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In this role, you’ll utilize cutting-edge tools for fraud detection and investigation, while working with our Data Science team on creating processes and fraud deterrence tools.
What you’ll doPerform in-depth investigations into suspected fraudulent activities, including insurance fraud, employee misconduct, and other forms of financial or operational abuse.
Collect and analyze evidence from multiple sources, including documents, databases, interviews, and surveillance footage.
Conduct interviews with witnesses, claimants, and suspects to gather information and obtain statements.
Compile detailed investigative reports that outline findings, conclusions, and recommendations for corrective actions.
Work with law enforcement agencies and other external organizations to support criminal investigations and legal proceedings.
Ensure the confidentiality and security of sensitive information throughout the investigation process.
Monitor and ensure adherence to company policies, industry regulations, and legal requirements.
Provide training and education to employees on fraud prevention and detection techniques.
Keep abreast of industry trends, emerging threats, and best practices in fraud investigation and prevention.
Bachelor's degree in Criminal Justice, Criminology, Business Administration, or a related field, preferred
Minimum of 3-5 years of experience in fraud investigation, law enforcement, or a related field.
Certified Fraud Examiner (CFE), Certified Insurance Fraud Investigator (CIFI), or similar certification, preferred.
Ability to analyze data, plan case strategy, prepare case reports, and partner with Claims team members to prove or rule out suspect factors on property losses.
Tech savvy and comfortable with advanced investigative tools (ISO, Accurint, TLO, etc.)
Working knowledge of investigative techniques for Physical Damage, Bodily Injury, and PIP/Medical Payments fraud.
Able to create and implement investigative processes.
Enthusiasm about learning and adapting to the exciting world of AI, as a commitment to ongoing growth in this field is a fundamental part of Lemonade culture.
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