SIU Investigator, Auto Claims

The role

You will lead end-to-end SIU investigations on complex auto claims including Physical Damage, Bodily Injury, and PIP/Medical Payments. You will identify fraud networks and partner with Data Science and Product teams to refine predictive fraud models.

What you will do

• Lead end-to-end SIU investigations on complex auto claims
• Identify and dismantle multi-claim fraud networks, staged accident rings, and coordinated medical billing schemes
• Apply knowledge of Florida PIP statutes, medical fee schedules, and the 14-day treatment rule
• Partner with Data Science and Product teams to test and refine predictive fraud models
• Investigate emerging digital fraud risks using AI tools and digital research platforms
• Support EUOs, state fraud bureau referrals, and case strategy

Required qualifications

• 5+ years of dedicated SIU or auto claims investigative experience
• Deep Florida PIP and BI expertise
• Hands-on experience with intelligence platforms like ISO ClaimSearch, Accurint, TLOxp, or LexisNexis
• Ability to investigate large-scale, multi-jurisdictional organized fraud rings and billing syndicates
• Genuine curiosity about AI
• A college degree
• Ability to work in a remote environment

Nice to have

• degree preferably in criminal justice, insurance, or a related field

Benefits

• comprehensive health & wellness coverage
• equity
• 401(k) plan with employer match
• 20 paid vacation days
• parental leave

Before you apply

• unable to sponsor applicants for work visas
• cannot consider applicants from these states: Alaska, California, Colorado, Montana, Hawaii, New Mexico and Puerto Rico

About the company

Lemonade is building the future of insurance with AI at the center.