SIU Investigator, Auto Claims

Added
6 days ago
Type
Full time
Salary
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Related skills

ai fraud detection lexisnexis claims tloxp

πŸ“‹ Description

  • Lead end-to-end SIU investigations on complex auto claims β€” Physical Damage, Bodily Injury, and
  • Identify and dismantle multi-claim fraud networks, staged accident rings, and coordinated medical
  • Apply deep working knowledge of Florida PIP statutes, medical fee schedules, and the 14-day
  • Partner directly with our Data Science and Product teams to test and refine predictive fraud
  • Investigate emerging digital fraud risks β€” AI-manipulated damage photos, synthetic media, and
  • Support EUOs, state fraud bureau referrals, and case strategy alongside claims adjusters and legal

🎯 Requirements

  • 5+ years of dedicated SIU or auto claims investigative experience, with a track record on complex
  • Deep Florida PIP and BI expertise β€” statutes, treatment windows, billing mill fraud, and EUO
  • Hands-on experience with intelligence platforms like ISO ClaimSearch, Accurint, TLOxp, or LexisNexis
  • Proven ability to investigate large-scale, multi-jurisdictional organized fraud rings and billing
  • Genuine curiosity about AI β€” both as an investigative asset and as a fraud threat vector you'll
  • A college 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
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