SIU Investigator, Auto Claims
Core
Lead end-to-end investigations on complex auto claims (Physical Damage, Bodily Injury, PIP/Medical Payments) to identify and dismantle multi-claim fraud networks, staged accident rings, and coordinated medical billing schemes.
Role type
Senior SIU Investigator (Auto Claims)
Builds
Fraud detection insights and case resolutions for Lemonade's Claims team
Domain
Insurance (Auto Claims) + Fraud Investigation
Deliverable
production ML models
Required skills
SIU investigation, Florida PIP statutes, link analysis, pattern recognition, intelligence platforms (ISO ClaimSearch, Accurint, TLOxp, LexisNexis), digital fraud research, AI tool usage
Preferred skills
Criminal justice or insurance degree, experience with organized fraud rings, curiosity about AI
Technologies
ISO ClaimSearch, Accurint, TLOxp, LexisNexis, AI tools
Responsibilities
Lead end-to-end SIU investigations on complex auto claims, Identify and dismantle multi-claim fraud networks, Apply deep working knowledge of Florida PIP statutes, Partner with Data Science and Product teams to refine predictive fraud models, Investigate emerging digital fraud risks, Support EUOs and case strategy
Seniority
Senior, hands-on IC