Senior SIU Auto Claims Investigator — Remote & AI-Driven

Openkrill; United States; Remote; USD 65,000 - 73,000; Full time

Benefits offered by this job

Equity in company

Comprehensive benefits package

401(k) with employer match

20 paid vacation days

Parental leave

Health & wellness coverage

Job summary

Lemonade is seeking an experienced SIU Investigator to lead end-to-end investigations of complex auto claims, including BI and PIP, with a focus on Florida-specific fraud trends. You will work with data science and product teams to refine predictive models, and you’ll counter evolving digital fraud risks while supporting EUOs and referrals.

The role requires 5+ years in SIU or auto claims, deep Florida PIP/BI knowledge, and comfort working in a remote environment. A college degree is preferred.

Qualifications

• 5+ years in SIU or auto claims investigations.
• Deep Florida PIP and BI expertise.
• Experience with intelligence platforms (ISO ClaimSearch, Accurint, TLOxp, LexisNexis).
• Proven ability to investigate large-scale multi-jurisdictional fraud rings.

Responsibilities

• Lead end-to-end SIU investigations on complex auto claims — ownership from referral to resolution.
• Identify and dismantle fraud networks, staged rings, and billing schemes.
• Apply Florida PIP statutes, treatment windows, and 14-day rule to fight fraud
• Collaborate with Data Science and Product to test and refine predictive models.
• Investigate AI-manipulated damages, synthetic media, and altered records.
• Support EUOs, state fraud referrals, and case strategy with claims and legal.

Skills

SIU investigations

Auto claims experience

Fraud pattern recognition

AI curiosity in investigations

Remote work readiness

Education

College degree in criminal justice/insurance/related field

Tools

ISO ClaimSearch

Accurint

TLOxp

LexisNexis

Job description

Lemonade is seeking an experienced SIU Investigator to lead end-to-end investigations of complex auto claims, including BI and PIP, with a focus on Florida-specific fraud trends. You will work with data science and product teams to refine predictive models, and you’ll counter evolving digital fraud risks while supporting EUOs and referrals.

The role requires 5+ years in SIU or auto claims, deep Florida PIP/BI knowledge, and comfort working in a remote environment. A college degree is preferred.