.

Company Description

Named among the Best Places to Work in Insurance by Business Insurance for four years in a row (2020-2023), SageSure is one of the largest managing general underwriters (MGU) focused on catastrophe-exposed property in the US.

Since its founding in 2009, SageSure has experienced exceptional growth while generating underwriting profits for carrier partners through hurricanes, wildfires, and hail.

• Available in 16 states.
• Offers more than 110 home, flood, and commercial products on behalf of its highly rated carrier partners.
• Manages more than $3.2 billion of inforce premium and helps protect more than 970,000 policyholders.
• More than 1,000 employees in a distributed workforce environment across 12 offices.

SageSure is a proud Equal Opportunity Employer committed to building a workforce that reflects the spectrum of perspectives, experiences, and abilities of the world we live in.

Our nimble, highly responsive culture nurtures critical thinkers who run toward problems and engineer solutions.

Come join our team! Visit sagesure.com/careers to find a position for you.