• Real compliance casework. Investigate alerts, adjudicate transaction monitoring flags, conduct KYC/KYB reviews, prepare SARs and CTRs, and run screening investigations. The full spectrum of BSA/AML work across our client base. • Working cases with the agents. You'll work alongside the agents on live casework, pressure-testing their reasoning, catching where they're wrong, and making sure every output meets the client's regulatory standards. • Defining where humans belong in the loop. Which cases need a human eye, and why? What signals should trigger an escalation? You'll be the one designing those rules, turning instinct into criteria the agents can act on. • Rewriting the playbook. When you spot a recurring false positive, a missed signal, or a jurisdictional quirk that the SOP doesn't account for, you'll fix it at the source. Updating the workflow, retraining the agent, and validating the change against historical cases.

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.

Lead the fraud operations function, manage team performance, oversee fraud investigations, and adapt processes to counter emerging threats while ensuring high-quality stakeholder engagement and minimizing fraud losses.

• Manage a team of 25+ analysts • Oversee team performance, development, and workload planning to ensure successful project delivery. • Provide coaching, feedback, and support for team members’ growth and career progression. • Manage client engagements, ensuring compliance with internal policies and regulatory standards. • Maintain regular communication with clients to strengthen partnerships, report outcomes, and identify service opportunities. • Monitor team output and quality, identifying areas for process improvement and efficiency. • Deliver performance and service reports to senior leadership and clients. • Collaborate with internal teams to expand subject matter expertise and advisory capabilities. • Contribute to strategic initiatives within the Managed Services practice in partnership with senior leaders. • Provide production/service reporting to senior leadership and clients. • Work directly with partnership team to develop subject matter expertise and expand advisory services and consulting opportunities with clients.