Director, Claims Special Investigations

Overview:

SageSure is a rapidly growing insurtech serving the most challenging, catastrophe-exposed markets across the US. We are a $600 million business with over 340,000 customers across 14 states. We seek a go-getter and strategic thinker to help grow and scale our business. Reporting to the Specialty Operation AVP, the Claims Special Investigations Director is accountable for shaping and driving the performance of the Special Investigations, Subrogation, and Salvage organizations through a combination of strategic initiatives, process optimization, and performance management. 

What you’d be doing: 

This key role is responsible for end to end orchestration and operational leadership of the Special Investigations, Subrogation, and Salvage functions at SageSure, enabling both tactical execution and strategic business value delivery across the claims organization. This role also includes partnering with key stakeholders as a part of roadmap development, communication, execution, and monitoring. Significant interaction across our organization up to and including executive leadership is to be expected. 

• Provide strategic and operational oversight of the Special Investigations Unit (SIU), Subrogation, and Salvage programs.
• Own and coordinate the roadmap for SIU program development, ongoing maintenance, and performance management
• Identify, scope, and execute both strategic and tactical initiatives supporting SIU, subrogation, and salvage objectives
• Partner with senior leadership to align high-impact investigations, recovery initiatives, and program priorities with enterprise goals
• Oversee intake, triage, and capacity management across SIU investigations and recovery workflows
• Establishand maintain compliant SIU guidelines, quality standards, and reporting requirements 
• Develop, implement, and sustain fraud training and SIU quality assurance programs
• Lead and enhance digital fraud detection efforts,leveragingemerging tools and technologies to support field and desk investigators 
• Provide oversight of subrogation and salvage recoveries, including vendor performance, financial outcomes, and process effectiveness
• Ensure strong alignment and collaboration betweeninternal/external stakeholders.
• Plan and lead communication strategies to ensure organizational awareness of SIU, subrogation, and salvage initiatives, timelines, and outcomes
• Leverage frontline insights, data, and operational feedback to continuously improve program effectiveness and value delivery

We’re looking for someone who has: 

• Minimum of8+ years of leadership experience within SIU, claims, investigations, or related insurance operations
• Background in insurance claims adjusting and/or law enforcement investigations
• Strong understanding of insurance fraud indicators, investigative best practices, and claim life-cycle risk
• Experience providing oversight of subrogation operations, recoveries, and vendor performance
• Working knowledge of state and federal fraud regulations and SIU compliance requirements
• Ability to lead, mentor, and develop investigators and cross-functional partners
• Proven ability to collaborate with Claims, Legal, Compliance, and external agencies
• Strong analytical, communication, and decision-making skills

Highly preferred candidates also have: 

• Prior experience overseeing both SIU and subrogation programs within a property or casualty insurance environment
• Background supporting catastrophe-exposed claims, large loss investigations, or complex recovery efforts
• Familiarity with fraud analytics, claim data, and investigative technology platforms
• Proven ability to develop referral strategies, performance metrics, and executive-level reporting
• Strong strategic mindset with the ability to balance regulatory compliance, operational efficiency, and financial outcomes

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.