Restoration Estimator & Insurance Claims Specialist

Job Description

Job Description

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
Required

• 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 driver's 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 $75,000$95,000 based on experience, plus performance bonuses