Overview:

SageSure is looking for a compliance, process-focused Claims Compliance Specialist. The role will work with Operations and Optimization drive consistent compliance and risk management practices as the claims department continues to expand. Desirable candidates will have proven ability to identify, research and communicate regulatory obligations to stakeholders. This role will also help mature the departments risk management practices and framework, including formalizing policies, procedures, and controls. Lastly, you will serve as a key resource to the quality team on any compliance related inquiries and a key partner to training for the creation of compliance related training content.  As SageSure’s Claims team grows, you’ll be a key part of ensuring we scale with quality and build a secure and compliant operational landscape for the future. If you’re interested in joining our Claims team at an innovative insurtech, we’d like to hear from you.

What you’d be doing:

• Support the implementation of a comprehensive risk identification framework to proactively identify operational risks across the claims department. 

• Design and implement effective internal controls to mitigate identified operational risks and Conduct control testing to verify effectiveness and identify areas for continuous improvement.

• Contribute to the development and implementation of a culture of risk awareness within the organization.

• Support the Legislative Change Process; specifically, identifying, monitoring, and implementing monitor relevant insurance regulatory and legislative changes. 

• Conduct compliance deep dive claim reviews, share findings to drive continuous improvement within the Operation or Optimization departments.

• Overseeing the formal Complaint handling process including identifying trends and completing carrier reporting activities.  

• Oversee the Adjuster Licensing program.

• Support the Carrier Audit Process, including providing data for market inquiries, regulatory data calls and supporting market conduct examination requests. 

• Conduct ad hoc research into laws and regulations as needed, make recommendations, and oversee implementation of changes as necessary.

We’re looking for someone who has:

• 5+ years’ prior claims experience

• 5+ years compliance related work 

• 3+ years of experience in operational risk management, preferably in the insurance or financial services industry.

• Superior knowledge of property claims, business risk and operational controls

• Bachelor’s degree in finance, business administration, risk management, or a related field; advanced degree or professional certification (FRM, CRM) preferred.

• Outstanding communication, attention to detail, time management, organizational, multi-tasking, and problem-solving skills.

• Ability to communicate clearly, present and interact effectively at all levels of the organization

• Execution oriented and a self-motivator

• Knowledge of Microsoft Office Suite, Smartsheet, Domo and other business-related software

Highly preferred candidates also have:

• Experience working within data-driven organizations

• Professional designation(s) or advanced degree

• Catastrophe claims support experience

• Knowledge of construction and repair methodologies via field claims experience

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.