Special Investigator I

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 Special Investigator I. As a Special Investigator I, you will be an integral part of our mission to combat fraudulent activities and uphold our organization's dedication to integrity and financial well-being. This role places a strong emphasis on developing investigative skills and ensuring compliance.

What you’d be doing:

• Play a key role in assisting with the development and implementation of fraud prevention strategies and investigative operations. Contribute to protecting the organization's interests and reputation.
• Assist in investigations involving high-profile and sensitive cases with intricate and specialized fraud referrals. These cases often come with significant exposure and complexity, and your role is essential in supporting their resolution.
• Utilize your knowledge of state laws and regulations pertaining to the P&C insurance industry, its products, services, and processes. This understanding is essential to your investigative capabilities and valuable to the organization.
• Help prepare and deliver detailed and well-structured verbal and written investigative reports. These reports are crucial for summarizing investigation findings and their implications.
• Provide support as a subject matter resource within the Special Investigation Unit (SIU). Offer guidance and training to team members involved in fraud investigations, contributing to their professional growth and expertise.
• Support the cultivation and maintenance of relationships with key stakeholders, industry experts, and law enforcement authorities in the field of fraud investigation, detection, and prevention. These connections are vital to the organization's holistic approach to fraud prevention.
• Assist with CAT duty responsibilities as needed, ensuring a timely and efficient response to business requirements during extraordinary events or emergencies.
• Contribute to regulatory compliance activities, including tasks such as regulatory reporting, research, training, and educational requirements. Help maintain the organization's adherence to industry regulations and standards.
• Collaborate in utilizing third-party vendors and specialized tools as key elements of your approach to conducting effective and comprehensive claim investigations.

In this role, a Special Investigator 1 will be an essential part of the organization's efforts to combat fraudulent activities, maintain compliance, and preserve our reputation for ethical practices. Your commitment and growing expertise will be instrumental in achieving these goals.

We’re looking for someone who has:

• Associate's degree in a related field or equivalent relevant education.
• A minimum of 2 - 4 years of experience in P&C SIU/Fraud investigations or 2 years in a related fraud industry investigation role.
• Basic knowledge and understanding of fraud investigations, including some familiarity with case law, state laws, and regulations.
• Willingness and ability to obtain a P&C adjuster's license within 90 days of employment.
• Experience as an investigator with some involvement in conducting statements involving multiple parties.
• Basic proficiency in gathering evidence and making conclusions based on objective details related to fraud applicability.
• Basic ability to organize and prioritize workloads, handle multiple tasks, and propose solutions for problems.
• Basic proficiency in using computers and common software packages to input and extract data for analysis from pertinent data sources and systems.
• Some familiarity with city, state, and local regulations, legal principles, contract understanding, case law, medical treatment, and medical terminology.
• Exposure to managing claims and cases, including some specialty or complexity.

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.

About SageSure:

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 markets 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, SageSure offers more than 50 competitively priced home, flood, earthquake, and commercial products on behalf of its highly rated carrier partners. Today, SageSure manages more than $1.9 billion of inforce premium and helps protect 640,000 policyholders.

SageSure has more than 1000 employees working remotely or in-office across nine offices: Cheshire, Connecticut; Chicago, Illinois; Cincinnati, Ohio; Houston, Texas; Jersey City, New Jersey; Mountain View, California; Marlton, New Jersey; Tallahassee, Florida; and Seattle, Washington.

SageSure offers generous health benefits and perks, including tuition reimbursement, wellness allowance, paid volunteer time off, a matching 401K plan, and more.

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. We recognize that our differences make us strong, and we actively seek out diverse candidates through partnerships with organizations, institutions and communities that represent various backgrounds. We champion belonging and inclusion for all identities, including, but not limited to, race, ethnicity, religion, sexual orientation, age, veteran status, ability status, gender, and country of origin, striving to create a culture where all individuals feel valued, respected, and empowered to bring their authentic selves to work.

Our nimble, highly responsive culture nurtures critical thinkers who run toward problems and engineer solutions. We relentlessly pursue better outcomes by investing in the technology, talent, and tools that position us to succeed in demanding markets. Come join our team! Visit sagesure.com/careers to find a position for you.

Originally posted on Himalayas

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