Claims Compliance Specialist

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 Claims Compliance Specialist to support the continued growth and operational excellence of our Claims team. 

In this role, you’ll oversee the adjuster licensing process across multiple jurisdictions and lead the complaint handling program to ensure timely, compliant, and customer-focused outcomes. This position is ideal for someone who thrives in ambiguity and enjoys building and scaling processes in a growing organization. You’ll be instrumental in evolving our compliance infrastructure by driving process improvements and transforming manual workflows into streamlined automated solutions. 

As the SageSure Claims team continues to grow, you’ll be an integral part of a dynamic and forward-thinking insurtech—helping to shape how compliance is embedded into the very fabric of our Claims operations. 

What you’d be doing: 

Adjuster Licensing Compliance & Tracking: 

Own and manage the adjuster licensing lifecycle, including initial licensing, renewals, and continuing education across multiple jurisdictions  

Ensure ongoing compliance with all state licensing requirements and proactively identify potential risks or gaps  

Provide regular, data-driven reporting on licensing status, trends, and risks to leadership  

Serve as the primary point of contact for licensing-related inquiries and communicate regulatory updates clearly to stakeholders  

Support oversight of third-party vendors and licensing partners, ensuring adherence to regulatory requirements and internal standards  

Partner with vendors to improve licensing processes, enhance data accuracy, and drive operational efficiency  

Identify opportunities to streamline and automate licensing workflows, reducing manual effort and improving scalability  

Develop and maintain procedural documentation, controls, and monitoring mechanisms to ensure consistency, accuracy, and audit readiness 

Regulatory Complaint Management 

Own the end-to-end complaint handling program, ensuring timely, accurate, and compliant resolution of customer complaints  

Oversee complaint tracking, reporting, and trend analysis; identify root causes and drive remediation efforts  

Develop and maintain compliance documentation, including policies, procedures, and training materials 

Present complaint insights, risks, and recommendations to senior leadership with clarity and precision 

Support regulatory complaint inquiries regarding data calls, market conduct exams, and carrier audit activities  

Partner cross-functionally to implement solutions, including process enhancements and automation opportunities, to address recurring complaint drivers  

We’re looking for someone who has: 

Bachelor’s degree required (Business, Risk Management, Finance, or related field preferred) 

3+ years of experience of state and federal insurance claims regulations, including licensing requirements, complaint requirements, claims handling procedures, and compliance standards. 

3+ years of P&C insurance experience 

Proven ability to operate effectively in ambiguous, fast-paced environments with evolving priorities  

Experience building or significantly enhancing compliance or operational processes from the ground up  

Demonstrated success driving process improvement, automation, or transformation initiatives  

Ability to assess, design, and transform processes, including transitioning from manual to automated workflows  

Experience partnering cross-functionally with Operations, Technology, Legal, and Risk teams  

Experience working with or overseeing third-party vendors or TPAs in a regulated environment  

Strong critical thinking skills with the ability to balance regulatory requirements with practical business needs  

Ability to interpret, apply, and communicate complex regulatory requirements clearly to diverse stakeholders  

Strong organizational and time-management skills with the ability to manage multiple priorities and deadlines  

Proficiency in Microsoft Office Suite, Smartsheet, Domo, or similar tools  

Excellent written and verbal communication skills  

High attention to detail and accuracy  

Ability to work both independently and collaboratively 

Highly preferred candidates also have: 

5+ years in P&C insurance experience 

Experience interacting with regulatory agencies and navigating compliance frameworks 

General GRC (Governance Risk and Compliance) Certifications.  

Experience implementing or supporting workflow automation tools or system enhancements 

Experience using licensing and complaint management systems. 

Excellent written and oral communication skills, including identifying stakeholder needs and communicating credibly and effectively with your audience. 

Process or Program Management experience  

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 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, SageSure offers more than 110 home, flood, and commercial products on behalf of its highly rated carrier partners. Today, SageSure manages more than $3.2 billion of inforce premium and helps protect more than 970,000 policyholders.  

 We have more than 1,000 employees in a distributed workforce environment across 12 offices—Fairfield, CA; Mountain View, CA; Cheshire, CT; Jacksonville, FL; Tallahassee, FL; Tampa, FL; Chicago, IL; Jersey City, NJ; Marlton, NJ; Cincinnati, OH; Houston, TX; Sheboygan, WI—who are tackling the industry’s toughest challenges.     

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. 

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