Restoration Estimator & Insurance Claims Specialist
About The Position
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.
Requirements
- 3–5 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 driver's license
- Bilingual English/Spanish strongly preferred
Nice To Haves
- 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
Responsibilities
- 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
- 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
- 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
Benefits
- Bonus based on performance
- Competitive salary
- Paid time off
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
