Restoration Estimator & Insurance Claims Specialist

Not Interested
Bookmark
Report This Job

profile Job Location:

Hialeah, FL - USA

profile Yearly Salary: $ 75000 - 95000
Posted on: 4 days ago
Vacancies: 1 Vacancy

Job Summary

Benefits:
  • Bonus based on performance
  • Competitive salary
  • Paid time off
The Role
We are looking for a Senior Restoration Estimator & Insurance Claims Specialist who combines field restoration expertise with deep knowledge of how insurance carriers operate. This is a player-coach role: you will inspect losses write carrier-compliant estimates manage the full claims lifecycle and build the internal discipline that drives our scorecard performance and lead volume.
If you have worked inside a carrier as an Inside Technician or field adjuster within a TPA network or as a senior restoration professional who truly understands carrier QA systems and approval workflows. We want to talk to you.

What You Will Do

Claims & Carrier Compliance
  • Own the full claims lifecycle from FNOL through final payment meeting all carrier documentation upload and communication requirements
  • Manage video documentation protocols for all mitigation assignments training QA and upload verification
  • Navigate carrier approval hierarchies: know when IT reviewer authorization is required versus adjuster approval and ensure all approvals are documented in the carrier system before work begins
  • Monitor open files daily to prevent upload delays that affect network ranking
  • Interface with carrier Inside Technicians desk and field adjusters TPA representatives and public adjusters on scope approvals revisions and disputes
Estimating & Scoping
  • Conduct on-site inspections for water fire mold and storm losses moisture readings thermal imaging photo documentation full scope identification
  • Prepare accurate defensible Xactimate estimates that meet carrier standards and achieve strong pass-through rates
  • Coordinate with the Paul Davis FAST estimating team and review output for carrier compliance before upload
  • Prepare well-documented supplements with IICRC-justified rationale
Team & Operations
  • Mentor team members on inspection standards estimating documentation protocols and carrier compliance workflows
  • Establish internal QA checklists and peer review processes before any estimate is submitted
  • Support project coordination from estimate approval through job completion
  • Contribute to SOP development as we scale toward CAT program readiness
What We Are Looking For
  • 35 years of experience in restoration estimating insurance claims management or a carrier-side role (Inside Technician field adjuster TPA reviewer or equivalent)
  • Demonstrated knowledge of carrier vendor program operations: upload timelines documentation requirements QA review processes field-reported issue (FRI) protocols and performance scorecard metrics
  • Proficiency in Xactimate (Level 2 or higher preferred) and experience managing estimates through carrier platforms such as Xactanalysis
  • Ability to navigate and document carrier approval hierarchies in accordance with program requirements
  • Knowledge of IICRC standards (S500 S520 S700) and ability to apply them in scope justification
  • Valid Florida drivers license
  • Bilingual English/Spanish strongly preferred
Preferred
  • Prior experience inside a carrier TPA or network management organization
  • IICRC certifications (WRT FSRT AMRT or similar)
  • Familiarity with Paul Davis systems and FAST estimating
  • Experience with multiple TPA programs and preferred vendor networks
What We Offer
  • Direct access to the Paul Davis national network training programs and FAST estimating support
  • Career growth path toward Operations Manager or General Manager
  • Small team real decision-making authority entrepreneurial environment
  • Foundational role in a territory covering 1.2M residents in an active South Florida market
  • Base salary $75000$95000 based on experience plus performance bonuses



Compensation: $75000.00 - $95000.00 per year



Since 1966 Paul Davis has been an industry leader in the areas of property damage mitigation reconstruction and remodeling. With more than 370 offices in our franchise network the company serves residential institutional and commercial customers and clients across the United States and Canada.

We have built our heritage one project at a time establishing a reputation for performance integrity and responsibility among customers and carriers alike. Whether property damage is caused by water fire smoke storms or other disasters we deliver on our promise to deliver excellence expertise and a customer experience that is second to none. At Paul Davis our passion for quality drives everything we do.

Our Vision:

To Provide Extraordinary Care While Serving People In Their Time Of Need.

Our Values:

Deliver What You Promise

Respect The Individual

Have Pride In What You Do

Practice Continuous Improvement

Our Mission:

To provide opportunities for great people to deliver Best in Class results



Required Experience:

IC

Benefits:Bonus based on performanceCompetitive salaryPaid time offThe RoleWe are looking for a Senior Restoration Estimator & Insurance Claims Specialist who combines field restoration expertise with deep knowledge of how insurance carriers operate. This is a player-coach role: you will inspect loss...
View more view more

About Company

Company Logo

Are you Looking for an exciting opportunity? A problem solver who likes being in control of your own destiny? A person with a ravenous sense of urgency? An opt...

View Profile View Profile