Director, Claims Special Investigations jobs in United States
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SageSure · 1 day ago

Director, Claims Special Investigations

SageSure is a rapidly growing insurtech serving challenging, catastrophe-exposed markets across the US. The Claims Special Investigations Director will be responsible for leading the Special Investigations, Subrogation, and Salvage functions, ensuring operational excellence and strategic alignment with enterprise goals.

Commercial InsuranceFinancial ServicesInsuranceProperty Insurance

Responsibilities

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
Establish and 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, leveraging emerging 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 between internal/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

Qualification

Leadership in SIUInsurance fraud knowledgeSubrogation oversightFraud analyticsInvestigative technologyAnalytical skillsCommunication skillsDecision-making skillsMentoring abilityCollaboration skills

Required

Minimum of 8+ 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

Preferred

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

Benefits

Generous health benefits
Tuition reimbursement
Wellness allowance
Paid volunteer time off
A matching 401K plan

Company

SageSure

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SageSure offers property and casualty insurance solutions tailored for homeowners in regions prone to natural catastrophes.

Funding

Current Stage
Late Stage
Total Funding
$900M
Key Investors
Wintrust FinancialAres ManagementCitizens Bank
2025-07-11Debt Financing· $100M
2023-05-16Private Equity· $250M
2023-03-28Debt Financing· $50M

Leadership Team

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Terrence McLean
Co-Founder, President, and CEO
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Colin Smith
Chief Operating Officer
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Company data provided by crunchbase