SageSure

Director, Claims Special Investigations

SageSure

full-time

Posted on:

Location Type: Remote

Location: United States

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Job Level

Lead

About the role

  • 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

Requirements

  • 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
Benefits
  • generous health benefits and perks
  • tuition reimbursement
  • wellness allowance
  • paid volunteer time off
  • a matching 401K plan
  • more
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
insurance claims adjustinginvestigative best practicessubrogation operationsfraud detectionperformance managementcapacity managementquality assurancedata analysiscompliance requirementsvendor performance oversight
Soft Skills
leadershipmentoringcollaborationcommunicationanalytical skillsdecision-makingstrategic thinkingoperational oversightstakeholder engagementprogram development