In this work, we proposed and demonstrated a high-sensitivity optical fiber temperature sensor based on lossy mode resonance (LMR). The sensor is composed of a D-shaped fiber and a thin composite film. The composite film consists of tin dioxide (SnO2) and polydimethylsiloxane (PDMS). PDMS is inserted as an intermediate layer between D-shaped fiber and SnO2 layer, realizing the separation of TM and TE polarization to reduce polarization crosstalk, while also serving as a temperature sensitive layer. The polarization state of the excited LMR can be freely controlled by adjusting the thickness of the composite film. The proposed sensor exhibits a high temperature sensitivity of −1.1883 nm/°C with a measurement range of 10–90 °C. Meanwhile, a fast response time of ∼ 109 ms was observed due to the ultra-thin PDMS interlayer.